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Equality Screening

Please note, we are currently migrating screenings across to this new website from our old website. We will prioritise most recent screenings and hope to have the full migration completed in the coming weeks. 

The Equality Unit provide advice and feedback to partner organisations on equality screening.  We also publish screenings on this website on their behalf. Click on ‘Equality Screening’ on the right of this page to view screenings, grouped by year and by quarter.

Equality Screening

 

01 April 2023 – 31 March 2024

 

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO  

Clinical Education Centre Reflective Supervision Policy

 

Clinical Education Centre - Reflective Supervision Screening Document

 

This policy will outline the processes in place to enable each Nursing and Midwifery Council registrant (supervisee) the opportunity to reflect on and discuss their practice at least twice per year with another experienced practitioner (supervisor). Feb-23 2

 

Clinical Education Centre - Reflective Supervision  Mitigation

BSO  

 

Draft Equality and Disability Action Plans 2023-28 Screening Document

 

In line with our commitments under Section 75 of the Northern Ireland Act 1998 and our Equality Scheme, the Equality Action Plan 2023-28 identifies a number of key actions to promote equality. The purpose of the Disability Action Plan is to outline some key actions that we are going to deliver upon to make a difference to people with disabilities including staff and people who use our services, and where relevant, their carers - to promote positive attitudes towards disabled people and encourage the participation by disabled people in public life. May-23 2

 

Draft Equality and Disability Action Plans 2023-28 Mitigation

BTS

PP014 NIBTS Disciplinary Policy And Procedure

PP026  Grievance Policy And Procedure

 

PP014 Disciplinary Policy  and Procedure                  PP026 NIBTS Grievance Policy and Procedure Screening Document

The Disciplinary and Grievance Policies and Procedures deal with employee conduct and concerns ensuring that just, fair and effective arrangements exist for dealing with issues which arise.

The Policies should be regarded as a valuable tool to promote positive employee relations, effective partnership working, long lasting resolutions and to improve standards of behaviour through accountability and learning.

Apr-23 2

 

PP014 Disciplinary Policy and Procedure  PP026 NIBTS Grievance Policy and Procedure Mitigation

 

NIPEC  

Annual Business Plan 2022-23

 

Annual Business Plan 2022-23     Screening Document

NIPEC’s Annual Business Plan for 2022-23 details how it will make best use of its resources to achieve its strategic objectives.  It also details how NIPEC plan to improve how they work May-23  

2

 

Annual Business Plan 2022-23 Mitigation

 

PHA Draft Equality And Disability Action Plans 2023-28

 

Draft Equality and Disability Action Plans 2023-28 Screening Document

 

In line with our commitments under Section 75 of the Northern Ireland Act 1998 and our Equality Scheme, the Equality Action Plan 2023-28 identifies a number of key actions to promote equality. The purpose of the Disability Action Plan is to outline some key actions that we are going to deliver upon to make a difference to people with disabilities including staff and people who use our services, and where relevant, their carers - to promote positive attitudes towards disabled people and encourage the participation by disabled people in public life May-23 2

 

Draft Equality and Disability Action Plans 2023-28 Mitigation

 

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO  HSC Digital Programme

 

 

 

HSC Digital Programme Screening Document

 

In March 2019, the Permanent Secretary of the Department of Health (DoH), as the Programme Sponsor, requested that the HSC Digital Programme be established to expand shared services for HSCNI IT delivery. As a result of this mandate, a regional HSC programme was established (HSC Digital), which has undertaken wide stakeholder engagement to investigate various options available for this delivery.

As a result of this work, the preferred option of the Programme Board was to establish a new HSC Digital Directorate within BSO, expanding the existing IT Shared Service offering. The preferred option is to move existing IT staff within the six Trusts, BSO ITS and NIBTS to within a new directorate within BSO. The decision to take this preferred option is covered in this screening document.

 

Jun-23  2

 

HSC Digital Programme Mitigation 

BTS Closure of fixed donation site at 16 College St, Belfast, previously used one day per month (CM1819)

 

 

Closure of fixed donation site at 16 College St, Belfast, previously used one day per month (CM1819)     Screening Document

 

NIBTS rent lower ground floor space, to run as a static blood donation centre. Donor attendance was declining prior to the COVID-19 pandemic, and the decline has increased significantly since that time. NIBTS pay £1,000 per month for the use of the premises.

Other HSCNI occupants of 16 College St., have requested use of the space allocated to NIBTS.

NIBTS staff were only rostered to work at College St. one day per month, as part of their normal working pattern, and not all staff would work there. There will be no changes to their working pattern.

Donors who had previously donated at College St. will be offered alternative venues.

 May-23 2

 

Closure of fixed donation site at 16 College St, Belfast, previously used one day per month (CM1819) Mitigation 

PCC  

Adult Safeguarding Protocol Policy

 

 

Adult Safeguarding Protocol Screening Document

 

 

These procedures outline the actions needed to respond to adults at risk of abuse or harm and are in line with new guidelines from the Northern Ireland Adult Safeguarding Partnership. Sep-22 2

Adult Safeguarding Protocol Mitigation Document

PCC  

Centre Contingency Plan

 

Centre Contingency Plan Screening Document

 

This plan outlines the action to be taken in the event of any major incident occurring such as fire, flood, bomb warning etc – that may be dangerous or life-threatening to staff or other users. It also describes the process by which learners will be able to continue their studies in the event of the Patient and Client Council withdrawing certain course services as a result of any unforeseen circumstances, physical or administrative.  

Oct-22

2

Centre Contingency Plan Mitigation

 

PCC Data Protection And Confidentiality Policy Document

 

Data Protection And Confidentiality Screening Document

This policy is to support the protection, control and management of personal information. The Policy covers all information within the PCC and is concerned with all information systems, electronic and non-electronic information and information systems, information in all formats and all types of media. Jan-23 3

Screened out without  mitigation

PCC Information Governance Strategy and Framework

 

Information Governance Strategy And Framework Screening Document

 

This policy will:
Outline the PCC approach to fulfilling its information governance responsibilities and ensure compliance with legal and regulatory frameworks;
Ensure that there is a robust framework concerning the obtaining, recording, holding, using, sharing and destruction of all data and records held or used and ensuring that relevant information is available when and where it is needed;
Give assurance that systems are in place, ensuring that information is processed legally, securely, efficiently and effectively.

 

Oct-22 3

Screened out without  mitigation

PCC Internal Verification Policy Document

 

Internal Verification Policy Screening Document

Effective internal verification is the process by which the OCN Learning Centre, in this case the PCC, ensures that the standard of assessment remains consistent over time and that there is consistency and standardization in the assessment decisions made by different assessors. This in turn ensures that learners are treated fairly and equally in the assessment of their work. Dec-22 2

Internal Verification Mitigation

PCC Malpractice Policy Document

 

Malpractice Policy Screening Document

This protocol describes the process by which the organisation will report, investigate and record allegations of malpractice in relation to the organisations OCN accredited/endorsed training provision. Mar-23 2

Malpractice Mitigation

PCC Reasonable Adjustments And Special Consideration Policy Document

 

Reasonable Adjustments And Special Considerations Policy Screening Document

This policy sets out the procedures that employees and learners must follow when implementing reasonable adjustments and special considerations in respect of the PCC’s training provision. Dec-22 Reasonable Adjustments And Special Considerations Policy Mitigation
PCC  

Reimbursing Expenses and Reciprocal Recognition Payments Policy

Reimbursing Expenses And Making Recognition Payments Policy Screening Document

The purpose of this policy is to ensure that our organisation offers a consistent approach in line with HSC regional guidance as to when and how we will reimburse out-of-pocket expenses and offer recognition payment. Oct-22 Reimbursing Expenses And Making Recognition Payments Policy Mitigation
PCC Risk Management Strategy

 

Reimbursing Expenses And Making Recognition Payments Policy Screening Document

This Risk Management Strategy and Policy sets out the PCC’s approach to risk management. It sets out how risk is managed across the organisation, and ensures a consistent approach to identify and deal with risks that may impact on the PCC’s ability to achieve its strategic aims and objectives. Jan-23 3

Screened out without  mitigation

RQIA Policy On Management Unreasonable, Persistent And Vexatious Contacts

 

Policy On The Management Of Unreasonable, Persistent And Vexatious Contacts Screening Document

 

The Strategic Plan outlines the organisation’s purpose, commitment, focus and vision of being a driving force for improvement in the quality of health and social care in Northern Ireland. This Plan will be used by RQIA as a document to ensure the strategic direction is set for the next number of years. May-23 2

Policy On Management Of Unreasonable Persistent And Vexatious Contacts Mitigation

SBNI Business plan 2023-24

 

SBNI Business Plan 2023 2024 Screening Document

This SBNI Business Plan 2023-2024 represents Year Two of the SBNI Strategic Plan 2022-2026. Mar-23  

2

SBNI Business Plan 2023 2024 Mitigation

SBNI Child Protection Case Conference Appeals Policy Document

 

Child Protection Case Conference Appeals Screening Document

This revision of this policy is to provide an additional independent level of oversight and decision-making in respect of the management of this appeals process around the process for appealing the initial decision.

 

Jun-23 3

Screened out without  mitigation

SBNI  

Sexually Active Children Guidance Policy Document

 

Sexually Active Children Screening Document

 

This guidance is intended to provide information to safeguarding professionals who are working with young people who are below the age of legal consent and  who may be engaged in sexual activity that is off a non-abusive nature. Jun-23 3

Screened out without  mitigation

SCC  

Business Plan 2023 24 Policy Document

 

Business Plan 2023 24 Screening Document

 

To support the delivery of the new Strategic Plan 2023-27 the Social Care Council have developed an annual Business Plan for 2023/24 which explains what it will do during the year in support of the new strategic themes. Apr-23 2

Business Plan 2023 24 Mitigation

SCC  

Strategic Plan 2023-2027

 

Strategic Plan 2023-2027 Screening Document

 

To support the delivery of the new Strategic Plan 2023-27 the Social Care Council have developed an annual Business Plan for 2023/24 which explains what it will do during the year in support of the new strategic themes.

 

Apr-23 2

 

Strategic Plan 2023-27 Mitigation

 

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO  

BSO Equality And Disability Action Plans 2023 28

 

BSO Equality And Disability Action Plans 2023 28 Screening Document

 

In line with our commitments under Section 75 of the Northern Ireland Act 1998 and our Equality Scheme, the Equality Action Plan 2023-28 identifies a number of key actions to promote equality. The purpose of this action plan is to outline some key actions that we are going to deliver upon to make a difference to people with disabilities including staff and people who use our services, and where relevant, their carers - to promote positive attitudes towards disabled people and encourage the participation by disabled people in public life. Sep-23 BSO Equality And Disability Action Plans 2023 28 Mitigation
BTS Equality And Disability Action Plans 2023 28 Screening Document In line with our commitments under Section 75 of the Northern Ireland Act 1998 and our Equality Scheme, the Equality Action Plan 2023-28 identifies a number of key actions to promote equality. The purpose of this action plan is to outline some key actions that we are going to deliver upon to make a difference to people with disabilities including staff and people who use our services, and where relevant, their carers - to promote positive attitudes towards disabled people and encourage the participation by disabled people in public life. Sep-23 Equality And Disability Action Plans Mitigation
RQIA  

Policy On Management Unreasonable, Persistent And Vexatious Contacts

 

 

Management Of Unreasonable, Persistent And Vexatious Contacts Screening Document

 

 

The Regulation and Quality Improvement Authority (RQIA) is the independent body that regulates and inspects the quality and availability of Northern Ireland’s Health and Social Care (HSC) services. RQIA was established under The Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 (the 2003 Order) to drive improvements for everyone using health and social care services.

Dec-23  Management Of Unreasonable Persistent And Vexatious Contacts Mitigation
 SBNI Equality And Disability Action Plans 2023 2028 Policy Document

 

Equality And Disability Action Plans 2023 2028 Screening Document

 

In line with our commitments under Section 75 of the Northern Ireland Act 1998 and our Equality Scheme, the Equality Action Plan 2023-28 identifies a number of key actions to promote equality. The purpose of this action plan is to outline some key actions that we are going to deliver upon to make a difference to people with disabilities including staff and people who use our services, and where relevant, their carers - to promote positive attitudes towards disabled people and encourage the participation by disabled people in public life.

