safekeeping of patients monies and personal belongings

Trust Policy

Safekeeping of Patients Monies and Belongings

WAHT-CG-252 of 38 Version 5

Safekeeping of Patients

Monies and Personal Belongings

Department / Service: Nursing Directorate

Originator:

Celina Eves Craig Higgins

Interim Deputy CNO Financial Accountant

Accountable Director: Vicky Morris Chief Nursing Officer

Approved by:

Trust Leadership Group

Date of approval: 1st October 2020

Review date: This is the most current

document and should be used until a revised

version is in place

1st October 2023

Revision made by Deputy Chief Nurse Head of Financial Planning and Financial Services

Revision approved by : Chief Finance Officer, Chief Nursing Officer, TLG Audit and Assurance Committee

Target Organisation(s) Worcestershire Acute Hospitals NHS Trust

Target Departments All Ward area and Patient admission areas

Target staff categories All nursing staff. ward clerks and finance

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Purpose of this document: Trusts have a responsibility both to safeguard patient’s monies and belongings (property) and to limit their own liability in the event of loss or damage. Responsibility can be explicit: the patient knowingly and willingly hands over their property to the staff of the Trust for safekeeping, or implicit: as a result of the Trust duty of care towards the patient, it inherits an obligation to look after their property even where there is no explicit transfer of responsibility If a patient suffers the loss of, or damage to, their money or personal belongings whilst on Trust property, the Trust may be held liable. This policy describes the process of recording patient’s property on admission, transfer to other wards, claims for losses and incident reporting of such. Services that support detained patients will need to make sure that local arrangements support their patients’ access to cash in order to make purchases.

Key amendments to this Document:

Date Amendment By:

Sept. 2014

Document completely reviewed by senior nursing staff and a new process of property bags put in place.

C.Eves A. Davies P.Byrne S.Murray C. Higgins M.White

August 2015

Amendment to disclaimer notice Lisa Miruszenko

August 2017

Document extended for 6 months as per TMC paper approved 22nd July 2015

TMC

Dec. 2017

Document extended for 3 months as per TLG recommendation

TLG

November 2018

Document amended and revised in line with Audit recommendations. Includes revised process for Elective and Non-Elective patients, includes templates for all standard letters, financial approval process and disclaimers details for all departments.

Deputy Chief Nurse Head of Financial Planning and Financial Services

October 2020

Document reviewed with no amendments made Lynne Walden Lisa Miruszenko

References: Code:

Standard Financial Instructions (Revised March 2017)

Incident Reporting Policy (Datix) WAHT-CG-008

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Contents: Page

1. Introduction 4

2. Scope of the Policy 4

3. Theft, Fraud, Bribery and Corruption 5

4. Definitions 5

5. Responsibility and Duties 6-7

6. Policy detail 6.1 Elective Admissions 6.2 Non Elective Admissions 6.3 Patient Valuables Procedure 6.4 Reordering Patient Property Book (PPB) 6.5 Reordering Blue Patient Valuable Bags 6.6 Cashiers duties 6.7 Return of Patients Valuables 6.8 Deceased patients 6.9 Unclaimed property

7-10

7. Lost Property/ Losses and compensation claims 12

8. Approval Process 13

9. Implementation 13

10. Background 14

11. Monitoring and Compliance 14

12. Policy Review 16

Appendix

Appendix 1 Elective Admission Flow diagram 17

Appendix 2 Disclaimer Form 18

Appendix 3 Patient Personal Valuable Property 19

Appendix 4 Patient Property Form - Clothing 20

Appendix 5 Non Elective Admission Flow diagram 21

Appendix 6 Patients Property Indemnity Form 22

Appendix 7 Collection of property Approval 23

Appendix 8 Ward collection- Unclaimed property template letter 24

Appendix 9 Cashiers Collection – Unclaimed property template 25

Appendix 10 Deceased patient unclaimed property template 26

Appendix 11 Electronic Losses form 27

Appendix 12 Flow Diagram Losses claims 28

Appendix 13 Losses Investigation form 29

Appendix 14 Rejected Claim template 30

Appendix 15 Sample Patients Property Book 31

Appendix A Equality Impact 32

Appendix B Financial Risk Assessment 38

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1. Introduction

This policy explains the process to follow for patient’s monies and belongings, both of a valuable and non-valuable nature and it is designed to clarify the requirements of all staff members which manage the property of patients as part of their work within the organisation and protect staff from becoming compromised or subjected to allegations.

