Corporate documents

Below you will find links to our various corporate documents that health and social care professionals use to make decisions and support the day to day running of the Trust.

To enable us to meet these and other requirements, the Trust has a comprehensive set of policies covering its activities which give clear guidance as to how those activities should be conducted.

Please note: any document listed is the version that is used in our Trust and is the most up to date document.

Title	Date published
Audit and Risk Committee Terms of Reference	26 Apr 2024
Building a Brighter Future Committee Terms of Reference	26 Apr 2024
Charitable Funds Committee Terms of Reference	1 Jul 2022
Ethics Committee Terms of Reference	26 Apr 2024
Finance and Performance Committee Terms of Reference	26 Apr 2024
Governors' Nomination, Remuneration and Terms of Service Committee Terms of Reference	15 Aug 2022
Membership Committee Terms of Reference	3 Nov 2022
Non-Executive Directors Nomination, Remuneration and Terms of Service Committee Terms of Reference	26 Apr 2024
People Committee Terms of Reference	26 Apr 2024
Quality Assurance Committee Terms of Reference	26 Apr 2024

Title	Date published
Board of Directors Reservation of Powers and Scheme of Delegation	27 May 2021
Board of Directors Standing Financial Instructions	27 May 2021
Board of Directors Standing Orders	1 Feb 2022
Council of Governors' and Board of Directors' Engagement Policy	21 Apr 2023
Devon Health Community Elective Care Access Policy	4 Jan 2023
Digital Strategy	27 Nov 2021
Fraud and Bribery Prevention Policy	11 May 2022
Gifts and Hospitality Policy	27 May 2021
Information Governance Management Framework Policy	27 May 2021
Management of Care and Clinical and Non-Clinical Documents Policy	27 May 2021
Register of Board of Directors' Interests	2 Jan 2024
Register of Governors' Interests	18 Dec 2023
Reimbursement of Expenses form Governors and Members guidance notes	16 Apr 2022
Reimbursement of Expenses form Governors and Members Policy	15 Oct 2022
Risk Management Policy	15 Oct 2022
Risk Management Procedure	12 Jul 2023
Risk Management Strategy	15 Oct 2022
Standards of Business Conduct Policy	6 May 2022
TSDFT Conflicts of Interest Policy	6 May 2022

Title	Date published
Continuing Healthcare - Choice Costs and Risks	27 May 2021
Deferred Payment Agreements Leaflet	27 May 2021
Employers Liabilities to Third Parties Scheme certificate	19 Sep 2021
Provision of Adult Social Care and Health Funded Transport Policy	27 May 2021
Relocation Policy	27 May 2021
Third Party Contributions Booklet	27 May 2021
Third Party Top Up Fees Policy	27 May 2021

Title	Date published
Asbestos Policy	27 May 2021
Cleaning Policy	27 May 2021
Confined Space Management Procedure	19 Dec 2022
Contamination Sharps Incident Investigation	27 May 2021
Contractor Management Procedure	27 May 2021
Control of Substances Hazardous to Health (COSHH)	16 Jun 2022
Control of Substances Hazardous to Health Register Form	27 May 2021
Display Screen Equipment (DSE)	9 Nov 2022
Display Screen Equipment (DSE) Eye and Eyesight Examination Reimbursement Application Form	27 May 2021
Display Screen Equipment (DSE) User Assessment Form	9 Nov 2022
Electrical Safety Policy	27 May 2021
Electronic Cigarette Management Policy	27 May 2021
First Aid Management	19 Dec 2022
Food Hygiene Policy	27 May 2021
Health and Safety Policy	27 May 2021
Health and Safety Representatives	15 Jul 2022
Latex Management Procedure	18 Jan 2023
Lifting Operations and Lifting Equipment Management	27 May 2021
Linen Laundry Policy	27 May 2021
Lone Worker Policy	18 Jan 2022
Management of Health and Safety for Young Persons and Work Experience	27 May 2021
Management of Noise at Work	16 Jun 2022
Manual Handling Policy	27 May 2021
New and Expectant Mothers Risk Assessment Form	27 May 2021
New and Expectant Mothers Risk Assessment Procedure	2 Nov 2022
Permit to Work	27 May 2021
Personal Protective Equipment Management	31 Aug 2022
Pest Control Policy	27 May 2021
Preliminary Noise Assessment Form	27 May 2021
Premises Management During Periods of Inclement Weather Policy	27 May 2021
Returning to BAU in waste management SOP while treating COVID-19	27 May 2021
Sharps Clinical Management Procedure	16 Jun 2023
Trust Security Procedure	27 May 2021
Violence Prevention and Reduction Policy (S5)	23 Jun 2023
Waste Management Policy	27 May 2021
Water Cooler And Vending Machine Management	27 May 2021
Water Safety Policy	27 May 2021
Water Supply and Drainage Management	27 May 2021
Working at Height Procedure	19 Dec 2022
Workplace Management	21 Jun 2022
Workplace Slips Trips and Falls Management	27 May 2021