Mar-23 Equality And Disability Action Plans 2023 2028 Mitigation

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO  

Conflict, Bullying And Harassment In The Workplace Policy Document

 

Conflict, Bullying And Harassment In The Workplace Screening Document

 

 

To provide all staff, particularly managers, with clear guidance on how to handle conflict, bullying and harassment in accordance with best practice and relevant employment legislation. Jan-24 2

Conflict, Bullying And Harassment In The Workplace Mitigation

BSO   

Fraud Policy V 6 Policy

 

Fraud Policy Screening Equality Screening Document

 

This policy sets out BSO commitment and approach to the prevention of fraud and to promote an anti-fraud culture. The Policy is to provide a definition of fraud
and to outline all staff’s responsibilities regarding the prevention of fraud. It is set
out in line with the Fraud Act and DoH guidance and requirements.
Feb-24  

2

Fraud Policy Mitigation

BSO   

Gifts And Hospitality Policy Document

 

Gift And Hospitality Policy Screening Document

 

 

This policy sets out the BSO approach to dealing with Gifts and Hospitality. It provides advice to staff, who either receive offers of gifts and hospitality or provide gifts and hospitality to others on behalf of the BSO. Feb-24 2

Gift And Hospitality Policy Mitigation

 

PCC
 

Information Governance Strategy And Framework Policy

 

Information Governance Strategy And Framework Equality Screening

 

The policy outlines how the PCC protects, controls and manages information and information assets Oct-22 3
RQIA  

Policy For Inspection Support Volunteers (ISV’s)

 

 

Policy For Inspection Support Volunteers (ISV’s) Screening Document

The purpose of this policy is to set out RQIA’s arrangements for recruitment, induction and support to the ISV programme. To be an effective regulator it is essential that RQIA collects data, information, and regulatory intelligence to effectively support engagement with relevant stakeholder groups during inspection. Inspection Support Volunteers (ISV’s) play a vital role as members of our inspection teams, bringing with them public insight and helping teams to consider an independent lay perspective. Dec-23  2

Policy For Inspection Support Volunteers (ISV’s) Mitigation

SBNI
 

Equality And Disability Action Plans 2023 2028 Policy Document

 

Equality And Disability Action Plans 2023 2028 Screening Document

 

The policy outlines how the SBNI will address issues of equality in all its work Sep-23 2

Equality And Disability Action Plans 2023 2028 Mitigation

SCC Travel And Subsistence Policy

 

Travel And Subsistence Screening Document

 

The Northern Ireland Social Care Council (Social Care Council) has developed a Travel and Subsistence Policy to help ensure the most efficient, effective and economical use of its travel and subsistence budget to provide all staff with a standard access point for processing and arranging travel and accommodation. It is designed to achieve the most cost-effective and economical use of taxpayers’ money.

Feb-24 Travel And Subsistence Mitigation

2022-2023

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO BSO Business Plan 2022-23

Screening Document

The Annual Business Plan outlines Key Priorities, Actions and Targets for 2022-23 Jun-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO Disability Placement Scheme

Screening Document

Screening Document

The 26-week placement opportunities are unpaid, targeted at people with a diverse range of disabilities wishing to gain meaningful work experience. The objective is twofold: to support people with a disability gaining meaningful work experience and to promote positive attitudes to people with a disability. May-22 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation  Policy Aims Date *Screening Decision
BSO Attendance at Work Policy

Attendance at Work Policy

Attendance at Work Procedure 

Attendance at Work Procedure

Screening Document

Screening Document

BSO recognises that it has a duty to support staff when they become ill, facilitating staff in so far as possible to safely return to work as early as they can. The BSO has a responsibility to actively encourage a culture of health and well-being within the workforce while equally expecting employees to take personal responsibility for their own health and well-being. The BSO recognises that staff sickness exacerbates service delivery problems and places additional pressure on other staff, as well as carrying a significant financial cost. Aug-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO BSO Environmental Policy

BSO Environmental Policy

Screening Document

Ensure that all waste generated at all BSO locations is managed and disposed appropriately so that the organisation is in full compliance with all waste legislation Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO Fire Safety Policy

Fire Safety Policy

Screening Document

Keep all employees safe so far as is reasonably practicable by being in compliance with all health and safety legislation. Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO Fixed Term Workers Policy

Fixed Term Workers Policy

Screening Document

The Business Services Organisation (BSO) is committed where possible to:
Offering contracts of employment on a permanent basis except where there is a clear need for a particular job to be done on a temporary basis.
Aug-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO Health and Safety Policy

Health and Safety Policy

Screening Document

Keep all employees safe so far as is reasonably practicable by being in compliance with all health and safety legislation. Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO HSC Supplier Security Policy

HSC Supplier Security Policy

Screening Document

This policy sets out the requirements expected of third parties in order to effectively protect HSC information. This policy will ensure that HSC complies with its statutory duties laid out in the Data Protection Act 2018. Aug-22 3
BSO Patient Exemptions - Small Claims Court Referrals

Screening Document

Screening Document

This pilot exercise will inform the BSO Patient Exemptions Team whether the current process followed with regard to the Debt Recovery element and its associated follow up work needs to be amended. Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

BSO Waste Management Policy

Waste Management Policy

Screening Document

Ensure that all waste generated at all BSO locations is managed and disposed appropriately so that the organisation is in full compliance with all waste legislation. Sep-22 3
NIPEC Regional Review of In-House Education Activities in HSC Trusts

Screening Document

On behalf of the CNO, NIPEC will lead a review of in-house education activities delivered to nurses, midwives, nursing assistants and maternity support workers across the five HSC Trusts seeking to scope the range, type, volume and delivery methods of in-house nursing and midwifery education activities and the quality assurance processes that are in place across HSC Trusts. Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Review of the Maternity Support Workers Education Programme and development of resources for the Maternity Support Worker role

Screening Document

In 2021, the Chief Nursing Officer, Department of Health, (DoH) and the Director of Workforce Policy Directorate (DoH) commissioned the Northern Ireland Practice and Education Council for Nursing and Midwifery (NIPEC) to lead:

A review of the Maternity Support Workers education programme and,
Develop resources for the Maternity Support Worker role which reflect those endorsed by the Department of Health: including Standards for Nursing Assistants (DoH, 2018), the Induction and Development Pathway for Nursing Assistants (DoH, 2018) and Job Descriptions.

Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Updating of the NIPEC Preceptorship Framework (2013) and microsite to reflect the new NMC Principles for Preceptorship (2020)

Screening Document

To update the NI Preceptorship Framework in line with the NMC Principles for Preceptorship (2020) and the new NI Reflective Supervision Framework (pending publication). Sep-22 2

(Click to view mitigation)

(Click to view mitigation)

NISCC Business Transition Plan

Business Transition Plan

Screening Document

The Business Transition Plan enables the organisation to resume working from the office premises. Aug-22 2

(Click to view mitigation)

(Click to view mitigation)

PHA Bereaved by Suicide Development Project

Screening Document

The core objective of this service is to provide coordination, facilitation and development support to the Families Voices Forum to be a voice for individuals, families and communities who have been bereaved by suicide and to publicly promote the work of the Forum and highlight pathways for involvement. Aug-22 2

(Click to view mitigation)

(Click to view mitigation)

PHA Retendering of the Youth Engagement Service (formerly known as One Stop Shops)

Screening Document

The PHA is re- tendering for the provision of a Youth Engagement Service. This Service provides a wide range of interventions and acts as a hub where young people have opportunities to socialise in an alcohol and drug-free environment and avail of information, advice and support on a range of issues from relevant services both on-site and off-site, with the support of staff of the Youth Engagement Service. Aug-22 2

(Click to view mitigation)

(Click to view mitigation)

SBNI SBNI Business Plan 2022-23

Screening Document

Screening Document

The SBNI Business Plan 2022-2023 details how we will make best use of our resources to achieve our core goals and strategic aims, objectives and priorities as set out in our Strategic Plan 2022-2026. Jun-22 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date  *Screening Decision 
BSO Disciplinary Procedure

Screening Document

Screening Document

 

This document sets out the regional Disciplinary Policy and Procedure in relation to employee conduct and ensures that just, fair and effective arrangements exist for dealing with disciplinary issues. The Policy should be regarded as a valuable tool to promote positive employee relations, effective partnership working and to improve standards of behaviour through accountability and learning. Nov-22 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision

2021-2022

 

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO Annual Leave Policy

Screening Document

Screening Document

The aim of this policy is to provide a standard and equitable approach to the management of annual leave and Public Holiday entitlement for employees. The broad principles of this policy apply to all employees on Agenda for Change (AFC) Terms & Conditions with the exception of employees on Medical & Dental and Civil Service Terms & Conditions who will need to refer to the relevant sections of their handbooks. Jun-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO CEC-Peer review of teaching policy (May 2021) V1

Screening Document

The aim of this policy is to provide a clear description of the peer review of teaching process expected by teaching staff working within the Clinical Education Centre (CEC). Jun-21 2

(Click to view mitigation)

BSO HSC CEC Education Delivery Plan 2021/22 (Adult Acute Programmes)

Screening Document

ST CEC Adult Acute Programmes

The Clinical Education Centre (CEC) Delivery Plan (EDP) details nursing and midwifery programmes offered to Service Level Agreement (SLA) clients for the financial year 2021/22. This screening includes the Adult Acute programme offerings. Apr-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO HSC CEC Education Delivery Plan 2021/22 (Women, children and public health programmes)

Screening Document

Screening Document

CEC EDP - women children and public health Equality Screening comments

The CEC Education Delivery Plan contains the Nursing and Midwifery programme offering to Service Level Agreement clients for the financial year 2021/22. May-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Information Security Policy

Accounts and Passwords

Asset Management

Clear Desk and Screen

Data Transfer

Email Communications

Encryption

Incident Identification and Reporting

Remote and Mobile Working

Removable Media

Use of Internet Services

Screening Document

The Information Security Policy details the regional approach to Information Security
Management across HSC and NIFRS, including the overall management structure and key principles which apply to each HSC and NIFRS organisation.
Jun-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Menopause at Work Policy

Screening Document

This menopause policy and supporting guidance are intended to provide clarity and direction on how BSO should deal with menopause related issues, for individuals experiencing difficulties associated with the menopause. Jun-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Social media Policy

Social media policy

Screening Document

Screening Document

This policy lays out the good practice in the use of social media, and measures to eradicate unacceptable use. Apr-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Use of Hirelab to facilitate pre-recorded video interviews as part of our Recruitment & Selection process

Screening Document

To allow recruitment panels the option of having a further method to manage the interview process, particularly for high volume files and also safely during Covid. May-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Management of Change Framework

Management of Change Framework

Screening Document

Screening Document

The document provides guidance to managers and employees in relation to Organisational Change in order to have a consistent process to support staff and the organisation through organisational change programme. Jun-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Procurement of Prison Optometry Services

Procurement of Prison Optometry Services

Screening Document

Through a competitive tendering process, to secure a formal contract with providers to deliver optometry services across all NI prison sites. Apr-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB The Northern Ireland Regional Point-of-Care Testing (POCT) Policy

Screening Document

Point-of-Care Testing (POCT) is any test performed for a patient by a healthcare professional outside the conventional laboratory setting. The purpose of the Policy is to ensure that POCT is effectively managed across all HSC Organisations so as to maximize the clinical benefit of POCT in patient care and to limit the risks to patients and staff associated with its use. May-21 3
NIPEC Promoting a career in Perioperative Nursing

Screening Document

The Project Steering Group will work with key stakeholders to promote a career in perioperative nursing and develop a career pathway to support the development of registered and non-registered nursing staff. Apr-21 2

(Click to view mitigation)

(Click to view mitigation)

RQIA Fire Safety

Screening Document

RQIA has an obligation to comply with recommendation and requirements contained in Firecode, Statutes and other public guidance. This Policy addresses these in such a manner as set out within these documents. May-21 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision 
BSO Guidance for Line Managers: COVID-19/Long COVID Absence Support Process

Screening Document

As part of the emergency response to the current COVID-19 pandemic, HSC employers in conjunction with Department of Health (DoH) introduced temporary workforce guidance as part of its strategy to support the response to COVID-19. Jul-21 3
BSO HSC CEC Education Delivery Plan 2021/ (Primary care and older peoples Programmes)

CEC Primary care and older people screening

CEC EDP - General Programmes Equality Screening v3 FINAL (2) (2)

The CEC Education Delivery Plan contains the Nursing and Midwifery programme offering to Service Level Agreement clients for the financial year 2021/22. The Education Delivery Plan (EDP) consists of a number of specific programmes of care to cover all section of the population. These are broken down into a number of different areas, all of which are screened separately. Jul-21 2

(Click to view mitigation)

BSO Regional Off Cycle Policy

Regional Off Cycle Policy

Screening Document

The policy explains Off Cycles and outlines the Off Cycle processing schedule, clarifies the criteria for automatic payment & when and level of approval that is required. It also outlines how Off Cycle Payments will be reflected in an employee’s next payslip. Jul-21 2

(Click to view mitigation)

(Click to view mitigation)

BTS Menopause at Work Policy

Screening Document

This menopause policy and supporting guidance are intended to provide clarity and direction on how BTS should deal with menopause related issues, for individuals experiencing difficulties associated with the menopause Sep-21 2

(Click to view mitigation)

(Click to view mitigation)

BTS Policy for vaccination of staff against Hepatitis B

Screening Document

The purpose of this policy is to provide information on Hepatitis B vaccination for NIBTS /healthcare staff Sep-21 3
HSCB Anti-Fraud and Anti-Bribery Policy and Response Plan

Screening Document

This policy is intended to provide advice to all staff on their responsibilities to prevent and detect fraud or bribery and to report all cases of actual, suspected or potential of the same. Jul-21 3
HSCB Post-operative cataract review in community optometry

Screening Document

Screening Document

The aim of this piece of work is to enable patients to attend their post-operative cataract review appointment in their local optometry practice rather than in a hospital, to make the patient journey easier and to relieve pressure on hospital eye services. Jul-21 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Menopause at Work Policy

Screening Document

This menopause policy and supporting guidance are intended to provide clarity and direction on how NIGALA should deal with menopause related issues, for individuals experiencing difficulties associated with the menopause. Sep-21 2

(Click to view mitigation)

PCC Co-production Paid Associate Model

Co-production Paid Associate Model

Screening Document

Screening Document

The Co-Production Peer Partner (Paid Associate) model is an enhancement of the current involvement opportunities offered through Make Change Together. This project provides an enhanced level of involvement as service users will be reciprocally recognised for their experience as a Co-Production Peer Partner (Paid Associate). Sep-21 2

(Click to view mitigation)

(Click to view mitigation)

PHA Decision to provide pregnant women with a folder to hold their Maternity Handheld Record and associated documentation.