This policy covers: • Admissions to wards and departments within the Trust both elective

and non-elective • Handling of patients property whilst an in patient • Transfers or discharges within the Trust or to other organisations

The use of the term “property” shall be taken to include money, valuables, medicines and personal belongings.

2. Scope of the Policy

The aim of this policy is to : • Ensure patients’ property is properly accounted for; • Ensure there is adequate provision for safekeeping of patients’ property; • Provide assurance for patients and relatives; and • Provide safeguards for staff against inappropriate and false accusation

Patients or their families or guardians can be assured that all reasonable steps have been taken to ensure the safety and security of their property whilst under our care.

The aims in particular ensure that:

The risks associated with the handling of cash, valuables and property are managed appropriately:

Handling practices are described and incidents are reported.

The Trust limits its own liability in the event of loss or damage of patient cash, valuables and or property.

Providing a safe and secure environment for care is a legal duty under the

regulations which underpin the quality standards for healthcare providers overseen by the Care Quality Commission (CQC). The Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 make specific references to the protection of the patient’s property. Regulation 11 says that providers “must make suitable arrangements to ensure that service users are safeguarded against the risk of abuse” and includes “theft, misuse or misappropriation of money or property” within the relevant meaning of ‘abuse’.

The policy applies to all individuals employed by the Trust including students, locum and bank/agency staff and staff employed on honorary contracts who are involved in Trust business on Trust premises.

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3. Theft, Fraud, Bribery and Corruption

Unfortunately fraud, bribery and corruption, as well as theft, does occur throughout the NHS. All employees have a duty to ensure that public funds are protected and properties handed in to the Trust by patients are safeguarded as best as possible. If an employee suspects that there has been a potential act of theft, fraud, bribery or corruption, or has seen any suspicious acts or events, they must report the matter to either Trust’s Local Security Management Specialist or Counter Fraud Team (contact details below which can also be found on the Trust’s public website and/or intranet) or report the matter to the NHS Fraud and Corruption Reporting Line on 0800 028 4060. Alternatively reports can be made through the online reporting tool at https://cfa.nhs.uk/reportfraud Local Security Management Specialist: Paul Graham CMIOSH ASMS 01905 768946 or Ext 36786 Email: [email protected] Counter Fraud Specialist: Paul Westwood (CW Audit Services) 07545 502400 Email: [email protected] Secure email: [email protected] Further advice is also available from the Trust’s Director of Finance and/or the Trust’s Counter Fraud Team.

4. Definitions

For the purpose of this policy the definition of a “patient” is anyone who is receiving clinical care or treatment at any of the Trusts sites.

The patient property book (PPB) is referred to throughout this Policy and is the

same property book for all three sites.

Property can be defined as anything owned by the patient, which is of value to

the patient. Whilst this definition clearly includes items such as money and jewellery, it is important to remember that items owned by the patient may have great personal or sentimental value, and such items also need to be regarded and treated as property under this policy. Items such as clothing, walking aids, books, house keys, spectacles, dentures and so on are also patient property and can cause considerable distress and inconvenience to the patient, and unnecessary additional work and expense for the Trust, if lost.

Valuable Items includes: Jewellery Mobile phones Electronic devices

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Cash

Patients Personal Valuable Property includes: Glasses Hearing Aids Dentures

Patients Clothing includes; Any personal clothing items and shoes. These should be kept in the normal green clothing bags. The bag needs to clearly labelled using a patients label and remain with the patient at all times.

5. Responsibility

5.1 Standing Financial Instructions

In line with the Standing Financial Instructions (SFI 16.4), the Chief Executive is responsible for ensuring that patients or their guardians, as appropriate are informed before or at admission by:

a. notices and information booklets b. hospital admission documentation and property records c. the oral advice or administrative and nursing staff responsible for

admissions; that the Trust will not accept responsibility or liability for patients' property brought into the Trust’s premises, subject to the exceptions identified above, unless it is handed in for safe custody and a copy of an official patients' property record is obtained as a receipt. The Trust strongly advises that patients do not bring any valuable or personal items, including money in to the Hospital. The Trust strongly recommends that items are sent home, however if there is an item that the patient would like to hand in for safe custody, the correct process must be followed. Patients electing not to conform to this guidance must indemnify the Trust against any loss by signing a Disclaimer Form.