Title	Date published
Appropriate Policy Document for Special Category Data	27 May 2021
Audio and visual recordings by people who use our services and public policy	3 Feb 2023
Data Quality Policy	10 Nov 2023
Microsoft 365 Services Platform Policy	22 Aug 2022
Microsoft 365 Services Platform Procedure	22 Aug 2022
Mobile Phone Policy	15 Jun 2023
Retention and Destruction of Corporate Records Policy	23 Jun 2023
Social Media Policy	27 May 2021

Title	Date published
Patient Safety Incident Response Plan	4 Mar 2024

Title	Date published
Bribery Act 2010 Chief Executive Statement	23 Dec 2019
Business Continuity for Governance Meetings SOP	27 May 2021
NHS Provider Licence	5 Jul 2023
Our Constitution	27 Oct 2023
Slavery and Human Trafficking Statement	31 Jan 2017

Title	Date published
Accessible Information Policy	27 May 2021
Achievement Review Policy (H6)	25 Nov 2023
Achievement Review Policy (H6) - appendices and forms	25 Nov 2023
Acting Down By Consultants (MD7)	15 Feb 2023
Acting Up and Secondment Policy (R2)	16 Apr 2022
Annual Leave for Consultants and SAS Doctors (MD9)	28 Feb 2023
Annual Leave Policy (H31)	21 Apr 2023
Annual Leave Policy: annual leave record form (H31)	21 Apr 2023
Appendix B. Time Off for Trade Union Duties policy	27 May 2021
Appointment of Honorary Consultants (MD28)	27 May 2021
Appraisal and Revalidation: Consultant and SAS (MD22)	17 Aug 2023
Attendance Policy (H33)	21 Apr 2023
Attendance Policy: Management Resource Pack (H33)	2 Jan 2024
Authority For Retirement Award Form	27 May 2021
Bullying and Harassment at Work Policy (H4)	2 Nov 2022
Bullying and Harassment at Work Policy: Complainant pro-forma (H4)	2 Nov 2022
Car Use and Subsistence Expenses Policy (P1)	21 Apr 2023
Car Use and Subsistence Expenses Policy: Excess Mileage Authorisation Form (P1)	21 Apr 2023
Career Break Policy (H20)	27 May 2021
Certificate of Eligibility for Specialist Registration (CESR) (MD17)	17 Aug 2023
Clinical Excellence Awards Local Procedure (MD18)	28 Oct 2023
Consultant and SAS Arrangements for Additional Clinical Work (MD2)	5 Oct 2022
Development of SAS Role (MD15)	27 May 2021
Disciplinary Policy (H1)	2 Jun 2023
Disciplinary Policy: Employee Guidance for Disciplinary Process (H1)	27 May 2021
Diversity and Inclusion Policy (ED1)	16 Apr 2022
Doctors in Training and Trust Grade Doctors Locum Policy (MD14)	15 Dec 2023
Employability Policy	27 May 2021
Exception Reporting for Doctors and Dentists in Training (MD1)	15 Dec 2023
Exclusion from Work Guidance	2 Nov 2022
Fixed Term Contract Policy (H5)	27 May 2021
Flexible Working Policy (H27)	9 Apr 2024
Flexible Working Policy: Templates (H27)	17 Dec 2021
flowchart-2-risk-assessment-perpetrator	27 May 2021
Grievance Policy (20)	19 Oct 2022
Grievance Policy 20 - Appendix A - Registering a Grievance	13 Oct 2023
Guidance Clinical Attachment Overseas doctors	27 May 2021
Guidance for Employees Involved in Maintaining High Professional Standards in the NHS	28 Oct 2023
Health, Safety and Wellbeing Questionnaire	27 May 2021
HEE National Relocation Framework (MD8)	27 May 2021
Improving Performance Policy (H17)	19 Oct 2022
Inclement Weather Policy (H7)	27 May 2021
Individual Staff Risk Assessment-COVID	27 May 2021
Induction and Mandatory Training, Trainee and Trust Doctors (MD25)	28 Nov 2022
Induction Policy and Procedure: excluding Medical and Dental Staff (T2)	16 Apr 2022
Job Evaluation Policy (H11)	28 Feb 2023
Job Planning Policy (MD24)	23 Jan 2024
Junior Doctors Annual Leave Policy (MD3)	2 Aug 2023
Leavers Procedure	13 Oct 2023
Leavers Procedure: appendices	13 Oct 2023