Screening Document

Northern Ireland’s regional Maternity Handheld Record (MHHR) is based on an accumulation of evidence around best practice in maternity care. The purpose of the regional MHHR is to serve as a central repository for planning the delivery of care; and documenting communication with and interactions between members of the multi-disciplinary health care team, between the health care team and the woman to provide safe, person-centred care. Sep-21 2

(Click to view mitigation)

SBNI Business Plan 2021-22

Screening Document

Screening Document

The SBNI Business Plan 2021-2022 details how we will make best use of our resources to achieve our core goals and strategic aims, objectives and priorities as set out in our Strategic Plan 2018-2022. Aug-21 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screened Decision
BSO Digital Identity Programme

Digital Identity Programme

Screening Document

The Health and Social Care of Northern Ireland (HSCNI) Business Services Organisation (BSO) are in the process of developing the Digital Identity Service (DIS) for the replacement of the current regional HCN (Health Care Number Index) and NHAIS (National Health Authority Information Index) applications with one system which will provide a unique digital identity and registration management for all users of HSC services. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO HSC CEC Education Delivery Plan 2021/22 (Cancer and Palliative Care)

Screening Document

Screening Document

The CEC Education Delivery Plan contains the Nursing and Midwifery programme offering to Service Level Agreement clients for the financial year 2021/22. Oct-21 (Click to view mitigation)

(Click to view mitigation)

HSCB 2021/22 Programme of Works - Health and Social Care Board, 12/22 Linenhall Street, Belfast

2021/22 Programme of Works - Health and Social Care Board, 12/22 Linenhall Street, Belfast

Screening Document

Maintenance of existing infrastructure in 12/22 Linenhall Street, Belfast. The condition of the property is closely monitored and where appropriate, risk assessments are undertaken. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Children and Young Peoples Strategic Partnership (CYPSP) Parental Participation Project

Children and Young People Strategic Partnership (CYPSP) Parental Participation Project

Equality Screening template Parental Participation 

B Document

The CYPSP is a multiagency strategic partnership, consisting of senior leaders of all key agencies across statutory, voluntary and community sectors that have responsibility for improving outcomes for all children and young people in NI. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Health and Social Care Board, Business Continuity Plan and Policy

Screening Document

The aim of the Business Continuity Plan (the Plan) is to provide a framework to proactively improve the Health and Social Care Board’s (the Board) resilience against disruption, maintaining the delivery of key products (Critical Functions) within specified recovery time objectives thus ensuring continuity and patient/client safety is maintained and the reputation of the Board is upheld. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB HSCB Financial Plan 2021-2022-Covid-19 response element

Screening Document

Screening Document

Following the approval of the budget by the Minister the HSCB has received opening allocation letters from the DoH initially providing £5,937m of revenue budget allocation and a further capital allocation of £15m. Within the financial plan document there are 3 key considerations:
a) New funds for priorities directed by the DoH
b) Roll forward of baseline resources
c) Pressures and slippage
Oct-21 3
HSCB Independent Information, Advice, and Advocacy Service to Support Independent Living

Screening Document

The aim is to deliver an accessible regional Service that will provide information, advice, and advocacy for service users and carers in Northern Ireland in relation to Self-Directed Support (SDS) and the Independent Living Fund (ILF). Nov-21 2

(Click to view mitigation)

HSCB Information Governance Strategy 2021-22

Information Governance Strategy 2021-22

Screening Document

The Information Governance Strategy provides clear direction to the HSCB in delivering the requirements of Information Governance and associated policies. The Strategy will assist in establishing and maintaining a robust and effective Information Governance framework. Nov-21 3
HSCB Investment Proposal Template: Extension of the Hospital at Home Scheme - Regional

Screening Document

Hospital at Home provides intensive hospital level care for acute conditions that would normally require an acute hospital bed, in a patient’s home for a short episode, through multi-disciplinary healthcare teams. Existing Acute Care at Home and Enhanced Care at Home programmes in each Trust are expected to migrate to the Hospital at Home model. Nov-21 3
HSCB Investment Proposal Template: Stroke Thrombectomy - Increasing Nurse Capacity (Regional)

Screening Document

This investment will increase stroke nurse capacity in all Trust areas. This will enable a stroke nurse to accompany a patient on the blue light transfer to the Royal Victoria Hospital for a thrombectomy procedure. The accompanying nurse will be responsible for observations and monitoring of the patient during transfer. This nurse will rapidly handover the essential details, with comments on any changes, on arrival at the hospital. Dec-21 3
HSCB Shared Lives NI

Screening Document

Shared Lives NI is a scheme offering people in need of support a safe, welcoming, family environment where they can spend short breaks or live permanently with Host Carers. Dec-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Business Plan 2021-22

Screening Document

NIPEC’s Annual Business Plan for 2021-22 details how it will make best use of its resources to achieve its strategic objectives, as set out in NIPEC’s Corporate Plan 2017-21. Dec-21 2

(Click to view mitigation)

(Click to view mitigation)

PCC Adverse Weather Protocol

Screening Document

PCC recognises the vital contribution that staff play in delivering the organisation’s objectives and would want to consider initiatives that support staff unable to travel to work because of adverse weather conditions. It also
describes the process where managers can consider the early release of staff, or respond to staff requests to leave work early, due to adverse weather
conditions.
Dec-21 3
PCC Engagement Platform discussing the formulation of an NI Bereavement Charter

Screening Document

Screening Document

PCC is currently acting as part of the Bereavement Charter Subgroup of the Bereavement Network for Northern Ireland. To this end, the PCC are taking forward the formation of an Engagement Platform consisting of organisations and the wider public, to discuss the possible scope, format, and content of a Bereavement Charter for NI. Oct-21 2

(Click to view mitigation)

(Click to view mitigation)

PCC Menopause at Work Policy

Menopause at Work Policy

Screening Document

This menopause policy and supporting guidance are intended to provide clarity and direction on how PCC should deal with menopause related issues, for individuals experiencing difficulties associated with the menopause. Dec-21 2

(Click to view mitigation)

(Click to view mitigation)

PCC Statement of Strategic Intent Consultation

Screening Document

Screening Document

PCC is currently reviewing its’ plan of work, and methods for achieving this plan of work. This document sets out the vision, mission, values, practice model and operational priorities for PCC for the forthcoming 36 months. It has been created by engagement with staff, clients, members and Council volunteers. Oct-21 2

(Click to view mitigation)

(Click to view mitigation)

RQIA Health and Safety Policy

Screening Document

The purpose of this Health and Safety Policy is to ensure that RQIA complies with its statutory duties and common law duty of care in relation to health, safety and welfare at work. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

SBNI SBNI Strategy for Engaging with Children and Young People

Screening Document

Screening Document

The aim of this engagement strategy is to control, direct and inform how the SBNI will engage with children and young people in Northern Ireland. This applies to the SBNI Board, the SBNI statutory and non-statutory committees and any suppliers whose services the SBNI will procure that involves engaging directly with children and young people. The strategy will also identify best practice methods for capturing these views across a wide and varied audience base. Nov-21 2

(Click to view mitigation)

(Click to view mitigation)

 

Org Policy/Procedure and Screening Documentation Policy Aims Date  *Screening Decision
BTS Facilitating members of the public with a mobility disability to donate blood

Screening Document

Replacement of the blood donation couch with the donation chair. The donation chair has been shown to reduce vasovagal reactions, as donors raise more gently to an upright position Jan-22

2

(Click to view mitigation)

(Click to view mitigation)

BTS MP:025 Medical Team Competency Framework, Including Out of Hours Work

Screening Document

This policy sets out the arrangements for ensuring and documenting Consultant Haematologist/Consultant in Transfusion Medicine competency to undertake the role of Medical Consultant, including on call duties. Competency in clinical duties is required to support the delivery of a safe, effective and quality service. Feb - 22 3
BTS Workplace Policy on Domestic and Sexual Abuse

Screening Document

The purpose of this policy is to signal a clear commitment of NIBTS’s support to any member of staff affected by domestic or sexual abuse. The policy demonstrates NIBTS’s commitment to providing guidance for employees and managers to address the occurrence of domestic or sexual violence & abuse and its effects on the workplace. Mar - 22

2

(Click to view mitigation)

(Click to view mitigation)

HSCB Investment Proposal Template (IPT): Development of adult regional neuropsychology services

Screening Document

This proposal will support additional funding for additional capacity to allow the Trust to increase access to this regional service for these patients and their families. In particular, quality of life and emotional wellbeing may be significantly improved (in comparison to no service) when the patient and family are adjusting to a new diagnosis, during transition to the wider MDT, when coping with complex treatment plans and with a fluctuating course of the condition and its management. Mar - 22 (Click to view mitigation)

(Click to view mitigation)

HSCB Investment Proposal Template (IPT): Unscheduled Care in Hospital (Patient Flow)

Screening Document

Control Room Support: Establishing a Control room and appointing staff to deliver its functions 7 days a week, 365 days a year to maintain timely patient flow and minimise delays in the patient journey from admission to timely discharge. • Phase 2 7/7 working: Phase 2 of 7/7 working is to ensure effective arrangements are in place to build on 7 day working for Social Workers, Physiotherapists and Occupational Therapists embedded in key base wards to support patient flow. • Outpatient Parenteral Antibiotic Therapy (OPAT): The key objective of an OPAT service is to safely and effectively manage patients on Intravenous antibiotics as outpatients, ensuring that their treatment is optimised, appropriately delivered and supervised, and that risks are minimised. Jan - 22 (Click to view mitigation)
HSCB Stroke –Enhancement of Early Supported Discharge for WHSCT, and SHSCT

Screening Document

This proposal is for WHSCT and SHSCT to increase Community Stroke Team capacity to improve Early Supported Discharge which was established in 2018/19, funded through transformation. The investment will provide enhanced staffing support though an Early Supported Discharge service for stroke survivors. Feb - 22

2

(Click to view mitigation)

(Click to view mitigation)

HSCB Transfer of Cooperation and Working Together (CAWT) service from HSCB to WHSCT

Screening Document

It has been planned that Cooperation and Working Together (CAWT) staff will transfer from Health and Social Care Board (HSCB) as a host employer to a Trust host employer, suggested Western Health and Social Care Trust (WHSCT). Mar - 22

2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Workplace Policy on Domestic Abuse

Workplace Policy on Domestic Abuse

Screening Document

The purpose of this policy is to signal a clear commitment of the NIGALA’s support to any member of staff affected by domestic abuse. Jan - 22

2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Menopause in Work Policy

Screening Document

The aims of the Policy are to provide a clear definition of what the menopause is, the stages of menopause, when it occurs, what happens, potential impact on performance at work, and the responsibilities of different groups within the organisation and to provide guidance on how to support employees going through menopause. Mar - 22

2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Social Media Policy

Screening Document

The Policy aims to promote good practice in the use of social media and adherence to acceptable standards of use and to cascade social media as a mechanism to engage with staff and stakeholders, receive feedback and expose to new products and innovative ideas. Mar - 22

2

(Click to view mitigation)

(Click to view mitigation)

PHA Anti-Fraud and Anti-Bribery Policy

Fraud-Bribery Policy & Plan

Screening Document

This policy is intended to provide advice to all staff on their responsibilities to prevent and detect fraud or bribery and to report all cases of actual, suspected or potential of the same. Jan - 22 3
RQIA Information Governance suite of policies

Data Protection Policy

Data Protection Policy

Freedom of Information Policy

Freedom of Information Policy

Information Asset Register Procedure

Information Asset Register Procedure

Information Governance Policy

Information Governance Policy

Screening Document

The Regulation and Quality Improvement Authority’s (RQIA) suite of Information Governance (IG) policies set out how RQIA should manage and secure its information in line with the requirements of data protection legislation, and in line with the requirements set out in freedom of information / environmental information regulations.