5.2 Duties of Trust Staff

Chief Nursing Officer, Deputy Chief Nurse Matrons and Ward/ Departmental Managers – must ensure their nursing staff are aware of

this policy and understand their responsibilities in relation to the Safekeeping of patient’s property.

All surgical, medical and midwifery direct admission areas e.g. Emergency Department – must encourage all patients’ valuable items

are returned home. If there is no Next of Kin (NoK) any valuable items should be stored in the nearest safe or secure place and the correct procedure followed. Any patients personal valuable property should be

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bagged and remain with the patient at all times.

All Nursing and Midwifery staff – must encourage all patients’

valuable items are returned home. If there is no Next of Kin (NoK) any valuable items should be stored in the nearest safe and the correct procedure followed.

Finance/Cashiers Office – must ensure that any valuables received for

patients admitted are recorded and placed in the Cashiers office safe in accordance with this Policy

If staff or relatives/carers have any concerns about valuables going

missing during a patient’s admission then they must alert their Ward/Departmental manager and or Matron who will proceed to inform the Police if necessary.

6. Policy Details

6.1 Elective Patients

Appendix 1 shows the flow diagram for Elective patients.

All Elective patients will be requested not to bring any valuable items into hospital. The TCI will clearly advise patients not to bring any valuable or personal items, including money in to the Hospital.

If patients arrive with any valuable items, the Next Of Kin (NoK) will be requested to take them home.

If the patient requests to retain any valuable items the patient or NoK must sign a Disclaimer Form - Appendix 2

The disclaimer must be retained in the patient’s notes.

If a patient does not have a NoK and requests the Trust retains their valuable items will be stored in the nearest safe or secure place and the Patients Property Book is to be completed as per the policy.

If a patient is unable to sign a disclaimer due to a medical condition or capacity and there is no NoK, any valuable items will be stored in the nearest safe or secure place and the Patients Property Book (PPB) is to be completed as per the policy.

Any patient’s personal valuable property must be clearly identified in the patient’s notes - Appendix 3

Suitable storage pots for dentures and hearing aid to be provided and labelled using the normal patients label. Other personal valuables to be kept with the patient in the blue patient valuables bags. These remain the responsibility of the patient.

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If a patient goes to theatre the patient must be offered a blue patients valuables bag for any personal valuables. This bag must be clearly labelled with the patients name and NHS number using a patient’s sticker and the items in the bag ticked on the front. The bag is to remain with the patient at all times and whilst being transferred.

Patient Clothing and or toiletries to remain with the patient at all times in the normal green bag, clearly labelled using the patients label.

6.2 Non Elective Patients

Appendix 5 shows the flow diagram for non-elective patients.

If a patient is unable to sign a disclaimer due to a medical condition or capacity and there is no NoK, any valuable items will be stored in the nearest safe or secure place and the Patients Property Book (PPB) is to be completed as per the policy.

If patients arrive with any valuable items, the Next Of Kin (NoK) will be requested to take them home.

If the patient requests to retain any valuable items the patient or NoK must sign a Disclaimer Form - Appendix 2

The disclaimer must be retained in the patient’s notes.

If a patient does not have a NoK and requests the Trust retains their valuable items will be stored in the nearest safe or secure place and the PPB is to be completed as per the policy.

Any patient’s personal valuable property must be clearly identified in the patient’s notes using the Patient Personal Valuable Property Form Appendix 3

Suitable storage pots for dentures and hearing aid to be provided and labelled using the normal patients label. Other personal valuables to be kept with the patient in the blue patients valuable bags. These remain the responsibility of the patient.

If a patient goes to theatre the patient must be offered a blue patients valuables bag for any personal valuables. This bag must be clearly labelled with the patients name and NHS number using a patient’s sticker and the items in the bag ticked on the front. The bag is to remain with the patient at all times and whilst being transferred.