Local Terms & Conditions of Service for Locally Employed Trust Doctors	28 Oct 2023
Maintaining High Professional Standards in the NHS (MD29)	28 Oct 2023
Managers guidance to providing references	16 Apr 2022
Mandatory and Essential Training Policy	19 Oct 2022
Maternity Paternity and Adoption Leave Policy (H36)	28 Nov 2022
Maternity Paternity and Adoption Leave Policy: appendices (H36)	28 Nov 2022
Medical & Dental Joint Local Negotiating Committee Constitution & Term of Reference (MD13)	28 Oct 2023
Medical and Dental Professional Registration (MD27)	17 Aug 2023
Medical Induction Policy (MD16)	15 Feb 2023
Menopause Policy (H38)	27 May 2021
Menopause Policy: Appendix 2 - Colleague Discussion (H38)	27 May 2021
Menopause Policy: Appendix 3 - Advice Sheet (H38)	27 May 2021
Menopause Policy: Appendix 4 - Risk Assessment (H38)	27 May 2021
National Clinical Impact Awards (MD19)	7 Jun 2022
NHS Injury Allowance Policy (H3)	27 May 2021
NHS Injury Allowance Policy: Application for NHS Injury Allowance (H3)	27 May 2021
Notice Period Policy (H8)	27 May 2021
On Call Policy	21 Jul 2021
Ordinary Parental leave (H13)	21 Jul 2021
Organisational Change Policy (H29)	21 Jul 2021
Personal Files Procedure	27 May 2021
Practical Guide to Equality Analysis	27 May 2021
Procedure for Job Evaluation of New Posts and Re-evaluation of Existing Posts (H11)	8 Feb 2023
Raising Concerns Policy (H30)	21 Jul 2021
Rapid EqIA Form	27 May 2021
Reasonable Adjustment Policy (ED4)	27 May 2021
Reasonable Adjustment Policy: Disability Leave Request Form (ED4)	27 Mar 2024
Reasonable Adjustment Policy: Disability Passport (ED4)	27 Mar 2024
Reasonable Adjustment Policy: Tailored Reasonable Adjustment Agreement (ED4)	27 Mar 2024
Recognition Agreement and Negotiation Policy (H24)	21 Jul 2021
Recruitment and Retention Premia (H26)	21 Jul 2021
Recruitment and Retention Premia: Application for RRP (H26)	21 Jul 2021
Recruitment and Selection Policy (H12)	16 Apr 2022
Relationships at Work Policy (H15)	21 Jul 2021
Remediation Policy (MD21)	17 Aug 2023
Retirement Policy (including retire and return to work) (H34)	9 Apr 2024
Retirement Policy: appendices and forms (H34)	9 Apr 2024
Right to Work in the UK Policy (R1)	16 Apr 2022
Sabbatical Leave Policy (H21)	21 Jul 2021
Salary on Appointment, Promotion and Incremental Credit (H18)	21 Jul 2021
Salary on Appointment, Promotion and Incremental Credit: justification form (H18)	21 Jul 2021
SAS Charter (MD23)	5 Oct 2022
Shared Parental Leave Policy (H16)	21 Jul 2021
Shared Parental Leave Policy: appendices and forms (H16)	21 Jul 2021
Smokefree Environment Policy (H23)	27 May 2021
Special Leave Policy (H9)	19 Sep 2021
Special Leave Policy: appendices and forms (H9)	19 Sep 2021
Specialist and Specialty (SAS) 2021 Contract Pay Progression Guide	19 Jan 2024
Specialty Doctor Career Progression and Specialist Grade Recruitment (MD4)	2 Jun 2023
Starting Salaries For Consultant Medical And Dental Staff (MD20)	21 Apr 2023
Study / Professional Leave Policy: Consultants and SAS Doctors (MD26)	17 Aug 2023
Study Leave Policy: for all staff excluding Medical and Dental (T3)	20 Apr 2022
Tackling Discrimination Together Policy (ED5)	16 Apr 2022
Temporary Staffing Policy (H32)	9 Sep 2022
The Appointment and Employment of Locum Doctors (including Assessment of Appointments) (MD6)	17 Aug 2023
Time Off for Trade Union Duties Training Activities (H25)	21 Jul 2021
Time Off for Trade Union Duties Training Activities: application form (H25)	21 Jul 2021
Volunteer Policy (H10)	16 Apr 2022
Volunteer Policy: appendices (H10)	27 May 2021
Working Time Directive Policy (H37)	27 May 2021