These policies outline for staff a consistent procedure on how information should be handled.

The policies are:
• Data Protection Policy
• Freedom of Information
• Information Asset Register Procedure
• Records Management Policy

Feb - 22

2

(Click to view mitigation)

(Click to view mitigation)

2020-2021

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
HSCB Family Support to Parents and Carers with Prematurely Born Babies and those requiring Special or Intensive Care at Birth

Screening Document

The objectives of this procurement are:
• to provide a family support and information service to parents and families with prematurely born babies and those requiring special or intensive care at birth and at discharge home to the care of families;
• to work across a range of settings from hospital to community and in partnership with parents, health care professionals and other community groups where required;
• to deliver advocacy support in conjunction with parents and families where required and in liaison with parents in regard to other services, both statutory and voluntary in identifying the needs and outcomes to support families with children who have been born prematurely;
• to support short breaks as defined within the glossary.
May-20 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Standard Operating Procedures (Emergency Response to Covid-19)

Screening Document

The Standard Operating Procedures (SOPs) outline NIPEC’s emergency response to Covid-19 and should be read in conjunction with NIPEC’s Business Continuity Plan. Jun-20 3

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO Annual Business Plan

Screening Document

The BSO Corporate Plan 2018-21 sets out the strategic context in which the organisation operates, along with Mission, Values and Strategic Objectives/Aims and Outcomes for this three-year period. The supporting Annual Business Plan outlines Key Priorities, Actions and Targets for the year ahead. Sep-20 3
BSO Environmental Management Policy

Environmental Management Policy

Screening Document

The BSO aims to ensure that its core business activities are aligned with its commitment to reducing the environmental impact Sep-20 3

(Click to view mitigation)

BSO BSO Risk Management Strategy including policy statement; and staff procedure for the management of risk registers

BSO Risk Management Strategy

BSO Risk Management Strategy

Procedure for the Management of Risk Registers

Screening Document

The purpose of the risk management strategy and policy statement is to establish a consistent and integrated approach to the management of risk throughout the BSO.
The procedure for the management of risk registers provides guidance on the management of risk registers by outlining the method for identifying and assessing risk, scoring and recording of risks on risk register, development of risk action plans and the process for escalation and aggregation of risks.
Jul-20 3

(Click to view mitigation)

BSO Management of Change 

Management of Change

Screening Document

Screening Document

The document provides guidance to managers and employees in relation to Organisational Change in order to have a consistent process to support staff and the organisation through organisational change programme. Management of Change (MoC) Aug-20 3

(Click to view mitigation)

(Click to view mitigation)

BSO Working from Home Policy
Screening Document
To work effectively, any working from home arrangement must primarily meet the business needs of the BSO, followed by the individual needs of staff, to ultimately ensure the continued delivery of safe and high-quality services Aug-20 2

(Click to view mitigation)

HSCB Gifts and Hospitality Policy

Screening Document

The purpose of the Gifts and Hospitality Policy is to ensure that the Health and Social Care Board meets its obligation under all relevant legislative requirements and associated guidance, in particular the Bribery Act 2010. Aug-20 3
HSCB Integrated Elective Access Protocol

Integrated Elective Access Protocol

Screening Document

Screening Document

The overall aim of the protocol is to ensure that patients are treated in a timely, effective and fair manner from elective referral to first definitive treatment or discharge Sep-20 2

(Click to view mitigation)

(Click to view mitigation)

PHA Physical Activity Referral Scheme (PARS)

Physical Activity Referral Scheme (PARS)
Screening Document

Screening Document

PARS is an obesity prevention funded initiative, sitting under the Regional Obesity Implementation Plan. The overall aim of PARS is to increase physical activity levels in adults in line with the Chief Medical Officer Physical Activity guidelines with a primary focus on those who are overweight/ obese (i.e. people with a BMI >25kg/m2 to <40kg/m2). The regional PARS will now adhere to regional standards and guidelines for Level 3 exercise referral programmes. Jul-20 1

(Click to view mitigation)

PHA Southern Cycling Scheme (SCH)

Screening Document

The overall aim of the SCH scheme was to:

  • increase awareness of the health benefits of cycling;
  • increase the number of people in the Southern Area who have access to the bikes;
  • train qualified cycle leaders to National Standards, who can lead Cycle for Health groups within their local communities.
Jul-20 2

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO CEC - Education Delivery Plan

Screening Document

Screening Document

The CEC Education Delivery Plan contains the Nursing and Midwifery programme offering to Service Level Agreement clients for the financial year 2021/22. Oct-20 2

(Click to view mitigation)

(Click to view mitigation)

BSO ITS Staff Reintegration

Screening Document

The programme will implement guidance issued by Human Resources and Corporate Services regarding return to the workplace.

The constraint is social distancing; the project must facilitate social distancing in the workplace to ensure employee safety.

Oct-20 2

(Click to view mitigation)

(Click to view mitigation)

BTS Data Breach Policy

Screening Document

This policy sets out the NIBTS commitment to ensuring data breaches are correctly identified, assessed, investigated and reported as required. It aims to reduce the impact of a data breach by ensuring staff are aware of their obligations and the actions that should be taken. Sep-20 2

(Click to view mitigation)

HSCB Consultation on pharmacy fees for 2021-2022 (Global Fees)

Screening Document

Screening Document

There are essentially three elements of the community pharmacy financial envelope: global sum fees, non-global sum fees and allowed retained profit. The Health and Social Care Board (HSCB) is required to set the fees for community pharmacy services each year, following consultation. Dec-20 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Northern Ireland Local Enhanced Service (NILES): Proactive GP care for nursing and residential homes

Screening Document

Screening Document

This NILES will combine elements of a number of current enhanced services to include medical care planning NILES, Key information summaries and a number of proactive care home local enhanced services. This will allow a regional NILES incorporating the core elements of these services for care home patients. Dec-20 2

(Click to view mitigation)

NIMDTA Conflict, Bullying and Harassment Policy and Procedure

Screening Document

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment and seeks to provide all staff, particularly those with management responsibility how to handle conflict, bullying and harassment issues in line with best practice and Employment Law and to create and maintain a safe, harmonious, positive and enabling working environment for all. Dec-20 2

(Click to view mitigation)

(Click to view mitigation)

PHA Implementation of the Faecal Immunochemical Test (FIT) as replacement test for the faecal occult blood (FOB) test in the Northern Ireland Bowel Cancer Screening Programme

Screening Document

The Northern Ireland Bowel Cancer Screening Programme aims to reduce mortality from bowel cancer by detecting cancers early in their progression so that they can be treated more effectively. The existing programme uses a card-based guaiac faecal occult blood test (gFOBT). In January 2016, the UK National Screening Committee recommended that quantitative faecal immunochemical testing (FIT) should be adopted by the Bowel Cancer Screening Programme as the primary screening test for bowel cancer. Nov-20 2

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation  Policy Aims Date  *Screening Decision
BSO HSC CEC Education Code of Dress Policy (2020)

Screening Document

Screening Document

The objective of this policy will be attained by teaching staff wearing a CEC uniform during the delivery of education and clinical skills training programmes. The policy states its purpose is to provide a standard Code of Dress Policy for CEC teaching staff who deliver face to face clinical skills programmes via the classroom or practice simulation and to provide all teaching staff with the opportunity to wear a CEC uniform by choice when delivering non- clinical skills programmes. Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO HSC CEC Education Delivery Plan 2021/22 (Mental Health and Learning Disabilities Programmes)

Screening Document

Screening Document

The Clinical Education Centre (CEC) Delivery Plan (EDP) details nursing and midwifery programmes offered to Service Level Agreement (SLA) clients for the financial year 2021/22. Mar-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO ITS Patient Portal

Patient Portal Leaflet

Screening Document

The regional rollout of the Patient Portal application to patients / clients living with a long-term health condition, which is a secure, user friendly, web-based tool designed for patients – and their registered carers – to manage their own patient record and communicate with their healthcare providers Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Policy for Service User and Carer Representative Involvement within the HSC CEC

Screening Document

Screening Document

The policy outlines service user involvement in HSC CEC design and delivery of education programmes for nurses, midwives and AHPs reflective of health and social care policy. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

BSO Retire & Return Policy and Guidelines for Application

Screening Document

Screening Document

In a critical period, such as a pandemic situation, in which specialised skills are needed and are in short supply, it may be necessary to retain the service of former employees, for a limited period after their retirement, through a ‘Retire and Return’ scheme, without the need for a recruitment exercise. The policy provides guidelines and defines the process for applying the BSO Retire and Return Policy. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

 

BSO Voluntary Scheme for the Extra-Ordinary Payment of Unused Contractual Leave Entitlement

Screening Document

As a one-off extra-ordinary option, given the current pandemic, HSC organisations will offer payment for the balance of any contractual leave above the statutory minimum (i.e., above 5.6 weeks) that staff have been unable to use during the 2020/2021 financial year due to service pressures. Feb-21 3
BTS Behaviour of Staff Including when on Session

Screening Document

This policy aims to maintain the high standards of behaviour of the NIBTS employees. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

BTS Children Attending Blood Donation Sessions

Screening Document

NIBTS seeks to present a service to all members of the public – young and old alike – who feel welcomed and valued when visiting NIBTS premises and blood donor sessions. However, the use of some equipment e.g. needles/sharps, and associated equipment, and hot fluids e.g. tea/ coffee in refreshment areas can present hazards – particularly to children who may not be adequately supervised. The responsibility for the care and supervision of children at session will remain with the accompanying adult. Feb-21 3
BTS NIBTS Working from Home Policy

Screening Document

This policy is intended to provide guidance and good practice to enable employees to work from home effectively and safely. It is intended to assist both managers and employees in implementing working from home by highlighting areas for consideration and providing practical advice and information. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Programme of Works-Replacement Light Fitting Scheme Phase 5, HSCB Western Office, Gransha Park House

Screening Document

To ensure that the existing lighting system in Gransha Park House is upgraded to meet the required LUX level of lighting for office accommodation Mar-21 3
HSCB Refurbishment of bathrooms (installation of sensor sink taps, toilet flush handles and sensor lighting), at HSCB Western Office, Gransha Park House

Screening Document

Screening Document

As COVID-19 measure Mar-21 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Complaints Policy

Screening Document

 

The complaints policy seeks to achieve an accessible and effective means of making complaints. It aims to promote an organisational culture that foster openness and transparency for the benefit of all. The procedure aims to provide ease of access, simplicity, and a supportive and open process which results in a prompt, and where possible, local resolution. Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Annual Business Plan 2020-21

Annual Business Plan 2020-21

Screening Document

NIPEC’s Annual Business Plan for 2020-21 details how it will make best use of its resources to achieve its strategic objectives, as set out in NIPEC’s Corporate Plan 2017-21. Feb-21 3
NIPEC Business Continuity Plan

Screening Document

NIPEC’s corporate Business Continuity Plan (BCP) provides the framework within which the organisation can continue to deliver an appropriate level of service to our service users in the event of any disruption. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Digital Capabilities Project

Digital Capabilities Project

Screening Document

This document is responsible for the jurisdiction of the North of Ireland in terms of equality and human rights screening. It bears no responsibility for that attached to the Republic of Ireland Mar-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC EU Exit Risk Assessment and Operation Readiness

Screening Document

The DoH has required all providers of HSC services to consider and plan for the risks that have the potential to rise due to EU exit. NIPEC continues with business continuity planning, taking DoH guidance into account, incorporating local risk assessments and will escalate any points of concern on specific issues where appropriate. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Implementation of Nursing and Midwifery Council (NMC) Future Nurse Future Midwife Education Standards

Screening Document

The overarching aim of the Programme Board is to oversee arrangements to cohesively embed the outworking’s of the new NMC Future Nurse and Midwife pre-registration standards and the education Framework (Nursing & Midwifery). Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Risk Management Strategy and Action Plan 2020-21

Screening Document

The purpose of a Risk Management Strategy and associated annual Action Plan is to establish a consistent and integrated organisational approach to the management of risk. Feb-21 2

(Click to view mitigation)

(Click to view mitigation)

PHA Involvement Strategy for Protect Life 2 Commissioned Services

Screening Document

The aim of this strategy is to deliver effective processes to maximize the opportunity for stakeholders to engage and be more involved in planning future services in mental and emotional wellbeing, self-harm and suicide prevention, intervention and post-vention for which PHA have responsibility. Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

PHA Relationship and Sexuality Education (RSE)

Screening Document

Screening Document

The aim of the RSE in the community programme is to improve the sexual health and well-being of young people aged 12-19 years across Northern Ireland by enabling them to make healthier choices. Programmes commissioned will target young people in community settings throughout Northern Ireland. Jan-21 2

(Click to view mitigation)

(Click to view mitigation)

2019-2020

Org Policy/Procedure and Screening Documentation  Policy Aims Date  *Screening Decision
BSO Manual Handling Policy

Manual Handling Policy

Screening Document

Screening Document

To ensure compliance with the Manual Handling Operations Regulations (MHOR), showing that appropriate systems are in place, that the BSO monitors the effectiveness of the system and that appropriate changes are made following evaluation and review. May-19 2