Patient Clothing and or toiletries to remain with the patient at all times in the normal green bag, clearly labelled using the patients label.

Any patient’s clothing must be clearly identified in the patient’s notes using the Patient Property Form – Clothing (Appendix 4).

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All wards/department are to complete the form with the exception of TAU who will ensure the patients clothing is delivered in the patient’s suitcase/bag for the admitting ward to complete the appropriate form.

6.3 Patient Valuables Procedure

The Patient Property Book (PPB) is the official document for recording only valuable items handed in for safekeeping. It is a quadruple document. Top copy is to be included in the blue patient valuables bag Second copy is to be included in the patients notes Third copy to be handed to the patient as a receipt Fourth copy to remain in the wards PPB.

Entries into the PPB must be signed by the patient (if possible) and always by two members of the ward / department staff at the time of signing. All valuables must be placed in the blue patient valuable bag, signed by two members of staff and sealed; ensuring the front of the bag has been completed correctly.

If patients are transferred to another ward or department and have deposited valuables in the safe, these need to be transferred to the new ward and securely handed over. The new ward to complete the PPB, check the blue patient valuables bag for contents, re-record the details and reissue a receipt to the patient. The patients sealed blue bag to be locked in a safe or secure place or taken to cashiers office if expected to be long stay or any cash exceeds the limit of £100. Cashier contact details are below, section 5.4 and 5.6 If the cashier is in receipt of the patients valuables the PPB should be updated as to where the items are stored and the PPB signed by the cashier as received. Please note most patient’s valuable and property goes missing during transfers so ensure this process is followed.

6.4 Re ordering Patient Property Book (PPB)

The PPB’s are controlled stationery and only one book should be held by the ward/department. These books are available from the cashier’s office. Worcester - [email protected] Kidderminster - [email protected] Alexandra - [email protected]

mailto:[email protected]



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Or Finance department - [email protected]

6.5 Re ordering blue patient valuable bags

The blue patient valuable bag are available from NHS Supply chain.

6.6 Cashiers duties

Cashiers will not open the sealed blue bags, unless identified by ward/department that the cash needs to be taken out of circulation for hygiene reasons. Any requests for repayments will be refunded via a cheque unless the patient does not have a bank account, where special arrangements will be made. Please note this could take a week to arrange if over £200. Cash will only be banked under normal circumstances if the patient has deceased and there is no NoK.

Please contact the cashiers office for opening times: WRH Extension 39209 Alex Extension 44656 KTC Extension 55134 or Finance Department Extension 38372

Relatives can be directed to the cashier’s offices during opening times to collect patient property.

Where discharge is likely the Cashiers Office will make arrangements so that the patient can access their valuable property during the cashier’s opening times.

6.7 Return of Patient’s Valuables

When patient’s valuables are returned to a patient or their relative by the patient, relative or guardian must sign the top copy of the PPB, once the bag has been opened in front of Trust staff. It must be witnessed by the member of staff returning the valuables. The top copy will be filed in the PPB of the ward or the cashier’s office if the items are collected from there.

It is important that the patient is informed that cash is often banked, and that

items can only be reclaimed from the Cashiers’ Office during their opening hours. Wards/Departments must ensure the Patients Property Indemnity Form is completed when the items are returned to the NoK. Appendix 6 –Patients Property Indemnity Form

If patient’s valuables are held by the cashier, the ward will need to contact the cashier’s office to arrange suitable collection times prior to discharge. If the patient is not subsequently discharged, the patient’s valuables should be placed in the night safe for safe keeping or ward safe.


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If a patient’s relative or guardian requests the patient’s property they must sign an indemnity form before the patient’s property is released. This is to safeguard the Trust against the possibility of legal action taking place in the event of valuables being given to relatives not entitled to them. Prior to release of patients valuables and property the Trust must also ensure the NoK or other parties are the authorised to collect the items and complete the Patient Property – Indemnity Form Authority to collect (Appendix 7)

Property may be returned to appointed Executors, in which case the same procedure applies, subject to an indemnity form being completed.

6.8 Deceased patients

In the event of death, patient property including personal valuable property will

be held locally at ward/department. Any patient valuables must be sent to the Cashiers Office or continue to be held in the ward safe for collection. Ward/department must notify the cashier’s office of the patient’s death as soon as possible if they are holding the patients valuables.

