[Insert Type of Document]
[Insert Document Title]
Version:[Insert Version]
Date Approved:[Insert Date]
Document Control Sheet
Title of document:
Supersedes: / If a different policy or procedure previously covered this subject, include it here.
Placement in Organisation: / Does this cover the whole CCG or only a particular team?
Consultation/Stakeholders / People who have been consulted in producing this document, or who should be consulted before making changes
Author(s) name:
Department/Team:
Approved by:
Approval date: / Review date:
Implementation Date:
Implementation Method: / Explain what action will be taken to put the contents of this document into practice. This is not exhaustive –chiefly, you should explain how it will be shared and with who.
This document is to be read in conjunction with the following documents:
The above field should include other documents that are important to correctly implementing this document’s contents. This may include other SOPs or policies from within the CCG or relevant documents from stakeholder organisations, such as Acute Trust policies, NHS England guidance, or in particular circumstances public inquiry reports or pieces of legislation. There is a section for references and supporting documents at the end of this template; documents which provide additional context, but are not vital to a reader’s understanding, should be listed there.
-Title Page...... 1
-Document Control Sheet...... 2
-Contents Page...... 3
1.0Introduction...... 4
2.0Purpose...... 0
3.0Responsibilities...... 0
4.0Definitions of Terms Used...... 0
5.0Insert Main Section Title...... 0
6.0Insert Main Section Title...... 0
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8.0Insert Main Section Title...... 0
9.0Process for Approval & Ratification...... 0
10.0Dissemination, Training & Advice...... 0
11.0 Review, Monitoring and Compliance...... 0
12.0References...... 0
Appendices
Appendix A - Insert Appendix Title...... 0
Appendix B - Insert Appendix Title or Delete If Necessary...... 0
Appendix C - Insert Appendix Title or Delete If Necessary...... 0
Appendix D - Insert Appendix Title or Delete If Necessary...... 0
Appendix E - Insert Appendix Title or Delete If Necessary...... 0
Appendix F - Insert Appendix Title or Delete If Necessary...... 0
Appendix G - Insert Appendix Title or Delete If Necessary...... 0
Make sure all page numbers are correct whenever you have changed the content or formatting of the document.
1.0 Introduction1.1 / This section should explain the background to the document and why there is a need for it. Refer to legislation, regulations, best practice, organisational objectives etc.
1.2 / [Insert Text] or delete if required
1.3 / [Insert Text] or delete if required
1.4 / [Insert Text] or delete if required
1.5 / [Insert Text] or delete if required
2.0 Purpose
2.1 / This should set out the objectives of the document and which elements of CCG business it is aimed at – such as particular staff groups (managers, board members, clinical leads, contracted/CSU staff etc), particular projects, any stakeholders (such as patients, GPs). If there are any areas specifically not covered, refer to these, and to any document that does cover those areas.
2.2 / [Insert Text] or delete if required
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3.0 Responsibilities
3.1 / This section should explain the accountability and responsibilities arising from the document – relating to ‘committee members’, ‘senior managers’, ‘project managers’, ‘all staff’ etc. It should be clear to anyone reading it what their responsibilities are, including if they are part of more than one group mentioned.
3.2 / [Insert Text] or delete if required
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3.5 / [Insert Text] or delete if required
4.0 Definitions of Terms Used
4.1 / Provide definitions and explanations of key terms or abbreviations where this would aid understanding. This can include providing summaries of how particular teams or functions affect or are affected by the document – an entry for a particular committee might outline their responsibilities in a policy, or who from a project team should report to the committee in a SOP.
4.2 / [Insert Text] or delete if required
4.3 / [Insert Text] or delete if required
4.4 / [Insert Text] or delete if required
4.5 / [Insert Text] or delete if required
5.0 Insert Main Section Title
5.1 / These sections should contain the main body of the document – describing all procedures and processes involved, setting out any tasks that should be completed and by who. Use of multiple headings is expected; sub-headings and use of numbering to structure content (rather than extended text separated by paragraphs) is strongly recommended.
5.2 / [Insert Text] or delete if required
5.3 / [Insert Text] or delete if required
5.4 / [Insert Text] or delete if required
5.5 / [Insert Text] or delete if required
6.0 Insert Main Section Title or Delete If Required
6.1 / [Insert Text] or delete if required
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6.4 / [Insert Text] or delete if required
6.5 / [Insert Text] or delete if required
7.0 Insert Main Section Title or Delete If Required
7.1 / [Insert Text] or delete if required
7.2 / [Insert Text] or delete if required
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7.4 / [Insert Text] or delete if required
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8.0 Insert Main Section Title or Delete If Required
8.1 / [Insert Text] or delete if required
8.2 / [Insert Text] or delete if required
8.3 / [Insert Text] or delete if required
8.4 / [Insert Text] or delete if required
8.5 / [Insert Text] or delete if required
9.0 Process for Approval & Ratification
9.1 / Describe what steps need to be taken for the document to be approved. For policies this will often involve being submitted to the CCG Governance Committee(unless the policy applies to only one CCG); for strategies or SOPs this may be a less formal procedure, and might involve a meeting of a department or project team to agree its adoption.
9.2 / [Insert Text] or delete if required
9.3 / [Insert Text] or delete if required
9.4 / [Insert Text] or delete if required
9.5 / [Insert Text] or delete if required
10.0 Dissemination, Training & Advice
10.1 / Consider how this document will be distributed. For policies, it might be that information is shared in Manchester Matters and the policy is uploaded to the website; for SOPs or strategy documents affecting specific teams, making sure individual members of staff have access to and have reviewed the document may be more appropriate.
10.2 / You should also include information on how staff can access advice relating to implementing the document, or how training on doing so will be provided. This may involve providing contact details for the document author or a team member. It is particularly important to make it clear if there is any mandatory training involved in implementing the document and if so, how it should be accessed.
10.3 / [Insert Text] or delete if required
10.4 / [Insert Text] or delete if required
10.5 / [Insert Text] or delete if required
11.0 Review, Monitoring and Compliance
11.1 / Outline when the document will be reviewed.Policies will usually need to be reviewed every 3 years to ensure their contents are still relevant and accurate; other documents may change more quickly in line with changes to best practice or organisational priorities.
11.2 / If compliance with the document is being monitored and enforced this should also be outlined – what is being done, how It is being done, who is responsible. Include contact details.
11.3 / [Insert Text] or delete if required
11.4 / [Insert Text] or delete if required
11.5 / [Insert Text] or delete if required
12.0 References
12.1 / Legislation
Refer to any documents which are quoted, which support claims made in this document, or which shaped the way it was written. You should also include any legislation, NHS policy or CCG policy that governs the subject, as well as any documents that provide further relevant information (such as NHSLA briefings or NICE guidance). Amend these headings as you see fit.
12.2 / Guidance
12.3 / Supporting Documentation
12.4 / [Insert Text] or delete if required
Version Control
Version / Date / Brief description of change
PLEASE NOTE: the most recent version of this document is available on the CCG’s website. Printed copies (or saved electronic copies) must be checked to ensure they match the most recent version.
This should be updated after any change to the document’s contents or formatting, including minor amendments. This will help other staff to ensure they are using an up-to-date document and also to make sure that additions are not missed by other authors.
Your document should always include at least one Appendix, as an Equality Analysis must be completed for every policy or procedure.
Appendix B
Appendix C
Appendix D
Appendix E
Appendix F
Appendix G
…………………… Policy / Page 1 of 9