(Click to view mitigation)

(Click to view mitigation)

BSO Policy for the Safeguarding, Movement and Transportation of Records, Files and Other Media

Policy for the Safeguarding, Movement and Transportation of Records, Files and Other Media

Screening Document

To ensure that all BSO staff/contractors safeguard all information they are in possession of while travelling from one facility/location to another during the course of their working day which includes traveling to or from home. May-19 2

(Click to view mitigation)

(Click to view mitigation)

BSO Records Management Policy

Records Management Policy

Screening Document

To ensure that BSO adopts best practices in the management of its records so that authentic, reliable and useable records are created, which are capable of supporting business functions and activities for as long as they are required. May-19 2

(Click to view mitigation)

(Click to view mitigation)

BTS Conflict, Bullying & Harassment in the Workplace

Screening Document

This Policy defines the procedures staff can follow in order to give them an equal opportunity in managing work-based situations. This policy has been written taking into consideration legislation requirements and HSC Terms and Conditions. May-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Closure of GP Branch Surgery at 267 Woodstock Road, Belfast

Screening Document

The aim is to close the branch surgery at 267 Woodstock Road, and to provide a full range of clinical services for all registered patients at the main surgery located at 120 Ormeau Road. May-19 2

(Click to view mitigation)

HSCB Conflict, Bullying & Harassment in the Workplace

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment and seeks to provide all staff, particularly those with management responsibility how to handle conflict, bullying and harassment issues in line with best practice and Employment Law and to create and maintain a safe, harmonious, positive and enabling working environment for all. May-19 2

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of Dr Bissett's Medical Practice, Robert Henry Surgery, Comber following the resignation of Dr Bissett (Single handed GP) on 29th March 2019

Screening Document

To ensure that the patients of Dr Bissett’s practice in Comber will have access to GMS services following the resignation of Dr Bissett with effect from the 30th June 2019. Jun-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of Dr Wylie's Medical Practice, Ballyowen Health Centre, following the resignation of Dr Wylie (Single handed GP) on 31st December 2018 To ensure that the patients of Dr Wylie’s practice in Ballyowen Health Centre will have access to GMS services following the resignation of Dr Wylie with effect from the 30th June 2019. Jun-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC PID Post Registration Masters Programme

Screening Document

This project will test the development, implementation and evaluation of a post registration rapid access two-year Graduate Masters in Nursing Rotational Programme to support the strategic transformational agenda presented in “Delivering Together 2026” Jun-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Financial Savings Plan 19-20

Screening Document

The Department of Health (DoH) advised NIPEC in a letter dated the 28th March 2019 of its opening budget allocation for current expenditure in 2019-20. Jun-19 3
PCC Lone Working Policy

Lone Working Policy

Screening Document

The purpose of this policy is to ensure that there are adequate systems in place to ensure the health, safety and welfare of lone workers i.e. a member of staff working alone, either on site or undertaking PCC duties within the community, in order to reduce the risks of lone working as far as is reasonably practicable. Apr-19 2

(Click to view mitigation)

(Click to view mitigation)

PHA Annual Business Plan 2019-20

Screening Document

Screening Document

The Public Health Agency (PHA) Annual Business Plan 2019-2020 details how we will make best use of our resources to achieve our core goals, as set out in our Corporate Plan 2017-2021. Jun-19 2

(Click to view mitigation)

(Click to view mitigation)

SBNI Keeping Children and Young People Safe Online: an e-Safety Strategy and Three Year Action Plan for Northern Ireland 2019-2022

Screening Document

Screening Document

To ensure that all children and young people can make the best use of the educational, social and economic benefits of the online world, while having the skills to protect themselves from potential risks. Apr-19 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Policy Aims Date *Screening Decision
BSO BSO Business Plan 2019-20
Screening Document
The BSO Corporate Plan 2018-21 sets out the strategic context in which the organisation operates, along with Mission, Values and Strategic Objectives/Aims and Outcomes for this three year period. The supporting Annual Business Plan outlines Key Priorities, Actions and Targets for the year ahead. The corporate BSO Business Plan 2019-20 represents Year Two of the BSO Corporate Plan 2018-21. Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

BSO Employee 25 Years Service Award

Screening Document

BSO recognises the vital contribution that staff play in delivering the organisation’s objectives and would want to consider initiatives that support a culture of appreciation. Awarding staff an additional week’s leave on completion of 25 years’ NHS/HSC service, is one opportunity to acknowledge their contribution over a long period of time. It is therefore proposed that staff who have reached 25 years’ service, will receive a one – off award of an additional week’s annual leave. This award reflects existing arrangements in some of the Trusts Aug-19 3
BSO Risk Management Strategy

Risk Management Strategy

Procedures for the Management of Risk Registers June 2019

Screening Document

The purpose of the risk management strategy and policy statement is to establish a consistent and integrated approach to the management of risk throughout the BSO. The document also sets out the risk management action plan for 2019/20. Jul-19 2

(Click to view mitigation)

HSCB Advocacy Service for Deaf Adults
Screening Document
The objective of this procurement is to secure a Provider that will deliver a regional advocacy service for deaf adults, specifically to improve how they access and benefit from Health and Social Care services across Northern Ireland Sep-19 2

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HSCB Local Enhanced Service: Domestic and Sexual Violence and Abuse in primary Care the Iris Solution (Identification and Referral To Improve Safety)

Screening Document

The aims of the local enhanced serve are:

1. to raise awareness about domestic and sexual violence and abuse amongst GPs and practice staff

2. To provide education and support for GPs in relation to domestic violence and sexual violence and abuse.

3. To ensure GPs are aware of pathways in place for victims (women and men)

Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Primary Care Surgical Service Pathway

Screening Document

This document provides detail on the Primary Care Surgical
pathway which will safely manage a range of routine minor surgical procedures in a primary care setting thus reducing the requirement to refer to secondary care
Aug-19 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Adverse Incident Policy

Adverse Incident Policy

Screening Document

The aim of this policy is to set out NIGALA's commitment to ensuring an effective approach to the reporting, investigating, learning lessons, implementing and sustaining change as a result of investigations findings and analysis of incidents in ore to provide safe, high quality care to our clients and a safe environment for our staff and members of the public. NIGALA will actively promote a culture in which errors can be reported and analysed openly, and in which the reporting or 'near miss' is actively encouraged. Jul-19 3
NIGALA Attendance at Work Policy

Attendance at Work Policy

Attendance at Work Procedure

Screening Document

The purpose of this policy is to set out how absence will be dealt with in a fair, consistent and proactive manner by providing clear and effective guidelines on the management and monitoring of absenteeism. This policy (and its associated procedure) also focuses on supporting managers and employees during periods of absence by providing a clear framework for progress. Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Conflict Bullying and Harassment in the Workplace

Conflict Bullying and Harassment in the Workplace

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment, and seeks to provide all staff, particularly those with responsibility how to handle conflict, bullying and harassment issues in line with best practice and employment law and to create and maintain a safe and harmonious, positive and enabling working environment for all. Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Equality of Opportunity

Equality of Opportunity

Screening Document

The aim of this policy is to communicate the commitment of the Chief Executive, Board and Senior Management Team to the promotion of equality of opportunity in and by the NIGALA. Jul-19 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Environmental Management Policy

Environmental Management Policy

Screening Document

The NIGALA aims to ensure that its core business activities are aligned with its commitment to reducing the environmental impact Jul-19 3
NIGALA Gender Identity and Expression Employment Policy

Gender Identity and Expression Employment Policy

Screening Document

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Jul-19 2

(Click to view mitigation)

NIGALA Whistleblowing Model Policy

Whistleblowing Model Policy

Screening Document

NIGALA recognises that many issues are raised by staff and addressed immediately by line managers – this is very much encouraged. This policy and procedure is aimed at those issues and concerns which are not resolved, require help to get resolved or are about serious underlying concerns. Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

NIGALA Workplace Alcohol and Substance Misuse Policy

Workplace Alcohol and Substance Misuse Policy

Screening Document

The purpose of this policy is to make clear to all staff the NIGALA's position on alcohol substance abuse while at work and the action to be taken if such circumstances arise. Jul-19 3
NIGALA Zero Tolerance Policy

Zero Tolerance Policy

Screening Document

NIGALA is committed to the creation of a culture and environment where employees, Agency Workers and Self-Employed Guardians may undertake their duties without fear of abuse or violence. The policy outlines the definitions of Zero Tolerance, including non-physical abuse, physical abuse and anti-social behaviour. Sep-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Annual Business Plan 2019-20

Screening Document

NIPEC’s Annual Business Plan for 2019-20 details how it will make best use of its resources to achieve its strategic objectives, as set out in NIPEC’s Corporate Plan 2017-21. Aug-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Engagement and Communications Strategy

Screening Document

The strategy outlines how NIPEC will communicate, engage, involve and collaborate in partnership with its stakeholders with the aim of supporting the improvement of standards of practice, education and professional development of nurses and midwives. Aug-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Policy on Validation and Monitoring of Professional Registration

Screening Document

This policy will ensure that NIPEC has processes in place to validate and monitor staff required to be registered with the NMC in order to commence, and continue in to work in, a regulated post, and NIPEC Professional Council members in order they can remain on NIPEC Council. Aug-19 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC Transforming Nursing and Midwifery Data

Transforming Nursing and Midwifery Data

Screening Document

The aim of the project is: To support the transformation of practice and support the nursing and midwifery professions to lead and implement transformational change relating to data capture and preparedness for digital recording keeping. Apr-19 2

(Click to view mitigation)

(Click to view mitigation)

PHA Farm Family Health Check Programme (FFHCP)

Farm Family Health Check Programme (FFHCP)

Screening Document

Farm Families is a joint programme between PHA & Department for Environment, Agriculture & Rural Affairs (DAERA) that provides an accessible health check programme specifically targeting farmers their families. Aug-19 2

(Click to view mitigation)

(Click to view mitigation)

RQIA Conflict Bullying and Harassment in the Workplace

Conflict Bullying and Harassment in the Workplace

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment and seeks to provide all staff, particularly those with management responsibility how to handle conflict, bullying and harassment issues in line with best practice and Employment Law and to create and maintain a safe, harmonious, positive and enabling working environment for all. Jun-19 2

(Click to view mitigation)

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO Adverse Weather Protocol

Screening Document

Screening Document

This Protocol will apply to all current staff and it is intended that the Protocol will be implemented with immediate effect as we enter into the winter period. It is anticipated that the application of the Adverse Weather Protocol will have the potential to be applied more often during the winter months. Nov-19 3
BTS Sample Referral to Reference Laboratory

Screening Document

These documents outline the appropriate referral of samples from hospital blood banks to the Reference Laboratory at NIBTS. The policy describes the importance of performing preliminary tests within hospital blood banks prior to referral. Oct-19 3
BTS Upper Age Limits for Blood Donation

Screening Document

Upper age limits for blood and component donation have traditionally been set to protect the donor's safety. Regular and returning donors (as defined in the Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee Donor Selection Guidelines) may be allowed to donate beyond their 66th birthday with permission of a physician in the Blood Establishment, given annually. This policy sets out the JPAC UK Donor Selection Guidelines (UK DSGs) which are followed by NIBTS. Oct-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Quality Standards for Paediatric Audiology Services

Quality Standards for Paediatric Audiology Services

Screening Document

To adopt and implement quality standards for paediatric audiology services in NI. Nov-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Employee 25 Years' Service Award

Screening Document

HSCB recognises the vital contribution that staff play in delivering the organisation's objectives and would want to consider initiative that support a culture of appreciation. Awarding staff an additional week's leave on completion of 25 years' NHS/HSC service, is one opportunity to acknowledge their contribution over a long period of time. It is therefore proposed that staff who have reached 25 years' service, will receive one - off award of an additional week's annual leave. This award reflects existing arrangements in some of the trusts. Dec-19 3
HSCB Relationships, Sexuality and Dementia-Operational Guidance

Screening Document

This Guidance is being developed to support staff to deliver a more person-centred service to people with a dementia, their partners, carers and families. It is important therefore that staff feel confident to address the issue of relationships and sexuality in a supportive and timely manner. Dec-19 2

(Click to view mitigation)

(Click to view mitigation)

NIMDTA Applying for a Dental Foundation Training Number

Screening Document

This policy has been written to ensure a consistent approach for the application, management and decision process regarding applications for a dental foundation training number. Apr-19 2

(Click to view mitigation)

(Click to mitigation)

NIMDTA Data Quality Policy

Data Quality Policy

Screening Document

This policy is concerned with ensuring that the data collected and recorded by NIMDTA is of high quality and is reliable. Oct-19 3
NIMDTA Records Management Disposal Schedule

Records Management Disposal Schedule

Screening Document

This document outlines the retention periods for records held by the Northern Ireland Medical & Dental Training Agency and the processes for reviewing and disposing of records. Oct-19 3
NIMDTA Records Management Policy

