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 (, 235KB)	9 Feb 2026
Charitable Funds Committee Terms of Reference (, 138KB)	1 Jul 2022
Finance and Operations Committee Terms of Reference (, 202KB)	9 Feb 2026
Governors’ Nomination and Remuneration Committee Terms of Reference (, 213KB)	19 Feb 2026
Membership Committee Terms of Reference (, 183KB)	19 Feb 2026
Non-Executive Directors Nomination, Remuneration and Terms of Service Committee Terms of Reference (, 236KB)	9 Feb 2026
Quality and People Committee Terms of Reference (, 228KB)	9 Feb 2026

Title	Date published
Board of Directors Reservation of Powers and Scheme of Delegation (, 228KB)	24 Jul 2025
Board of Directors Standing Financial Instructions (, 682KB)	5 Mar 2025
Board of Directors Standing Orders (, 297KB)	15 May 2024
Council of Governors and Board of Directors Policy of Engagement for Serious Concerns (, 237KB)	23 May 2024
Council of Governors Standing Orders (, 266KB)	7 Jun 2024
Council of Governors’ and Board of Directors’ Policy of Engagement for Serious Concerns (, 263KB)	7 Jul 2026
Devon Health Community Elective Care Access Policy (, 471KB)	22 Jun 2026
Digital Strategy (, 2MB)	27 Nov 2021
Fraud and Bribery Prevention Policy (, 531KB)	11 May 2022
Gifts and Hospitality Policy (, 225KB)	17 Aug 2024
Information Governance Management Framework Policy (, 884KB)	17 Aug 2024
Management of Care and Clinical and Non-Clinical Documents Policy (, 694KB)	17 Aug 2024
Register of Board of Directors’ Interests (, 148KB)	1 Jul 2026
Register of Governors' Interests (, 136KB)	1 Jul 2026
Reimbursement of Expenses form Governors and Members Policy (, 196KB)	13 Feb 2026
Risk Management and Strategy Policy (, 626KB)	29 Mar 2025
Senior Independent Director Role Description (, 129KB)	23 May 2024
Standards of Business Conduct Policy (, 211KB)	6 May 2022
TSDFT Conflicts of Interest Policy (, 296KB)	6 May 2022

Our Public register for Declarations of Interest is available on the My Declaration portal.

Title	Date published
Continuing Healthcare - Choice Costs and Risks (, 243KB)	27 May 2021
Deferred payment agreements leaflet (, 290KB)	19 Jun 2026
Employers Liabilities to Third Parties Scheme certificate (, 189KB)	19 Sep 2021
Provision of Adult Social Care and Health Funded Transport Policy (, 337KB)	27 May 2021
Relocation Policy (, 801KB)	27 May 2021
Third Party Contributions Booklet (, 379KB)	27 May 2021
Third Party Top Up Fees Policy (, 212KB)	27 May 2021

Title	Date published
Asbestos Policy (, 254KB)	27 May 2021
Cleaning Policy (, 1MB)	15 May 2024
Confined Space Management Procedure (, 379KB)	19 Dec 2022
Contractor Management Procedure (, 478KB)	27 May 2021
Control of Substances Hazardous to Health (COSHH) Procedure (, 551KB)	5 Jul 2024
Display Screen Equipment (DSE) (, 974KB)	9 Nov 2022
Electrical Safety Policy (, 314KB)	27 May 2021
Electronic Cigarette Management Policy (, 38KB)	27 May 2021
First Aid Management (, 589KB)	19 Dec 2022
Food Hygiene Policy (, 558KB)	15 May 2024
Health and Safety Policy (, 336KB)	5 Jul 2024
Health and Safety Representatives (, 303KB)	9 Aug 2024
Health and Safety Risk Assessment Procedure (, 440KB)	5 Jul 2024
Latex Management Procedure (, 505KB)	14 Feb 2025
Lifting Operations and Lifting Equipment Management (, 340KB)	27 May 2021
Linen and Laundry Policy (, 664KB)	15 May 2024
Lone Worker Policy (, 1MB)	18 Jan 2022
Management of Health and Safety for Work Experience Placements Procedure (, 300KB)	14 Feb 2025
Management of Health and Safety for Young Persons and Work Experience (, 238KB)	27 May 2021
Management of Health and Safety for Young Persons Procedure (, 257KB)	14 Feb 2025
Management of Noise at Work (, 302KB)	16 Jun 2022
Manual Handling Policy (, 335KB)	27 May 2021
New and Expectant Mothers Risk Assessment Procedure (, 451KB)	2 Nov 2022
Permit to Work (, 317KB)	27 May 2021
Personal Protective Equipment Management (, 467KB)	6 Nov 2024
Pest Control Policy (, 357KB)	15 May 2024
Premises Management During Periods of Inclement Weather Policy (, 669KB)	27 May 2021
Sharps Clinical Management Procedure (, 796KB)	16 Jun 2023
Trust Security Procedure (, 24KB)	27 May 2021
Violence Prevention and Reduction Policy (S5) (, 751KB)	23 Jun 2023
Waste Management Policy (, 374KB)	27 May 2021
Water Cooler And Vending Machine Management (, 151KB)	27 May 2021
Water Safety Policy (, 1MB)	27 May 2021
Water Supply and Drainage Management (, 352KB)	27 May 2021
Working at Height Procedure (, 336KB)	19 Dec 2022
Workplace Health and Safety Audit Procedure (, 453KB)	5 Jul 2024
Workplace Management (, 304KB)	5 Jul 2024
Workplace Slips Trips and Falls Management (, 622KB)	27 May 2021