A record must be made in the PPB of all valuable belongings for persons in this category including a nil return if no property is taken into custody. The recording of the property must be completed by two members for staff who will sign the PPB. Any relative or person accompanying the patient must be asked to countersign the form.

If a patient’s relative or guardian requests the patient’s property they must sign

an indemnity form before the patient’s property is released. Patient’s property Indemnity form Appendix 6. This is to safeguard the Trust against the possibility of legal action taking place in the event of valuables being given to relatives not entitled to them. The exception to this rule is wedding rings. If the patient’s relatives request that the ring remains on the body this should be noted and clearly recorded in the patients records. If the ring is to be removed it should be sent to the Cashiers’ Office with all other valuables.

There are occasions where the deceased patients’ clothes and valuables may be removed by the police or Coroner’s office. The PPB must still be completed in accordance with the guidance. The police, coroner or their representative must sign the pink copy, which is held by the ward or department. They must then be accompanied to the cashier office for collection of the patient’s valuables.

6.9 Unclaimed Property

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If property of low value is left in hospital by patients and is not claimed within 2 months after discharge it may be assumed to have been abandoned and the Trust can dispose of it. This would include clothing, glasses, hearing aids, toiletries as examples. Please email or send the appropriate letter to the patient to request collection or disposal of their property. Appendix 8 refers to personal property for the wards/department and Appendix 9 for the cashier’s office.

If deceased patient’s property of low value is not claimed after 2 months by

relatives of a patient or appointed Executors, the Trust may dispose of the property, provided reasonable attempts have been made to inform the family. Appendix 10 Deceased patient unclaimed property template letter refers

Where there are items of value more rigorous efforts should be made to trace

the owner or relatives or appointed Executor. If these efforts are unsuccessful the property should be kept for a reasonable time before disposal (6 months)

Any items deemed to be of value and not reclaimed within 6 months will be

disposed of, or donated to charity. Finance department are responsible for donating items to local charity chops. Jewellery is sent to a local jeweller for valuation. Any unclaimed cash and proceeds from sale of abandoned and unclaimed property should be credited to the exchequer

7 Lost property and losses/compensation claims

When a claim is made by a patient via the Trust Loss claim (Appendix 11) to the

Ward manager or Matron an investigation into the validity of the claim must occur. The loss must also be reported as an incident via the Datix on-line reporting system. Appendix 11 Electronic losses claims Appendix 12 Flow diagram for losses claims

Ward staff must use the electronic losses investigation form (Appendix 12) when

a patient/relative makes a claim for lost property. This will support the decision making process as to whether the Trust can provide compensation to the claimant. Appendix 13 Losses investigation form The Ward or department manager, after a full investigation has been undertaken and will then forward the loss claim and the investigation form to the Matron for review and approval. On occasions if a patient us unable to complete the loss claim form, this can be completed via telephone.

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This will be forwarded to the budget manager for final sign off prior to forwarding to the Finance department for payment. If the claim is over £500 it will need to have a 2nd signature from the Divisional Business Advisor (SFI’s Section 19 on Scheme of Delegation refers for information). Electronic forms are to be emailed to [email protected] If the investigation results in a claim not being approved the Ward manager must write to the claimant explaining in a polite and compassionate way why the claim is not being settled, template available (Appendix 14). Appendix 14 – rejected claim template

Investigation of claim form and losses forms will be available through the Trust

Intranet.

The outcome of the investigation must also be recorded in Datix.

Hearing Aid which have been approved as part of this policy, need to be

replaced where appropriate from the Audiology department of the Trust. A referral request is not required; however the Audiology department will need approval from Finance to proceed with the replacement aids.

Dentures which have been approved as part of the policy will be re-imbursed directly to the dentist on receipt of a quote/invoice, in exceptional circumstances payments can be made to the patient/relative/Nok on proof of purchase and the receipt from the dentist. Glasses which have been approved as part of the Policy will be re-imbursed directly to the optician on receipt of a quote/invoice, in exceptional circumstances payments can be made to the patient/relative/Nok on proof of purchase and the receipt from the optician. Payments will only be made to the supplier on receipt of a quote, or to the individual claimant after providing proof of purchase and receipt from the company/supplier. No payments will be made to a deceased patience/relative, NoK unless costs have already been incurred prior to death. The replacement will only be made on a like for like basis, and the Trust will not pay for any upgrades. Original receipts may also be requested for the items lost/being claimed for.