Records Management Policy

Screening Document

This policy applies to all full time and part-time employees of NIMDTA, contracted and third parties (including agency staff) and other staff on placement with NIMDTA. NIMDTA holds records in relation to its staff, doctors and dentists in training, and in relation to its various functions. Oct-19 3
NIMDTA Records Management Strategy

Records Management Strategy

Screening Document

The Records Management Strategy aims to set out clearly NIMDTA’s approach to Records Management and will provide the framework for developing good records management in accordance with ‘Good Management, Good Records’ and the HSC Controls Assurance Standard. Oct-19 3
NIPEC Conflict, Bullying and Harassment in the Workplace Policy/Procedure

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment and seeks to provide all staff, particularly those with management responsibility how to handle conflict, bullying and harassment issues in line with best practice and Employment Law and to create and maintain a safe, harmonious, positive and enabling working environment for all. Oct-19 2

(Click to view mitigation)

(Click to view mitigation)

PHA Expansion of Northern Ireland Newborn Blood Spot Programme

Screening Document

The Northern Ireland Newborn Blood Spot Programme (NBSP) offers all newborn babies (aged up to 364 days old) a blood spot screening test to identify if they are at increased risk of rare, but serious, inherited conditions. The aim of the programme is to improve the outcomes for babies born with one of these conditions, by achieving early diagnosis and treatment. The aim is to expand the existing NBSP testing to include screening for maple syrup urine disease (MSUD), homocystinuria (HCU), glutaric aciduria type 1 (GA1) and isovaleric acidemia (IVA), in line with national Newborn Blood Spot Screening Programme Standards and Guidance. Nov-19 2

(Click to view mitigation)

PHA Diabetes Prevention Programme Northern Ireland

Screening Document

This new service will offer patients identified in primary care a preventative service in all five Trusts across NI. Dec-19 2

(Click to view mitigation)

RQIA Records Management Policy

Records Management Policy

Screening Document

The document provides requirements that must be met for the records of the RQIA to be considered as a proper record of the activity of the Authority, including the provision of health and social services by or on behalf of the RQIA. Dec-19 3

Org Policy/Procedure and Screening Documentation Policy Aims  Date *Screening Decision 
BSO Accessible Formats Policy

Accessible Formats Policy

Screening Document

Screening Document

The policy sets out the standards that can be expected from us when we provide information, ensuring its accessibility for those with particular needs. The associated guidance provides practical advice to staff on how to make information accessible. Dec-19 2

(Click to view mitigation)

BTS Equipment and Medical Device Management

Screening Document

This Policy aims to ensure that equipment/medical devices purchased by NIBTS are of an appropriate standard. Mar-20 3
HSCB HSCB Policy on the Management of Complaints

HSCB Policy on the Management of Complaints

Screening Document

The HSCB Policy on the Management of Complaints, sets out how the HSCB should deal with complaints raised by service users or former service users. It outlines for staff a consistent procedure on how complaints relating to the HSCB, its actions and decisions are to be handled. Feb-20 2

(Click to view mitigation)

(Click to view mitigation)

NIPEC 25 Years Length of Service Award

Screening Document

NIPEC recognises the vital contribution that staff play in delivering the organisation's objectives and would want to consider initiatives that support a culture of appreciation. Awarding staff an additional week's leave on completion of 25 years' NHS/HSC service, is one opportunity to acknowledge their contribution over a long period of time. It is therefore proposed that staff who have reached 25 years' service, will receive a one - off award of an additional week's annual leave. This award reflects existing arrangements in some of the trusts. Jan-20 2

(Click to view mitigation)

NIPEC Information Governance

Screening Document

This Policy will ensure that our information and data is of the highest quality in relation to being accurate and easily accessible, relevant, understandable and complete, and assist and inform our staff of the best practice for holding, using and transferring information both internally and externally. Jan-20 3
NIPEC Quality Improvement Strategy

Screening Document

The Quality Improvement (QI) Strategy outlines NIPEC plans for the coming years to support the ongoing development of staff and engagement with its stakeholders in quality improvement approaches and activities. Jan-20 2

(Click to view mitigation)

NIPEC PID Career Pathway for Neurology Nursing

Screening Document

To develop a career for Nursing roles including those of Nursing Assistants working in Neurology services in Northern Ireland. Mar-20 2

(Click to view mitigation)

NIPEC PID Career Pathway for Stroke Nursing

Screening Document

Development of a Career Pathway for Registered Nursing roles and Nursing Assistants working in Adult Stroke Nursing Services in NI, which will be aligned to the UK development of a Career Pathway for Stroke Nursing. Mar-20 2

(Click to view mitigation)

PCC Accessibility and Quality of Continence Services

Screening Document

Screening Document

The Patient and Client Council will carry out a 2 year project to seek and report on the views of current users of adult continence services. Report findings will be shared with service delivery organisations. Mar-20 2

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SBNI Safeguarding Board Northern Ireland (SBNI) Early Intervention Transformation Programme (EITP) Trauma Informed Practice Workforce Development Project

Screening Document

The EITP Trauma Informed Practice Project is a multi-agency work-force development project, concerned with increasing awareness of Adverse Childhood Experiences (ACEs), through offering a menu of trauma sensitive/ informed training materials. The project will work throughout and in collaboration with the following sectors, Education, Health and Social Care, Justice and Community and Voluntary Organisations. Jan-20 2

(Click to view mitigation)

(Click to view mitigation)

2018-2019

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
NIPEC Financial Savings Plan

Screening Document

The DHSSPS advised NIPEC in a letter dated the 30th March 2018 of its opening budget financial revenue (RRL) allocation for current expenditure in 2018-19. Due to the significant financial challenges for the DHSSPS in 2018-19 the letter informed NIPEC that it would be receiving a Revenue Resource Limit for 2018-19 of £1,178,194 This represented a reduction of 1% (£12,000) from the opening resource revenue limit for 2017-18. Apr-18 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Disability Action Plan 2013-2019 - updated April 2018

Disability Action Plan 2013-2019 - updated April 2018

Screening Document

The plan sets out what we will do to promote positive attitudes towards disabled people and to encourage participation by disabled people in public life. Apr-18 2

(Click to view mitigation)

(Click to view mitigation)

PHA Disability Action Plan 2013-2019 - updated April 2018

Screening Document

The plan sets out what we will do to promote positive attitudes towards disabled people and to encourage participation by disabled people in public life. Apr-18 2

(Click to view mitigation)

HSCB Regional Dementia Care Pathway

Screening Document

Promote standardised best practice throughout the dementia journey by addressing the five key elements of the pathway which are: promoting healthy active ageing and Improved public awareness and understanding of dementia, ensuring timely and accurate diagnosis of dementia, helping people to live well with dementia, providing specialist supports to cope with the changes as dementia progresses and providing high quality end of life care. Mar-18 2

(Click to view mitigation)

(Click to view mitigation)

HSCB NI Local Enhanced Service: End of Life Care GP Early Identification Prototype

NI Local Enhanced Service: End of Life Care GP Early Identification Prototype

Screening Document

To ensure that patients potentially reaching end of life are identified quickly and appropriate support is put in place. May-18 2

(Click to view mitigation)

SBNI Final Equality and Disability Action Plans

Screening Document

In line with our commitments under Section 75 of the Northern Ireland Act 1998 , the Equality Action Plan identifies a number of key actions to promote equality. The Disability Action Plan under our disability duties outlines some key actions that we are going to deliver upon to make a difference to people with disabilities. Jun-18 2

(Click to view mitigation)

NIPEC Gender Identity and Expression Employment Policy

Screening Document

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Apr-18 2

(Click to view mitigation)

(Click to view mitigation)

PHA Annual Business Plan 2018-19

Annual Business Plan 2018-19

Screening Document

Screening Document

The Public Health Agency (PHA) Annual Business Plan 2018-2019 details how we will make best use of our resources to achieve our core goals, as set out in our Corporate Plan 2017-2021. This plan focuses on significant new initiatives for 2018-19. Apr-18 3

(Click to view mitigation)

 

Org Policy/Procedure and Screening Documentation  Policy Aims Date  *Screening Decision
NISCC Business Plan 2018-19

Screening Document

NISCC develops a business plan each year, ensuring it keeps focused on the outcomes set out in the four-year corporate plan. The Business Plan for 18-19 is the second of four business plans which will be developed in support of NISCCS overarching four-year plan. Jul-18 2

(Click to view mitigation)

BSO Consent Guidance

Screening Document

This guidance is being introduced to assist researchers in the field of health and social care to produce documents to help in the process of obtaining consent from people who participate in research projects being run in Northern Ireland. Aug-18 2

(Click to view mitigation)

(Click to view mitigation)

PHA Rural Needs Policy

Rural Needs Policy

Screening Document

To assist PHA staff understand their statutory responsibilities under the Rural Needs Act, and to provide guidance on undertaking a proportionate Rural Needs Impact Assessment as a mechanism for ensuring rural needs are appropriately taken into account. Jul-18 3
NIMDTA Contracts Management Policy

Contracts Management Policy

Contracts Management Guidance

Contracts Management Guidance

Screening Document

The purpose of this policy is to provide those responsible for the day to day management of goods, works or services contracts with guidance on contract management procedures. Aug-18 2

(Click to view mitigation)

BSO Infected Blood Scheme

BSO Service Level Agreement

BSO Service Level Agreement

Screening Document

As administrator the BSO will implement and manage ex gratia payments and discretionary financial support for people infected with the hepatitis C virus and/or HIV from treatment with NHS blood, blood products or tissue in Northern Ireland. Sep-18 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Enhanced Access and Healthcare for Homeless Patients

Screening Document

The overall objective of this proposal is to pilot an inclusion health and social care hub model and enhanced primary care access for people experiencing homelessness. Sep-18 2

(Click to view mitigation)

BTS Gender Identity and Expression Employment Policy

Gender Identity and Expression Employment Policy

Screening Document

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Jul-18 2

 

NIMDTA Travel and Expenses Policy

Screening Document

This policy is to clarify the arrangements for the reimbursement of expenses incurred by NIMDTA staff in the course of their duties, in line with principals of good financial governance. Sep-18 2

(Click to view mitigation)

BSO Harassment Policy and Procedure

Harassment Policy and Procedure

Screening Document

The document provides guidance to managers and employees in relation to harassment including the roles and responsibilities of all parties. The document is designed to ensure consistency of approach across BSO. Sep-18 2

(Click to view mitigation)

BTS Working Time Regulations

Screening Document

The purpose of this Policy is to ensure that staff and managers comply with the Working Time Regulations (Northern Ireland) 1998 (as amended 2016) (WTR). The Regulations are designed to protect the health and safety of workers by providing them with rights such as daily and weekly working time limits. In line with this the policy details the regulations guidance on secondary employment and working in excess of 48hrs over a 17-week period. Sep-18 3
NIPEC Records Management Policy

Screening Document

The aim of this policy is to ensure the quality of NIPEC’s records; to maintain, retain or dispose of these records in accordance with NIPEC’s need and legislative requirements and to ensure the permanent preservation of appropriately identified records. Jul-18 3
NIPEC Travel Arrangements

Screening Document

This procedure covers travel arrangements for official business for both requesting and subsequently booking the arrangements when approval has been granted. Sep-18 2

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO BSO Business Plan

Screening Document

The Annual Business Plan outlines Key Priorities, Actions and Targets for the year ahead. Oct-18 2

(Click to view mitigation)

BSO BSO Corporate Plan

Screening Document

The Corporate Plan 2018-21 sets out the strategic context in which the organisation operates, along with Mission, Values and Strategic Objectives/Aims and Outcomes for this three-year period. Oct-18 2

(Click to view mitigation)

BSO HSC Recruitment and Selection

Screening Document

This framework seeks to provide consistency across HSC organisations in a streamlined process recognised as the HSC branded approach but with flexibility to allow each organisation to best suit its particular needs. May-18 3
BSO Research on Adults Lacking Capacity Studies

Screening Document

To give procedural and practical advice to Health and Social Care Research Ethics Committee members and researchers based in Northern Ireland on inclusion of adults lacking capacity (unable to consent for themselves) in non-Clinical Trials of Investigational Medicinal products, i.e. research which does not involve drug trials. Dec-18 2

(Click to view mitigation)

(Click to view mitigation)

BTS NIBTS Policy on Dress and Presentation on session/public facing duties
Screening Document
In order to maintain the highest standards of personal appearance and hygiene and to uphold the reputation of the Service, guidelines on presentation and dress are detailed; this includes aspects of what to wear and guidelines for appearance.

The ease of identification of registered nursing staff for the public has also been considered.

Jun-18 2

(Click to view mitigation)

(Click to view mitigation)

BTS Platelet Strategy

Platelet Strategy

Screening Document

This strategy document sets out the demand for platelet components up until 31 March 2022 and sets out the proportion of apheresis component donations and pooled platelets. Dec-18 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Proposal to temporarily transfer regional provision of perinatal paediatric pathology service from Belfast HSC Trust to Alder Hey Children's NHS Foundation Trust.