Title	Date published
Acceptable Use of AI Technologies Policy (, 305KB)	2 Jun 2026
Appropriate Policy Document for Special Category Data (, 214KB)	17 Nov 2025
Audio and visual recordings by people who use our services and public policy (, 924KB)	3 Feb 2023
Code of Conduct for Employees in respect of confidentiality (, 149KB)	24 Mar 2026
Consent and Capacity for Information Sharing Policy (, 334KB)	24 Mar 2026
Corporate Records Policy (, 406KB)	16 Jun 2026
Data Protection Complaints Policy (, 264KB)	15 May 2026
Data Protection Impact Assessment (Data Protection by Design) Policy (, 318KB)	24 Mar 2026
Data Quality Policy (, 191KB)	10 Nov 2023
Freedom of Information Policy (, 306KB)	24 Mar 2026
Health (and Adult Social Care) Records Management Policy (, 1MB)	16 Jun 2026
Individual Information Rights Policy (, 338KB)	24 Mar 2026
Information Governance Policy (, 307KB)	24 Mar 2026
Information Sharing Agreements Policy (, 273KB)	24 Mar 2026
Mobile Phone Policy (, 207KB)	15 Jun 2023
Offsite Computing Policy (, 263KB)	24 Mar 2026
Personal Device Use Policy (, 326KB)	1 Apr 2026
Pseudonymisation and Anonymisation Policy (, 289KB)	24 Mar 2026
Public Interest Information Sharing Policy (, 308KB)	24 Mar 2026
Social Media Policy (, 1MB)	27 May 2021
Strategy: Information Sharing (, 240KB)	30 Dec 2024

Title	Date published
Patient Safety Incident Response Plan (, 1,007KB)	8 Dec 2025
Patient Safety Incident Response Policy (, 1MB)	8 Dec 2025

Title	Date published
Bribery Act 2010 Chief Executive Statement (, 86KB)	23 Dec 2019
Modern slavery, human trafficking and ethical trading statement (, 100KB)	9 Feb 2026
NHS Provider Licence (, 463KB)	5 Jul 2023
Our Constitution (, 2MB)	11 Nov 2024

