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This SOP provides guidance for Mid Mersey employees, to ensure that: • Incidents referred for 72-hour learning review are managed effectively, and immediate action/learning takes place. • Staff follow the correct procedures when an incident occurs. • Learning reviews are conducted in a timely manner and are of high quality. • Immediate action/learning takes place where required. • The Trust learns from incidents to improve the safety and experience of patients and quality of services.

This policy supports the requirements of the NHS England Patient Safety Incident Response Framework (PSIRF) and sets out how Mersey Care NHS Foundation Trust (the Trust) will approach the development and maintenance of effective systems and processes for responding to patient safety incidents and issues for the purpose of learning and improving patient safety.

Medical Staff Study and Professional Leave Procedure NWBH All medical staff should maintain and develop their clinical skills through continuous professional development (CPD) to provide high quality care to our patients. This procedure provides a process for medical staff, managers and the Director of Medical Education for requesting, approving and monitoring study and professional leave whilst ensuring that services to patients are maintained during periods of absence.

The Service User Mobile Phone Usage Procedure outlines the process adopted by the Mid Mersey Division in maintaining the privacy, safety and security of service users/patients, employees and all other visitors to Trust premises and services. It is important to find a balance between the needs of the service users and employees to maintain communications and contacts with family and friends versus the need to protect people against harm.

To specify the processes we follow across our mid-Mersey commissioned Learning Disability Services to support people with learning disabilities who live in the community and present with behaviours of concern to those provisioning support. Having a consistent and explicit pathway supports equitable expectations for service provision and delivery.

The core objectives for secure services are to assess and treat mental disorder, reduce the risk of harm that an individual exhibits to others and to support recovery (Appendix 1: NHS Standard Contract for Medium and Low Secure Mental Health Services). The service addresses need associated with a diverse and complex degree of underlying disorders with some being persistent over the lifespan.

Scheme of Reservation and Delegation of Powers F03 This Scheme details which powers have been retained solely for use by the Board of Directors and which have been delegated to Board Committees or officers of the Trust

Policy aimed at those working within the Stoddart House Unit, to explain the responsibilities relating to patient property and to outline good practice and process for the safe keeping and management of patient property whilst maintaining a safe environment and protecting vulnerable patients who may be at risk of potential harm.

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.

This policy and linked procedure relates to all staff caring for any adult patient over 18 years where that persons death is anticipated and can be planned for. This may include patients for whom the Trust provide a community nursing service and patients who have an expected death within Mid-Mersey inpatient settings. This policy and its related procedures do not relate to traumatic or unexpected deaths. Nor does it relate to the deaths of children who are under 18. This is available in the End of Life Care for Children Policy & Procedure.