Our Policies, Procedures and Frameworks

The Royal Wolverhampton NHS Trust regularly reviews their policies, procedures and frameworks. 

Please see below a list of the types of written protocols, policies and procedures written by the Trust. Some of these documents are linked below. If you wish to view any of these documents that are not already linked please email: rwh-tr.FOI@nhs.net.

• Clinical Policies, Procedures, Guidelines and Frameworks
• Corporate Policies,  Procedures, Guidelines and Frameworks

CP02 Deprivation of Liberty Safeguards (DoLS) Policy (PDF, 307Kb)
CP05 Transfer of Patients Between Wards, Departments, Specialist Units and Other Hospitals (PDF, 1Mb)
CP06 Consent to Treatment and Investigation Policy (PDF, 1Mb)
CP07 Breastfeeding Policy for Services Outside of Maternity (PDF, 203Kb)
CP08 Children and Young People in Care Policy (PDF, 695Kb)
CP09 Transition from Children’s to Adult Healthcare Services (PDF, 382Kb)
CP11 Resuscitation Policy (PDF, 2Mb)
CP12 Care of People with Learning Disabilities (PDF, 383Kb)
CP13 Adult Self-Harm Policy (PDF, 355Kb)
CP24 Bone Bank Policy (PDF, 865Kb)
CP26 Blood Transfusion Policy (PDF, 1Mb)
CP39 Criteria Led Discharge (PDF, 516Kb)
CP41 Safeguarding Children Policy (PDF, 717Kb)
CP42 Policy for the Prevention and Management of Adult and Paediatric Inpatient Falls (PDF, 1Mb)
CP48 Supervision of All Non-Consultant Medical Staff Policy (PDF, 490Kb)
CP50 Management of Risks Associated with Pathology and Radiology Diagnostic and Screening Tests (PDF, 657Kb)
CP53 Safeguarding Adults at Risk (PDF, 468Kb)
CP56 Procedural Sedation Policy (PDF, 247Kb)
CP57 Policy for the Safe Prescription, Administration and Monitoring of Oxygen Therapy in Adults (PDF, 1Mb)
CP67 Identification and Management of Female Genital Mutilation Policy (FGM) (PDF, 2Mb)

HR03 Disciplinary Policy (PDF, 804Kb)
HR46 Medical Appraisal Policy - To Support Revalidation (PDF, 600Kb)
HR47 Social Media Protocol (Personal and Trust Business Use) (PDF, 529Kb)
HR50 Study Leave Policy (PDF, 2Mb)

HS01 Management of Health and Safety (PDF, 1Mb)

IP02 Preventing Infection Associated with the Built Environment (PDF, 383Kb)
IP07 Viral Haemorrhagic Fevers Policy (PDF, 661Kb)
IP09 Glove Policy (PDF, 316Kb)
IP11 Infection prevention management of patients affected by common UK parasites (PDF, 448Kb)
IP12 Standard Precautions (PDF, 1Mb)
IP13 Outbreaks of Communicable Infection/Infection Prevention/Serious Incident Policy (PDF, 590Kb)
IP19 Blood and Body Fluid Spillage Management (PDF, 2Mb)
IP20 Urinary Catheter Policy (PDF, 524Kb)

OP05 Adult Safeguarding Supervision Policy (PDF, 504Kb)
OP10 Risk Management and Patient Safety Reporting Policy (PDF, 2Mb)
OP15 Integrated Supplies and Procurement Department Procurement Policy (PDF, 579Kb)
OP16 Critical Care Outreach Team Operational Practice Policy (PDF, 229Kb)
OP29 Booking Non Urgent Patient Transport Policy (PDF, 471Kb)
OP33 Estate Maintenance Policy (PDF, 324Kb)
OP52 Patient Identification Policy (PDF, 276Kb)
OP87 Learning from Deaths Policy (PDF, 1Mb)
OP101 Children and Young People Did Not Attend/Failed to be Brought to Acute or Community Appointments or for Acute Admissions/No Access Gained at Pre-Arranged Home Appointments Policy (PDF, 955Kb)
OP104 Business Continuity Management Policy (PDF, 484Kb)

Clinical Guideline for the Frequency of Neurological Observation Recording in Adults (PDF, 436Kb)
Management of Inpatient Diabetes Foot (PDF, 711Kb)
Mattress and Cushion Care (PDF, 183Kb)
Paracetamol IV Prescribing Guideline (PDF, 208Kb)
Review and Implementation of NICE Guidance, National Guidance and National Confidential Enquiries Procedure (PDF, 526Kb)
Safe Use of Ultrasound Gel to Reduce Infection Risk (PDF, 191Kb)

Overseas Visitors Procedure (PDF, 1Mb)
Procedure for the Access to and Use of Momentive Inc. (PDF, 182Kb)

Prevention, Diagnosis and Management of Delirium in Adult Inpatients (PDF, 428Kb) 

Governance and Risk Management Framework (PDF, 521Kb)