Pest Control Policy

SH NCP 44
Pest Control Policy
Version: 3
Summary:
This policy sets out the requirements for pest control within Southern Health
NHS Foundation Trust, it takes into account initiatives such as (but not limited
to) The Hygiene Code. The Trust aims to ensure that an appropriate contract
is in place at all times to manage the control of pests within the Trust estate
and follow the actions contained in this policy to ensure the safety of the site
users.
This policy supports the pesticide regulations made under the Food and
Environment Protection Act (FEPA) 1985 Part III and the Health and Social
Care Act 2008 Regulation 12, which requires that effective systems are in
place to protect service users and staff from the risk of acquiring healthcare
associated infection.
Keywords:
Pest, Control, Rat, Rats, Ants, Pest, Pests, Vermin, Wasps, Mice, Mouse
Target Audience:
All staff employed by Southern Health NHS Foundation Trust. Executive &
Non-Executive Directors, Volunteers, Governors and Contractors. All patients,
service users, carers & their families
Next Review Date:
January 2018
Approved &
Ratified by:
Health & Safety Forum
Date issued:
January 2016
Author:
Tracy England, Senior Contracts and PFI/LIFT Manager
Director:
Scott Jones, Head of Facilities and Environment
Date of meeting:
25 January 2016
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Version Control
Change Record
Date
Author
Ve
rsi
on
Page
Reason for Change
27/03/13
Sandra Grimes
1
1-13
Changed to Southern Health NHS Foundation Trust Format
September 2014
Sandra Grimes
2
All
Policy Review & Supporting References
September 2015
Tracy England/
Bob Beeching
3
5
7
9
Policy review
4.4 Change of title
7.2 Removal of IPC from paragraph
15 Supporting reference updated
Reviewers/contributors
Name
Position
Version Reviewed & Date
Sandra Grimes
Commercial Contracts Manager & Project
Manager
V1 27 March 2013
Ricky Somal
John Micklewright
Sandra Grimes
V2 October 2014
V2 October 2014
V2 September 2014
Alison Edmundson
Tracy England
Bob Beeching
Theresa Lewis
Equality and Diversity Lead
Counter Fraud Lead
Commercial Contract Manager & Project
Manager
Compliance Assurance Manager
Senior Contract PFI/LIFT Manager
Support Services Manager
Lead Nurse Infection Prevention and Control
Karl Beanland
Paul Gallagher
Estates Operations Manager
Modern Matron, Ravenswood House
V3 September 2015
V3 September 2015
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th
V2 October 2014
V3 September 2015
V3 September 2015
V3 September 2015
Quick Reference Guide
For quick reference, this page summarises the actions required by this policy. This does not
negate the need to be aware of and to follow the further detail provided in this policy.
1. Southern Health NHS Foundation Trust employees to understand its legal obligation and
responsibilities to take necessary measures to prevent the risk of pest infection in all food
storage, distribution and catering areas and to ensure good standards of pest control in all
other areas of its sites.
2. All sightings of pests or evidence of their existence should be reported in the first instance to
the Local Site Manager/Administrator on the relevant local phone number at the earliest
opportunity, who should contact the Pest Control Contractor.
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Contents
Section
1.
Title
Introduction
Page
4
2.
Who does this policy apply to?
4
3.
Definitions
4
4.
Duties and Responsibilities
4
5.
Main Policy Content
6
6.
Basic Pest Control Measures
7
7.
Pest Control Contract
7
8.
Visitors Pets
8
9.
Guide Dogs/Canine Helpers
8
10.
Pet Therapy
8
11.
Training Requirements
8
12.
Monitoring Compliance
9
13.
Policy Review
9
14.
Associated Trust Documents
9
15.
Supporting references
9
1
Appendices
Individual Pests And Wildlife
10
2
Responsibilities Authorised Officer for Pest Control
14
3
Training needs analysis
15
4
Equality Impact Assessment Tool
16
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Pest Control Policy
1.
Introduction
1.1
The presence of pests can be offensive, present infection hazards, contaminate foodstuffs,
damage materials and structure or be a nuisance. Once established pests can be difficult
and costly to deal with. Satisfactory standards of pest control in both clinical and non
clinical areas are an integral part of providing an optimum environment for the delivery of
good quality patient care.
The policy supports the pesticide regulations made under the Food and Environment
Protection Act (FEPA) 1985 Part III and the Health and Social Care Act 2008 Regulation
12, which requires that effective systems are in place to protect service users and staff from
the risk of acquiring healthcare associated infection
1.2
Southern Health NHS Foundation Trust, (the Trust) recognises its legal obligation to take
necessary measures to prevent the risk of pest infection in all food storage, distribution and
catering areas and to ensure good standards of pest control in all other areas of its sites.