Screening Document

The aim of this proposal to temporarily transfer regional provision of perinatal paediatric pathology service from Belfast HSC Trust to Alder Hey Children's NHS Foundation Trust. Nov-18 2

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of Dr Semple's Medical Practice, Comber Health Centre, following the resignation of Dr Semple (Single handed GP) on 31st October 2018

Screening Document

To ensure that the patients of Dr Semple's practice in Comber Health Centre will have access to GMS services following the resignation of Dr Semple with effect from the 31st October 2018. Oct-18 2

(Click to view mitigation)

PHA Development and delivery of Crisis De-Escalation service to be piloted in the Belfast Health and Social Care Trust Area

Screening Document

Screening Document

The overall intention of this proposal is to develop an out-of-hours facility and service in Belfast which might be a first step towards a 24 hour service which functions as a safe place for individuals and families and enables effective de-escalation support over a period of hours following presentation to Emergency Department or to a select group of community and voluntary sector providers. Oct-18 2

(Click to view mitigation)

PHA "Expansion of Community Development Approaches" Framework (Report to Transformation Implementation Group) Year 1 Recommendations 2018/19

Screening Document

Screening Document

The Community Development Workstream is tasked to set a clear direction and expand community development approaches to reducing health inequalities in Northern Ireland. Its' remit was to assess current progress and make recommendations for how community development practice could be strengthened in the future. Oct-18 2

(Click to view mitigation)

(Click to view mitigation)

PHA Whistleblowing Policy

Whistleblowing Policy

Screening Document

This policy and procedure is aimed at those issues and concerns which are not resolved, require help to get resolved or are about serious underlying concerns. Aug-18 2

(Click to view mitigation)

RQIA Family Pack

Family Pack

Screening Document

The document provides guidance to managers and employees in relation to family leave arrangements including the roles and responsibilities of all parties. The document is designed to ensure consistency of approach across BSO. Nov-18 2

(Click to view mitigation)

RQIA Leave Pack

Leave Pack

Screening Document

The document provides guidance to managers and employees in relation to leave arrangements including the roles and responsibilities of all parties. The document is designed to ensure consistency of approach across RQIA. Nov-18 2

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO CCTV Policy

CCTV Policy

Screening Document

This suite of policies is intended to:

  • ensure compliance with legal and regulatory framework is maintained;
  • establish a robust framework for preserving the confidentiality, integrity, security and accessibility of data, systems and information;
  • give assurance that information is processed legally, securely, efficiently and effectively.
Mar-19 3
BSO Clinical Coding Policy

Screening Document

The policy sets out the high-level regional requirements for clinical coding to ensure compliance with standards, accuracy and consistency of information produced during the clinical coding process. Mar-19 2

(Click to view mitigation)

BSO Conflict, Bullying and Harassment in the Workplace Policy and Procedure

Conflict, Bullying and Harassment in the Workplace Policy and Procedure

Screening Document

Screening Document

The document provides guidance to managers and employees in relation to Conflict, Bullying and Harassment and seeks to provide all staff, particularly those with management responsibility how to handle conflict, bullying and harassment issues in line with best practice and Employment Law and to create and maintain a safe, harmonious, positive and enabling working environment for all. Mar-19 2

(Click to view mitigation)

BSO Estates Policy

Estates Policy

Screening Document

Screening Document

This policy is intended to ensure that the Business Services Organisation meets its obligations in relation to Estates Management and relevant standards as set down by The Department of Health/ Legislation. Feb-19 3
BSO Northern Ireland Picture Archiving and Communication System

Screening Document

Screening Document

The NIPACS+ Programme is a programme of work to replace the current NIPACS Imaging Solution that is in place across HSC. The hope is that we will also replace the Royal Victoria Hospital and Belfast City Hospital Imaging Systems as well as bringing in imaging from other medical specialties so that all imaging associated with a particular patient is available in one place. Feb-19 2

(Click to view mitigation)

BSO Security Policy

Security Policy

Screening Document

This policy is intended to ensure that the Business Services Organisation meets its obligations under the Health & Safety at Work (Northern Ireland) Order 1978 to ensure staff work in a safe and secure environment and adherence to relevant standards as set down by The Department of Health. Feb-19 3
BTS Clinical Appraisal and Revalidation Policy and Procedure MP:024

Clinical Appraisal Policy

Screening Document

This policy and procedure set out the arrangements for appraisal of medical staff and requirements of General Medical Council revalidation. Mar-19 3
BTS Policy on Importation of Blood Components from outside Northern Ireland MP:021

Screening Document

This policy sets out the arrangements for the importation of blood components from other Blood Services. Mar-19 3
BTS Laboratory Training and Competency Policy (LP006)

Screening Document

The policy is in addition to the Corporate Training Policy and sets out in more detail the requirements pertaining to NIBTS laboratories for induction, training and competency assessment including additional requirements to meet the clinical laboratory standards for pre and post registration training of Biomedical Scientists as determined by the Institute of Biomedical Science. Jan-19 2

(Click to view mitigation)

HSCB Belfast Dermatology Pathway

Screening Document

This Investment Proposal Template provides detail on the Dermatology pathway which will safely manage a range of routine dermatological conditions in a primary care setting thus reducing the requirement to refer to secondary care. Feb-19 2

(Click to view mitigation)

HSCB Belfast Gynae Pathway

Screening Document

This Investment Proposal Template provides detail on the Gynaecology pathway which will safely manage a range of routine gynaecological conditions (Coil fitting, Long-Acting Reversible Contraceptives) in a primary care setting thus reducing the requirement to refer to secondary care. Feb-19 2

(Click to view mitigation)

HSCB Belfast Musculoskeletal Pain Pathway

Screening Document

This Investment Proposal Template provides detail on the Musculoskeletal (MSK)/Pain pathway which will safely manage a range of routine MSK conditions in a primary care setting thus reducing the requirement to refer to secondary care. Feb-19 2

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of Dr. Gilmore's Medical Practice, Balmoral Health Centre, following the resignation of Dr Gilmore (Single handed GP) on 31st December 2018.

Screening Document

To ensure that the patients of Dr Gilmore’s practice in Balmoral Health Centre will have access to GMS services following the resignation of Dr Gilmore with effect from the 31st December 2018. Jan-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Reform of Northern Ireland Certification of Visual Impairment (CVI) processes

Screening Document

Screening Document

The aim of this piece of work was to improve the processes and systems for the certification of visual impairment in Northern Ireland. Mar-19 2

(Click to view mitigation)

(Click to view mitigation)

HSCB Regional GP Led Vasectomy Service

Screening Document

This Investment Template will develop GP led Vasectomy training programme in primary care to better manage patient journeys and avoid secondary care demand. Feb-19 2

(Click to view mitigation)

NIPEC Development of a Career Pathway for District Nursing Services

Screening Document

In 2018, on behalf of the Chief Nursing Officer, NIPEC co-produced a Career Framework for Specialist Nursing to support all nurses working in Specialist roles in Northern Ireland. As part of this work it was intended that competencies and a job description would be developed for District Nurses through identifying specific core educational requirements supported by an Nursing and Midwifery Council (NMC) recordable Specialist Practice Qualification. It was agreed that this should be completed within a career pathway for all key roles within the District Nursing Service. Feb-19 2

(Click to view mitigation)

NIPEC Respiratory Competence Assessment Tool (R-CAT) 3-year Review Plan

Screening Document

The aim of this plan is to ‘review the Respiratory Competence Assessment Tool (R-CAT) against current best practice, standards and guidelines for respiratory care within Asthma and Chronic Obstructive Pulmonary Disease (COPD) management and care, to identify areas that require amendment and to make recommendations for changes to the original publication’. Feb-19 2

(Click to view mitigation)

PHA Procurement of Community Garden Project

Screening Document

Screening Document

The Procurement of Community Gardens Project has been set up to improve Health and Wellbeing, particularly for those who are currently or who are at risk of experiencing poor Health and Wellbeing outcomes and encompasses 2 Models and objectives for each model. Jan-19 2

(Click to view mitigation)

2017-2018

Org Policy/Procedure and Screening Documentation Policy Aims Date  *Screening Decision
NIGALA Leave Pack

Leave Pack

  1. Special Leave Policy
  2. Employment Break Scheme
  3. Flexible Working Policy
  4. Term-Time Working Scheme

Leave Pack Equality Screening

Leave Pack Equality Screening

The aim of the Leave Pack is to provide advice and guidance to managers and employees, with NIGALA recognising the requirement for fairness and consistency when considering requests under any of the four policies mentioned. Apr-17 2

(Click to view mitigation)

RQIA Zero Tolerance Policy

Zero Tolerance Policy

Zero Tolerance Screening 

This Policy highlights RQIA'S Commitment to the creation of a culture and environment where employees may undertake their duties without fear of abuse or violence. Senior Managers, Line Managers and employees' responsibilities are defined in the policy. Apr-17 2

(Click to view mitigation)

BSO Policy for safeguarding, movement & transportation of records, files and other media

Policy for safeguarding, movement & transportation of records, files and other media

BSO Transportation of documents Screening

BSO Transportation of documents Screening

The aim of this policy is to ensure that all BSO staff/contractors safeguard all information they are in possession of while travelling from one facility/location to another during the course of their working day which includes traveling to or from home. Apr-17 3
BSO Policy on validation and monitoring of professional registration (HSC Clinical Education Centre)

Policy on validation and monitoring of professional registration (HSC Clinical Education Centre)

Screening Document

This policy will ensure that the HSC Clinical Education Centre has processes in place to validate and monitor staff required to be registered with the NMC or HCPC in order to commence and continue to work in a regulated post. Apr-17 3
NIGALA Supervision Policy

Supervision Policy

Supervision Screening

Supervision Screening

This policy sets out how supervision will be undertaken and the complimentary support mechanisms to achieve the supervision functions. Apr-17 2

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of Antrim Coast Medical Practice, 7 The Cloney, Glenarm following the retirement of Dr Glover (Single handed GP) on 31st March 2017

Glenarm Equality Screening 

To ensure that the patients of Antrim Coast Medical Practice will not be left without access to GMS services following the retirement of Dr Glover on 31st March 2017. To be achieved through the dispersal/allocation of the patient list across neighbouring GP practices in Cushendall/Carnlough, Broughshane and Larne Apr-17 2

(Click to view mitigation)

(Click to view mitigation)

RQIA Post Entry Training Policy

Post Entry Training Policy
Screening Document

Provision of guidance to staff and managers regarding the training, development and education support available. The policy outlines support options available to staff (for example, time off, expenses, fees etc), criteria for eligibility, responsibilities and liabilities. Apr-17 2

(Click to view mitigation)

PHA Hospital Passport


Hospital Passport Guidance Notes

Hospital Passport Screening 

The Hospital Passport is a communication tool to help a person with learning disability communicate aspects of their health and social care abilities and needs. The purpose of the Passport is to provide information to help staff make reasonable adjustments that may be required so that they can provide safe and effective care for people with learning disability who are in contact with general hospitals. Mar-17 2

(Click to view mitigation)

PHA Corporate Plan


Corporate Plan Easy to Read

Corporate Plan Screening 

Corporate Plan Screening

Corporate Plan Screening No watermark

Corporate Plan Screening No watermark

Equality Screening Additional Info

The Public Health Agency Corporate Plan details our purpose, focus, outcomes and direction for the period 2017-2021. May-17 2

(Click to view mitigation)

(Click to view mitigation)

RQIA Attendance at Work Policy

Attendance at Work Policy
Attendance at Work Screening 

The purpose of this policy is to set out how absence will be dealt with in a fair, consistent and proactive manner by providing clear and effective guidelines on the management and monitoring of absenteeism. This policy (and its associated procedure) will also focus on supporting managers and employees during periods of absence by providing a clear framework for progress. The Policy applies to all staff. Jun-17 2

(Click to view mitigation)

HSCB Provision of General Medical Services (GMS) to the patients of: Roslea Surgery following the retirement of Dr Collins (Single handed GP); Newtownbutler Surgery following the retirement of Dr Devlin (single handed GP); Dr Leary's Practice Lisnaskea following the retirement of Dr Leary (single handed GP)

SE Fermanagh Equality Screening 

To ensure that the patients of Roslea Surgery, Newtownbutler Surgery and Dr Leary’s Practice will not be left without access to GMS services following the retirement of single handed GPs. To be achieved through the dispersal/allocation of the patient list to Maple Group Practice, Lisnaskea. Apr-17 2

(Click to view mitigation)

NIGALA Communication Plan 

Communication Plan

Communication Plan Screening 

Communication Plan Screening

NIGALA’s Communication Plan has been developed to support the delivery of NIGALA’s Corporate and Business Plan 2017 – 2012, which sets out our strategic vision and values and identified the outcomes which the Agency strives to achieve over the course of the Corporate Plan period Apr-17 2

(Click to view mitigation)