Title	Date published
Accessible Information Policy (, 361KB)	27 May 2021
Achievement Review Policy (H6) (, 468KB)	1 Jul 2025
Acting Down By Consultants (MD7) (, 287KB)	15 Feb 2023
Acting Up and Secondment Policy (R2) (, 1MB)	16 Apr 2022
Adverse Weather Policy (H7) (, 251KB)	2 Oct 2024
Annual Leave for Consultants and SAS Doctors (MD9) (, 336KB)	28 Feb 2023
Annual Leave Policy (H31) (, 368KB)	21 Apr 2023
Appointment of Honorary Consultants (MD28) (, 240KB)	27 May 2021
Appraisal and Revalidation: Consultant and SAS (MD22) (, 330KB)	22 Oct 2024
Attendance Policy (H33) (, 624KB)	10 Jan 2025
Bullying and Harassment at Work Policy (H4) (, 874KB)	6 Aug 2025
Car Use and Subsistence Expenses Policy (P1) (, 302KB)	21 Apr 2023
Career Break Policy (H20) (, 429KB)	27 May 2021
Clinical Excellence Awards Local Procedure (MD18) (, 265KB)	28 Oct 2023
Consultant and SAS Arrangements for Additional Clinical Work (MD2) (, 256KB)	5 Oct 2022
Disciplinary Policy (H1) (, 741KB)	14 Feb 2025
Disciplinary Policy: Employee Guidance for Employees Involved in the Disciplinary Process (H1) (, 327KB)	6 Aug 2025
Diversity and Inclusion Policy (ED1) (, 266KB)	16 Apr 2022
Employability Policy (, 353KB)	27 May 2021
Exception Reporting for Doctors and Dentists in Training (MD1) (, 827KB)	15 Dec 2023
Exclusion from Work Guidance (, 271KB)	2 Nov 2022
Fixed Term Contract Policy (H5) (, 242KB)	27 May 2021
Flexible Working Policy (H27) (, 555KB)	9 Apr 2024
Grievance Policy (20) (, 314KB)	1 Jul 2026
Guidance Clinical Attachment Overseas doctors (, 398KB)	27 May 2021
Guidance for Employees Involved in Maintaining High Professional Standards in the NHS (, 436KB)	28 Oct 2023
HEE National Relocation Framework (MD8) (, 374KB)	27 May 2021
Improving Performance Policy (H17) (, 270KB)	20 Mar 2025
Induction and Mandatory Training, Trainee and Trust Doctors (MD25) (, 300KB)	28 Nov 2022
Induction Policy and Procedure: excluding Medical and Dental Staff (T2) (, 1MB)	16 Apr 2022
Job Evaluation Policy (H11) (, 198KB)	12 Dec 2024
Job Planning Policy (MD24) (, 506KB)	23 Jan 2024
Junior Doctors Annual Leave Policy (MD3) (, 297KB)	2 Aug 2023
Leavers Procedure (, 330KB)	13 Oct 2023
Local Terms & Conditions of Service for Locally Employed Trust Doctors (, 243KB)	28 Oct 2023
Locally Employed Doctors Employment and Carer Development (MD5) (, 313KB)	22 Oct 2024
Maintaining High Professional Standards in the NHS (MD29) (, 1MB)	22 Oct 2024
Managers guidance to providing references (, 188KB)	16 Apr 2022
Mandatory and Essential Training Policy (, 655KB)	19 Oct 2022
Maternity, New Parent Support and Adoption Leave Policy (H36) (, 679KB)	1 Jul 2026
Medical & Dental Joint Local Negotiating Committee Constitution & Term of Reference (MD13) (, 281KB)	28 Oct 2023
Medical and Dental Professional Registration (MD27) (, 296KB)	17 Aug 2023
Medical Induction Policy (MD16) (, 312KB)	15 Feb 2023
Menopause Policy (H38) (, 775KB)	6 Aug 2025
National Clinical Impact Awards (MD19) (, 292KB)	7 Jun 2022
NHS Injury Allowance Policy (H3) (, 359KB)	6 Nov 2024
Notice Periods Policy (H8) (, 251KB)	29 Oct 2024
On Call Policy (, 346KB)	21 Jul 2021
Ordinary Parental leave (H13) (, 195KB)	21 Jul 2021
Organisational Change Policy (H29) (, 925KB)	21 Jul 2021
Personal Files Procedure (, 311KB)	8 Nov 2024
Practical Guide to Equality Analysis (, 625KB)	27 May 2021
Procedure for Job Evaluation of New Posts and Re-evaluation of Existing Posts (H11) (, 896KB)	8 Feb 2023
Raising Concerns Policy (H30) (, 424KB)	21 Jul 2021
Reasonable Adjustment Policy (ED4) (, 1,012KB)	27 May 2021
Recruitment and Retention Premia (H26) (, 343KB)	21 Jul 2021
Recruitment and Selection of Consultant Medical Staff (MD12) (, 398KB)	22 Oct 2024
Recruitment and Selection Policy (H12) (, 579KB)	16 Apr 2022
Relationships at Work Policy (H15) (, 260KB)	6 Nov 2024
Remediation Policy (MD21) (, 320KB)	17 Aug 2023
Resident Doctors & Trust Grade Doctors Locum (Medical Bank) Policy (MD14) (, 274KB)	1 Oct 2024
Retirement Policy (including retire and return to work) (H34) (, 493KB)	9 Apr 2024
Right to Work in the UK Policy (R1) (, 604KB)	16 Apr 2022
Sabbatical Leave Policy (H21) (, 332KB)	22 Oct 2024
Salary on Appointment, Promotion and Incremental Credit (H18) (, 328KB)	21 Jul 2021
SAS Doctor Career Development (MD4) (, 415KB)	21 Jun 2024
Shared Parental Leave Policy (H16) (, 1MB)	21 Jul 2021
Smokefree Environment Policy (H23) (, 245KB)	14 Apr 2025
Special Leave Policy (H9) (, 497KB)	6 Aug 2025
Specialist and Specialty (SAS) 2021 Contract Pay Progression Guide (, 338KB)	19 Jan 2024
Starting Salaries For Consultant Medical And Dental Staff (MD20) (, 273KB)	21 Apr 2023
Study / Professional Leave Policy: Consultants and SAS Doctors (MD26) (, 376KB)	17 Aug 2023
Study Leave Policy: for all staff excluding Medical and Dental (T3) (, 322KB)	20 Apr 2022
Tackling Discrimination Together Policy (ED5) (, 487KB)	16 Apr 2022
Temporary Staffing Policy (H32) (, 475KB)	9 Sep 2022
The Appointment and Employment of Locum Doctors (including Assessment of Appointments) (MD6) (, 541KB)	22 Oct 2024
Time Off for Trade Union Duties Training Activities (H25) (, 363KB)	21 Jul 2021
Volunteer Policy (H10) (, 319KB)	16 Apr 2022
Working Time Directive Policy (H37) (, 402KB)	6 Nov 2024

Corporate documents

Board Sub-Committee Terms of Reference

Corporate Documents

Finance

Health and Safety Policies

Management of Information

Patient Safety Incident Response Framework

Provider Strategic and Governance

Workforce Policies