1.3
The Trust and its contractors will adopt procedures to rid Trust owned and leased premises
of existing infestation and thereafter, by pro-active work, maintain this position.
1.4
Information on common pests and their control is provided in Appendix 1.
2.
Who does this policy apply to?
2.1
All staff employed by Southern Health NHS Foundation Trust. Executive & Non-Executive
Directors, Volunteers, Governors and Contractors. All patients, service users, carers & their
families.
3.
Definitions
3.1
“Rid” and “Riddance”
The terms rid and riddance are defined as eradication or achieving the best level of control
that is technically and practicably possible.
4.
Duties and Responsibilities
4.1
The Trust has a legal obligation to take necessary measures to prevent the risk of pest
infection in all food storage, distribution and catering areas and to ensure good standards of
pest control in all other areas of its sites.
4.2
Chief Executive
The overall accountability for the safe and effective management of Trust’s premises
resides with the Chief Executive of the Trust as accountable officer to the Trust Board.
4.3
Director of Finance
The Director of Finance for the Trust will determine the available budget for the pest control
service within the Trust premises and for:
 Arrangements to ensure compliance with the Trust’s Standing Orders and Standing
Financial Instructions
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 Ensuring that satisfactory arrangements are in place for the provision or procurement of
the pest control contract.
4.4
Head of Estates Services
Head of Estates Services has responsibility to the Director of Finance and Corporate
Services for ensuring robust arrangements are in place for the control of pests.
4.5
Directorate / Service Leads / Service / Locality Manager/Site managers
The manager for any service or premise is responsible for ensuring that procedures and
organisational arrangements are made to disseminate information and awareness to staff in
their area of responsibility to maintain a safe environment. Managers must ensure staff are
aware of, have access to and comply with this policy
4.6
Authorised Officers
The Trust will nominate an Authorised Officer to act as the representative of the Trust for all
purposes specified in this Policy. The Trust’s nominated Authorised Officer is the Head of
Estates Services. Details of the Authorised Officers’ duties can be found in Appendix 2.
The Authorised Officer will nominate a deputy (the Supervising Officer) who will monitor the
performance of the pest control contractor to ensure that the Trust is receiving an effective
service.
The Supervising Officer will receive, investigate and initiate appropriate action on all reports
of pest evidence or sightings of pests.
The Trust will ensure that there are sufficient resources, including appropriate training, for
the role of Authorised/Supervising Officer to be effectively undertaken.
The Supervising Officer will hold regular progress review meetings to identify any areas of
concern requiring the implementation of specific remedial measures. To ensure service
visits are carried out for trust properties related to pest control.
A job plan for the roles of Authorised/Supervising Officer is given in Appendix 2.
4.7
All Staff
All employees are responsibility for their own safety and the safety of others due to their or
inactions with respect to Health and Safety Law. Staff must ensure they are aware of the
procedures for reporting any sighting or evidence of infestation.
5.
Main Policy Content
All sightings of pests or evidence of their existence should be reported in the first instance
to the Local Site Manager/Administrator on the relevant local phone number at the earliest
opportunity, who should contact the Pest Control Contractor. The information required will
include:






The location, i.e. ward, department, clinic, etc.
Precise location, i.e. bathroom, office, etc.
The type of pest if known
Possible numbers and the frequency of sighting
The name of the person reporting
The date and time of the sighting
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In the event that a satisfactory response is not received within 24 hours of the time of
reporting the Supervising Officer or the Authorised Officer should be contacted by email –
Soft FM Services - mailto:[email protected]
Action taken by the contractor following notification will be recorded in the pest control book
held at each site. The contractor at each visit will leave a copy of the details of the work
carried out which should be filed in the Pest Control file.
6.
Basic Pest Control Measures
6.1
Food should be covered or stored in pest proof containers.
6.2
Spillages should be promptly removed.
6.3
Waste should be stored in a manner suitable to prevent access by pests.
6.4
Accumulation of static/stagnant water should be avoided.
6.5
Buildings should be of sound structure and well maintained, drains should be covered, and
leaking pipe work repaired and damaged surfaces made good. Defects should be reported
to the Estates Department
6.6
Cracks in plaster and woodwork, unsealed areas around pipe work, damaged tiles, badly
fitted equipment and kitchen units are likely to provide excellent harbourage and should be
maintained in a suitable condition.
6.7
Where fitted, fly screens should always be closed when windows are open.
6.8
Doors to food storage/preparation areas must be kept closed and adequately proofed to
prevent access to pests. Where appropriate the doors should be fitted with metal kick plates
at base of door.
6.9
Treatment with insecticides and rodenticides alone is seldom sufficient; attention must be
paid to good hygiene and structural maintenance.
7.
Pest Control Contract
7.1
The Trust will ensure that an appropriate pest control contract is in operation at all times.