BSO

BTS

HSCB

NIGALA

NIMDTA

NIPEC

NISCC

PCC

PHA

RQIA

SBNI

Tapestry Communication and Information Screening This screening refers to the accessibility and inclusiveness of all communication, information and materials developed by Tapestry, including the content, format and design. Jun-17 2

(Click to view mitigation)

BTS Change Control Policy

Change Control Procedure

Screening Document

This document outlines the approach NIBTS will take to ensure that any changes, whether temporary or permanent, to any approved process or procedure that may affect safety, quality and efficacy of blood components or other patient services provided by the organisation must be evaluated documented and approved Jun-17 3
BTS Conflict of Interest policy

Conflict of Interest Screening

This policy is to ensure that conflicts of interests are identified and managed in a way that safeguards the integrity of staff and Board members and maximises public confidence in NIBTS’s ability to deliver public services properly. Jun-17 3
BTS Quality Management Review

Quality Management Review Screening

This document outlines the approach NIBTS will take to review the effectiveness of and compliance with the quality management system Jun-17 3
BTS Validation of Pulse Software

Validation of Pulse Software Screening

PULSE is a large and complex software system validated for use by the NBS. NIBTS has a responsibility to validate PULSE in its own environment prior to its use. The purpose of the Validation of PULSE Software Policy is to set out how NIBTS approaches the validation of PULSE given the NBS pre-validation and its responsibilities. Jun-17 3
HSCB Modernising HSC Pathology Services - Proposals for Change

Equality Screening Modernising HSC Pathology Services

The aim of this proposal is to Modernise HSC Pathology Services and in doing so create a sustainable, world class Pathology Service that can: Meet current and future quality and regulatory requirements, respond to changes in demand, support new Models of Clinical care and new targeted treatments, adopt new ways of working and innovative technologies, provide a modern career structure for staff Nov-16 2

(please see section 2.5 "Making Changes" in Screening Document)

SBNI Regional Child Protection/Safeguarding Policies and Procedures Consultation Version

Screening Document

Screening Document

The aim of these policy and procedures is to provide guidance to all staff on what actions to take in relation to protecting and safeguarding children and young people in Northern Ireland. They are therefore central to protecting and safeguarding children from child abuse and neglect. Nov-17 2

(Click to view mitigation)

(Click to view mitigation)

BSO Estates Policy

Estates Policy

Estates Policy Screening

Estates Policy Screening

This policy has been designed to ensure that BSO meets its obligations in relation to Estates Management May-17 2

(Click to view mitigation)

 

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
NIGALA Family Pack (incorporating Maternity Leave, Adoption Leave, Paternity Leave, Parental Leave, Shared Parental Leave)

Family Pack (incorporating Maternity Leave, Adoption Leave, Paternity Leave, Parental Leave, Shared Parental Leave
Screening Document

Screening Document

NIGALA’s Family Pack provides guidance to managers and employees in relation to maternity leave, adoption leave, paternity leave, parental leave and shared parental leave, including the role and responsibilities of all parties. Jul-17 2

(Click to view mitigation)

RQIA Anti-Fraud Policy

Fraud Response Plan 

Fraud Response Plan

Screening Document

This document is intended to provide direction to those members of staff who find themselves having to deal with suspected cases of theft, fraud or corruption. It gives a framework for a response and advice and information on various aspects and implications of an investigation. Jul-17 3
HSCB Relocation of Bayview Medical Centre

Screening Document

The existing accommodation in Bayview Medical Practice is no longer fit for purpose. The aim of this decision is to enable the GPs to move forward in providing a healthier and safer environment for their Practice and the patients. Aug-17 2

(Click to view mitigation)

NIPEC Financial Savings Plan 2017-18

Screening Document

Following notification from DoH of a 2% reduction in budget for 2017-18, this savings plan outlines NIPEC's proposals to meet this reduction. Jul-17 2

(Click to view mitigation)

NIPEC Attendance at Work Policy
Attendance at Work Procedure

Screening Document

The purpose of this policy and procedure is to set out how absence will be dealt with in a fair, consistent and proactive manner by providing clear and effective guidelines on the management and monitoring of absenteeism. Sep-17 2

(Click to view mitigation)

BTS Information Lifecycle Management Policy
Screening Document
This policy outlines the commitment of NIBTS to ensure records are appropriately managed at all stages of their lifecycle from creation through to disposal. Sep-17 3
NIPEC Corporate Plan 2017-21

Screening Document

NIPEC’s Corporate Plan 2017-2021 details its purpose, focus, outcomes and direction for
the period 2017-2021.
The Corporate Plan also provides a basis for the organisation’s annual business plan which outlines its work programme aimed at promoting the highest standards of practice, education and professional development of nurses and midwives to facilitate the delivery of safe, effective, compassionate, person-centred services.
Jul-17 2

(Click to view mitigation)

NIPEC Clear Desk and Screen Policy

Screening Document

The policy has been developed to improve the security and protect confidentiality of information and reduce the risks of unauthorised access, loss off and damage to information during and outside normal working hours. Jul-17 3

Org Policy/Procedure and Screening Documentation Policy Aims Date *Screening Decision
BSO Gender Identity and Expression Employment Policy

Gender Identity and Expression Employment Policy

Screening Document

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Oct-17 2

(Click to view mitigation)

HSCB Gender Identity and Expression Employment Policy

Gender Identity and Expression Employment Policy

Gender Identity & Expression Employment Policy Screening Template

Gender Identity & Expression Employment Policy Screening Oct 2017

Gender Identity & Expression Employment Policy Screening Oct 2017 V2

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Oct-17 2

(Click to view mitigation)

PHA Gender Identity and Expression Employment Policy

Gender Identity and Expression Employment Policy

Gender Identity & Expression Employment Screening 

The policy is aimed at creating a workplace where the dignity of and respect for transgender and non-binary people is protected and promoted. Oct-17 2

(Click to view mitigation)

PHA Retendering of the Youth Engagement Service (formerly known as One Stop Shops)

Screening Document

This Service provides a wide range of interventions and acts as a hub where young people have opportunities to socialise in an alcohol and drug-free environment and avail of information, advice and support on a range of issues from relevant services both on-site and off-site, with the support of staff of the Youth Engagement Service. Nov-17 2

(Click to view mitigation)

NIPEC Leave Pack
Screening Document
The Leave Pack provides employees and their line managers with clear guidance in relation to the range of leave arrangements available to all staff, and the roles and responsibilities of all parties involved.
It is designed to provide clarity and consistency across the organisation.
Nov-17 2

(Click to view mitigation)

NIPEC Family Pack
Screening Document
The Family Pack provides employees and their line managers with clear guidance in relation to maternity, adoption, paternity, parental and shared parental leave arrangements available to all staff, and the roles and responsibilities of all parties involved. Dec-17 2

(Click to view mitigation)

RQIA Whistleblowing Policy

Whistleblowing Policy

Screening Document

The policy and procedure has been developed in the context of Public Interest Disclosure (Northern Ireland) Order 1998. The Order gives significant statutory protection to employees who disclose information reasonably and responsibly in the public interest. To be protected under the law an employee must act in good faith with an honest and reasonable belief that a malpractice has occurred, is occurring or is likely to occur. The Order does not normally protect employees making rash disclosures for example to the media, when the subject could have been raised internally. Dec-17 3
RQIA Capability Procedure

Capability Procedure

Screening Document

This procedure is designed to help all employees achieve and maintain the performance standard required to perform the duties of their post. Nov-17 2

(Click to view mitigation)

RQIA Disciplinary Procedure
Screening Document
This procedure is designed to help and encourage all employees to achieve and maintain appropriate standards of conduct, performance and behaviour. Nov-17 2

(Click to view mitigation)

BTS

BSO

NIGALA

NIMDTA

NIPEC

NISCC

PCC

RQIA

Consultation on Equality and Disability Action Plans 2018-23 Consultation on Equality and Disability ACtion Plans 2018-23

**This Consultation closed on the 29th Decemebr 2017**

Dec-17 2

(See links within Joint Consultation Page)

NIMDTA Business Support Committee Terms of Reference

Screening Document

“The Terms of Reference outlines the role of the NIMDTA Business Support Committee to monitor and review the business support functions of NIMDTA.” Nov-17 2

(Click to view mitigation)

Org Policy/Procedure and Screening Documentation  Policy Aims Date *Screening Decision
SBNI The Safeguarding Board for Northern Ireland Strategic Plan 2018-2022

Screening Document

Screening Document

The SBNI has developed a draft Strategic Plan for the period 2018 – 2022. This draft strategy sets out the strategic direction for the SBNI for the next four years, taking into account the vision and priorities set out by the SBNI Board. Jan-18 2

(Click to view mitigation)

BSO Partial Retirement

Partial Retirement

Screening Document

The primary purpose of this Policy is to outline how HSCNI intends to support employees to remain in work for longer, working productively and safely, whilst accessing some of their HSC pension benefits through ‘Partial Retirement’ and preparing for final retirement from the service. Jan-18 2

(Click to view mitigation)

PCC Fraud Policy

Screening Document

The purpose of the policy is to set out the Patient and Client Council’s position on fraud and thereby set the context for the ongoing efforts to reduce fraud to the lowest possible level Feb-18 3
BTS Policy for External Quality Assessment Scheme Participation

Quality Assessment Screening

NIBTS perform a wide range of laboratory test procedures. Current regulations, standards and best practice require that where an external quality assessment scheme (EQAS) exists for a specific test it should be applied by any laboratory carrying out that test. For many tests more than one EQAS will exist. NIBTS will in such cases select the most appropriate schemes. Feb-18 3
BTS Partial Retirement

Flexible Retirement Policy

Retirement Screening

The primary purpose of these policies is to give NIBTS staff the opportunity to retire flexibly and partially through a managed and phased approach in advance of their chosen date to exit NIBTS. In turn they also outline the support mechanisms in place for employees to work longer with the option of accessing some of their pension benefits before fully retiring. Feb-18 2

(Click to view mitigation)

SBNI Consultation on Equality and Disability Action Plans 2018-23 Consultation on Equality and Disability Action Plans 2018-23 Jan-18 2

(See Links with Joint Consultation page)

PCC Risk Management Policy

Risk Management Screening Document

Risk Management Screening Document

This policy provides a framework for managing risk within the Patient and Client Council and will apply to all actual and potential risks the Patient and Client Council may face. Feb-18 3
PCC Involving You Policy

Screening Document

This policy provides a guide for how the Patient and Client Council involves people in its work.  It describes a range of techniques that it will use to ensure our work is inclusive, innovative and makes a difference. Feb-18 2

(Click to view mitigation)

NIPEC Data Protection Policy

Screening Document

This policy is based around the principles of the Data Protection Act 1998 (DPA) and NIPEC’s commitment to support and comply with this legislation. Mar-18 3
NIPEC Zero Tolerance Policy

Screening Document

This policy applies to violence and aggression towards all NIPEC employees as well as to employees of external contractors, including Agency staff. This policy applies to situations arising during the course of professional duties or due to employment. It also applies to those undertaking work on behalf of NIPEC, whether from service users, other staff or members of the public. Mar-18 2

(Click to view mitigation)

NIPEC Raising a concern policy

Screening Document

The Framework and Policy have been developed in response to recommendations arising from the RQIA Review of the Operation of Health and Social Care Whistleblowing Arrangements in 2016. The policy has been adopted by NIPEC and tailored to take account of the organisation’s structures, policies and procedures. Mar-18 2

(Click to view mitigation)

RQIA Inspection Policy

Inspection Policy

Screening Document

Screening Document

The aim of this policy is to ensure a consistent approach to inspections, while meeting the legislative requirements which underpin the role and function of RQIA and the principles of better regulation. Inspections will focus on four domains –“Is care safe?”, “Is care effective?”, “Is care compassionate?” and “Is the service well led?”.

The policy outlines:

• the roles and responsibilities of all parties involved

• that all inspection activity is undertaken in accordance with associated procedures, guidance and protocols

• the legislative framework within which inspections are undertaken

• the operational arrangements to ensure robustness of the inspection system

Mar-18 2

(Click to view mitigation)

HSCB Fire Safety Policy

Screening Document

Screening Document

The aim of the policy is to articulate how strategically the Health and Social Care Board will meet its legal obligations and mandatory requirements in respect of fire safety. Feb-18 2

(Click to view mitigation)

(Click to view mitigation)

BSO

BTS

NIGALA

NIPEC

NIMDTA

NISCC

PCC

RQIA

Final Equality and Disability Action Plans, Screening Document and Consultation report

Links to Plans:

BSO

BSO

BTS

NIGALA

NIPEC

NIMDTA

NISCC

PCC

RQIA

In line with our commitments under Section 75 of the Northern Ireland Act 1998 , the Equality Action Plan identifies a number of key actions to promote equality. The Disability Action Plan under our disability duties outlines some key actions that we are going to deliver upon to make a difference to people with disabilities. Mar-18 2

(see Section 2.5 in Screening Template)

Also in this Section

Also in this Section