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Our policies and procedures

Policies and procedures relating to the conduct of business and the provision of services

The following policies and procedures relate to the conduct of business and the provision of services at the University Hospitals Bristol NHS Foundation Trust:

Please note that the above list is not a complete list of the policies and procedures which are in place at the Trust.

Alternatively, please contact the Legal Services Department for more information. Please note that the above list is not a complete list of the human resources policies and procedures at the Trust.

Standing financial procedures

The Trust's standing financial procedures can be found on the publications page of this website.

Standing orders

The Trust's standing orders are available through the Trust's constitution.  This can be found on the publications page of this website.

Complaints and other customer services policies and procedures

 The Trust operates a complaints policy.  More details on how the Complaints team operate can be found at the link below.

The Complaints team - an overview.

The Trust holds information regarding complaints, however the information will not normally be available to the public as it may contain references to patients or treatment received. This is classified as personal dtat under section 40 of the Freedom of Information Act 2000.

Charging regimes and policies

To obtain copies of the Trust's charging regimes and policies, please contact the Legal Services Department

Confidentiality/Information Governance/Caldicott Guardian

Confidentiality affects everyone: University Hospitals Bristol NHS Foundation Trust collects, stores and uses large amounts of personal data every day, such as medical records, personnel records and computerised information. This data is used by many people in the course of their work. For information about how we use and look after this information please see our Privacy Notice, and the Data Protection and Information Governance Policies referred to above.

We take our duty to protect your personal information and confidentiality very seriously and we are committed to taking all reasonable measures to ensure the confidentiality and security of personal data for which we are responsible, whether computerised or on paper.

At Trust Board level, we have appointed a Senior Information Risk Owner who is accountable for the management of all information assets and any associated risks and incidents, and a Caldicott Guardian, who is responsible for the management of patient information and patient confidentiality.

Dr Mark Callaway (Interim Medical Director) is the Senior Information Responsible Officer, Dr Jane Luker (Deputy Medical Director) is the Caldicott Guardian.

The NHS Care Record Guarantee describes how patient information will be used and protected within the National Systems.

Access the NHS Care Record Guarantee 

The NHS sets standards of practice concerning Information Governance and Confidentiality.

Access the NHS  Codes of practice for handling information in health and care

Please contact InformationGovernance@UHBristol.nhs.uk for any queries relating to Data Protection, Information Governance or Confidentiality issues.

Estate management

The management of estates and facilities falls under the Directorate of Trust Services, which is the responsibility of the Chief Operating Officer. Daily responsibility is undertaken by the Director of Estates and Facilities.

Facilities oversee the following areas of the Trusts day to day management:

  • Linen laundry
  • Cleaning
  • Health and safety in respect of facilities
  • Facilities purchasing
  • Catering
  • Portering
  • Waste management
  • Pest control
  • Monitoring cleaning standards
  • Residences
  • Security
  • Car parking
  • Green travel
  • Transport
  • Skills training

Estates oversee the following areas of the Trusts day to day management:

  • Planned maintenance
  • Breakdowns and repairs
  • Grounds and gardens
  • Minor works
  • Backlog maintenance implementation
  • Quality control and systems
  • Strategic and backlog maintenance
  • Risk management
  • Environment and energy
  • Strategic project integration
  • Ordering invoices and payment
  • Capital projects
  • Feasibility studies
  • Project management
  • Estate management
  • Leases and property