All Losses and Compensation claims, for which a payment has been made, are subject to review by the Trust’s Audit & Assurance Committee.

8 Approval process

This Policy will be approved through the Trust Leadership Group (TLG).


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9 Implementation

9.1 Plan for Dissemination

This Policy will be issued on the Trust Intranet in the Health and Safety section and Finance section. It will be taken to the Senior Nurse meeting and TLG for approval and dissemination Following TLG and approval, all General managers will be asked to ensure its implementation in their areas.

9.2 Training and awareness

Matrons, Ward managers and Operational Managers will be asked to ensure that systems are in place to enable their staff to have access to the documentation, patient’s property books, and that they are aware of how to fill in the book and record the patient’s property as required. All staff should be made aware of the policy and how to complete all relevant documentation to safeguard the patient’s belongings.

All student nurses and new starters must be provided with the safekeeping of Patients moneys and belongings policy as part of the local induction programme.

10 Background 10.1 Equality requirements

Brief descriptions of the findings of the equality assessment are in appendix A.

10.2 Financial risk assessment

Brief descriptions of the financial risk assessment are in appendix B.

10.3 Consultation

Group of clinician worked on the policy with Finance. This was then reviewed at the Nursing Top Team, and shared with the Head of Patient, Carer and Public engagement, Patient Advice and Liaison Service Officer, NICE and Key Documents Manager, Health and Safety Officer, Head of Legal Services, Internal and External audit and cashiers.

10.4 Approval process

This Policy will be approved through the Senior nurse meeting and Trust Leadership Group (TLG).

11 Monitoring and Compliance

See below:

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Page/ Section of Key Document

Key control:

Checks to be carried out to confirm compliance with the policy:

How often the check will be carried out:

Responsible for carrying out the check:

Results of check reported to: (Responsible for also ensuring actions are developed to address any areas of non-compliance)

Frequency of reporting:

WHAT? HOW? WHEN? WHO? WHERE? WHEN? Section 7 This is an outcome measure Frequency of claims received

for patient’s lost personal effects

As per Audit & Assurance Committee reporting cycle

Chief Finance Officer

Audit & Assurance Committee


Section 7 This is an outcome measure Review of value and volume of losses and compensation claims made against the Trust by patients and relatives for lost personal effects





All key controls in the policy Internal Audit of this policy As agreed in the Internal Audit schedule



As agreed in the Internal Audit schedule

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12 Policy Review This Policy will be reviewed in 12 months by the Deputy CNO with the finance

team.

Appendix Details :

Appendix 1 Elective Admission Flow diagram

Appendix 2 Disclaimer Form

Appendix 3 Patient Personal Valuable Property

Appendix 4 Patient Property Form - Clothing

Appendix 5 Non Elective Admission Flow diagram

Appendix 6 Patients Property Indemnity Form

Appendix 7 Collection of property Approval

Appendix 8 Ward collection- Unclaimed property template letter

Appendix 9 Cashiers Collection – Unclaimed property template

Appendix 10 Deceased patient unclaimed property template

Appendix 11 Electronic Losses form

Appendix 12 Flow diagram losses claim

Appendix 13 Losses Investigation form

Appendix 14 Rejected claim template

Appendix 15 Patients Property Book Sample

Appendix A Equality Impact Assessment Tool

Appendix B Financial Risk Assessment

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APPENDIX 1

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Appendix 2

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Appendix 3

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Appendix 4

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Appendix 5

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APPENDIX 6

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APPENDIX 7

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APPENDIX 8

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APPENDIX 9

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APPENDIX 10

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APPENDIX 11

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APPENDIX 12

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APPENDIX 13

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APPENDIX 14

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APPENDIX 15

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Appendix A Equality Impact Assessment Tool

To be completed by the key document author and included as an appendix to key document when submitted to the appropriate committee for consideration and approval. Please complete assessment form on next page;

