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This policy and procedure will provide guidance to community staff in the actions that should be taken when they identify that service users have access to weapons. This policy and procedure has been developed in association with the Police and provides direction as to the issues that should be considered prior to making risk management decisions. The policy separates action into urgent and non urgent.

Mersey Care NHS Foundation Trust recognises that supervision is a core component of best practice that supports staff in developing skills and competencies and maintaining practice standards

This policy provides clear guidance for handling concerns about doctors' conduct and capability. It implements the framework set out in 'Maintaining High Professional Standards in the Modern NHS'

This policy covers the following key issues: This policy has been updated with key information from Domestic Abuse Act 2021 and The Domestic Abuse Statutory Guidance, issued under this legisation. The Domestic Abuse Act 2021 and the statutory guidance are aimed at statutory and non-statutory bodies working with victims, including children or perpetrators of domestic abuse. It is designed to support organisations, such as the NHS, to identify and respond to domestic abuse, as well as promote best practice. • All Trust staff to have an increased awareness and access to training on domestic abuse and how to respond • Roles, responsibilities and accountability in relation to statutory duties to safeguard and promote the welfare of children and adults where domestic abuse is identified • Enable staff to ask appropriate questions about domestic abuse as part of their assessment process • Enable managers and staff to provide support and guidance to staff and service users who disclose domestic abuse • Ensuring appropriate and effective management of allegations of domestic abuse against a health care professional • Clarity in relation to information sharing • Domestic Abuse Practice Guidance has been issued in Appendix 1 to ensure a standarised response to Domestic Abuse across the Trust footprint, rooted in legislation, statutory guidance, evidence and learning.

The purpose of a Community Treatment Order (CTO) is to allow suitable patients to be safely treated in the community rather than under detention in hospital, and to provide a way to help prevent relapse and any harm – to the patient or to others – that this might cause. It is intended to help patients to maintain stable mental health outside hospital and to promote recovery. A Community Treatment Order provides a framework for management of patient care in the community and gives the Responsible Clinician (RC) the power to recall the patient to hospital for treatment if necessary.

MID MERSEY DIVISION This guidance is intended to specify the processes followed by Adult Learning Disability Teams within Mid Mersey Division. Having a consistent and explicit Triage pathway supports the timely processing of referrals and access to services. In some localities, Triage may be referred to as Duty and the Triage Practitioner as the Duty Practitioner. The guidance sets out the procedures for operating the daily Triage system; the predominant purpose of this system is to screen referrals and queries to the team at the first point of contact with our service. This is to facilitate a timely response to the specialist health care needs of individuals with a Learning Disability.

Supporting newly registered/qualified or return to practice health and social care professionals (preceptees) is critical if we are to deliver consistently high quality care to people who use our services. Ensuring that preceptees are supported through he transition from student to qualified practitioner is an important organisational priority which is reflected in this policy.

This procedure is to facilitate registered medical, nursing and allied health professional staff to be able to recognise the signs and symptoms of an anaphylactic reaction and to be able give first line emergency treatment of intramuscular (IM) Adrenaline 1:1000 injection i.e. 1mg in 1mL.

This policy applies to all clinical staff including permanent and temporary staff employed by the Trust. The policy also applies to students, bank and locum staff, contracted staff and volunteers. Every healthcare professional in the Trust must be open and honest with patients when care or treatment does not go as planned and which causes, or has the potential to cause, harm or distress. Engagement with those affected by a patient safety incident will be managed compassionately and on an individualised basis.

This procedure provides guidance on processes relating to medicines that staff working within the ICRAS team must adhere, including: • Changing Regular Medicines for Patient’s Admitted to ICRAS • Prompting and Observing Patients to take their Medicines by Health Care Assistants / Health Practitioner Assistants • Administration of Prescribed Topical Medication/Preparations by Trained Health Care Assistants / Health Practitioner Assistants • Transfer of Care From ICRAS to the Care Package Provider where Medication Administration/Prompting is in place • Medicines Reconciliation for patients referred to ICRAS.