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Herefordshire & Worcestershire STP - Equality Impact Assessment (EIA) Form Please read EIA guidelines when completing this form

Section 1 - Name of Organisation (please tick)

Herefordshire & Worcestershire STP

Herefordshire Council Herefordshire CCG

Worcestershire Acute Hospitals NHS Trust

Worcestershire County Council

Worcestershire CCGs

Worcestershire Health and Care NHS Trust

Wye Valley NHS Trust Other (please state)

Name of Lead for Activity

Details of individuals completing this assessment

Name Job title e-mail contact

Date assessment completed

Section 2

Activity being assessed (e.g.

policy/procedure, document, service redesign, policy, strategy etc.)

Title:

What is the aim, purpose and/or intended outcomes of this Activity?

Who will be affected by the development & implementation of this activity?

Service User Patient Carers Visitors

Staff Communities Other _______________________

Is this: Review of an existing activity New activity Planning to withdraw or reduce a service, activity or presence?

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What information and evidence have you reviewed to help inform this assessment? (Please

name sources, eg demographic information for patients / services / staff groups affected, complaints etc.

Summary of engagement or consultation undertaken (e.g.

who and how have you engaged with, or why do you believe this is not required)

Summary of relevant findings

Section 3 Please consider the potential impact of this activity (during development & implementation) on each of the equality groups outlined below. Please tick one or more impact box below for each Equality Group and explain your rationale.

Please note it is possible for the potential impact to be both positive and negative within the same equality group and this should be recorded. Remember to consider the impact on e.g. staff, public, patients, carers etc. in these equality groups.

Equality Group Potential positive impact

Potential neutral impact

Potential negative impact

Please explain your reasons for any potential positive, neutral or negative impact identified

Age

Disability

Gender Reassignment

Marriage & Civil Partnerships

Pregnancy & Maternity

Race including Traveling Communities

Religion & Belief

Sex

Sexual Orientation

Other Vulnerable and Disadvantaged Groups (e.g. carers;

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Equality Group Potential positive impact

Potential neutral impact

Potential negative impact

Please explain your reasons for any potential positive, neutral or negative impact identified

care leavers; homeless; Social/Economic deprivation, travelling communities etc.) Health Inequalities (any

preventable, unfair & unjust differences in health status between groups, populations or individuals that arise from the unequal distribution of social, environmental & economic conditions within societies)

Section 4

What actions will you take to mitigate any potential negative impacts?

Risk identified Actions required to reduce / eliminate negative impact

Who will lead on the action?

Timeframe

.

How will you monitor these actions?

When will you review this EIA? (e.g in a service redesign, this

EIA should be revisited regularly throughout the design & implementation)

Section 5 - Please read and agree to the following Equality Statement 1. Equality Statement 1.1. All public bodies have a statutory duty under the Equality Act 2010 to set out arrangements to assess and consult on how their policies and functions impact on the 9 protected characteristics: Age; Disability; Gender Reassignment; Marriage & Civil Partnership;

Pregnancy & Maternity; Race; Religion & Belief; Sex; Sexual Orientation 1.2. Our Organisations will challenge discrimination, promote equality, respect human rights, and aims to design and implement services, policies and measures that meet the diverse needs of our service, and population, ensuring that none are placed at a disadvantage over others. 1.3. All staff are expected to deliver services and provide services and care in a manner which respects the individuality of service users, patients, carer’s etc, and as such treat them and members of the workforce respectfully, paying due regard to the 9 protected characteristics.

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Signature of person completing EIA

Date signed

Comments:

Signature of person the Leader Person for this activity

Date signed

Comments:

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Appendix B Financial Risk Assessment

To be completed by the key document author and attached to key document when submitted to the appropriate committee for consideration and approval.

Title of document: Yes/No

1. Does the implementation of this document require any additional Capital resources

No

2. Does the implementation of this document require additional revenue

No

3. Does the implementation of this document require additional manpower

No

4. Does the implementation of this document release any manpower costs through a change in practice

No

5. Are there additional staff training costs associated with implementing this document which cannot be delivered through current training programmes or allocated training times for staff

No

Other comments:

Implementation of Policy should reduce the number of claims for lost property and value and should in time reduce the amount of compensation the Trust has to pay out for these items.