7.2
The pest control contract will be monitored by the Nominated, Supervising and Authorised
Officers against a pest control contract specification.
7.3
Due to the particular vulnerability of catering areas there will be a strict timetable of
inspection. Main catering areas, including dining rooms, kitchens and ward kitchens will be
inspected weekly by the main user of the area. Other catering areas such as storage areas,
ducting and associated plant rooms will be inspected at least quarterly by an external
contractor.
7.4
All pesticides used by the Trust’s pest control contractor will be approved in accordance
with the Control of Pesticides Regulations (COPR) 1986 (as amended 1997), be strictly
controlled and monitored and fully comply with the requirements of the Control of
Substances Hazardous to Health (COSHH) Regulations 2002. Also Food and Environment
Protection Act (FEPA) 1985 Part III.
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8.
Visiting Pets
8.1
In principle pets should not be brought into healthcare settings, except for guide
dogs/canine helpers or as part of the national Pet Therapy scheme. However, there may
be occasions when a visiting pet is beneficial to a particular in-patient for instance a cat and
under these exceptional circumstances agreement must be sought from the infection
control team, modern matron or out of hours the executive on call and a risk assessment
should be carried out.
8.2
For other pets these should be dealt with on a case by case basis with the ultimate decision
being taken, with advice from those professionals already referred to, by the person-incharge.
9.
Guide Dogs/Canine Helpers
9.1
In most cases there is no restricted access but a common sense approach to meet the
needs of the owner and maintain safety. The Infection Team can be contacted for advice.
(See next section for practical advice).
10.
Pet Therapy
10.1
The importance of Pets as Therapy within the rehabilitation setting is acknowledged,
however it is important that the following guidelines are adhered to at all times.
 The visiting dog must be approved as part of the Pets as Therapy scheme. This
ensures the dog has been passed as fit by a vet received all necessary vaccinations
and is appropriately trained.
 A member of staff should be designated as the responsible person for the duration of
the visit.
 Staff must ensure that there are no service users or staff in the setting who suffer dog
allergy and/or phobia.
 Staff should feel assured the dog is healthy at the time of the visit, is on a leash and is
under control.
 The dog should be taken to a designated area and not allowed in any food preparation
area or clinical rooms. The day room should be used for visiting in patient areas.
 The dog can only be fed and watered outside the building.
 If the dog vomits, urinates or defecates, the responsible person should ensure that this
is appropriately removed and area cleaned thoroughly with detergent and water.
Personal protective clothing should be worn, disposable paper roll/cloths used and
disposed of correctly.
 All persons in contact with the dog must ensure they wash their hands using soap and
water after contact.
 The room where the dog has visited should undergo its normal daily clean.
11.
Training requirements
11.1
Staff awareness by line manager for identification and reporting procedures.
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12.
13.
Monitoring Compliance
Element to be
monitored
Compliance to the
specification
Lead
Tool
Frequency
Contract
Manager
Email /
Helpdesk
Quarterly
Contractors reports
Contract
Manager
Report
Quarterly
Regular review meetings
with the contractor
Contract
Manager
Meeting
Quarterly
Site visit form, signed and
dated by Trust Site
Coordinator or
representative
Contract
Manager
Report Form
Quarterly
Reporting
arrangements
A breakdown of service
activity levels e.g.
scheduled/planned/
undertaken.
Details of all requests
received from the
Contractor’s Helpdesk
or other authorised
source.
A review of previous
quarter’s quality PPM
and ad hoc site visits.
Identification of repetitive
short fall in service and
trends, together with
steps being taken to
improve performance.
Site inspection forms
reviewed to ensure they
contain appropriate
information.
Policy Review
This policy may be reviewed at any time when government legislation & guidance is
reviewed or when other significant circumstances dictate. This policy will be reviewed by
Estates Services team at two yearly intervals or earlier if required to meet national guidance
or statutory legislation. The policy will be ratified by the Trust Health and Safety Forum.
14.
Associated Trust Documents





15.
SH HS 04 Health & Safety Policy
SH CP12 Hand Hygiene Procedure
SH HS 05 Moving & Handling Policy
SH NCP 47 Handling and Disposal of Healthcare Waste Policy
SH HS 06 Fire Safety Policy
Supporting References
The following National, Regional and Trust strategies and policies have been identified as
having an impact on the Pest Control Policy for managing and controlling the infestation of
pests across all areas of the Trust
 Infection Prevention guidelines such as:
 The Health and Social Care Act 2008 – Code of Practice on the Prevention and Control
of Infections and Related Guidance DH 2015.
 Control of Substances Hazardous to Health Regulations 2004
 The Health and Safety at Work Act 1974
 Chemicals (Hazard Information and Packaging For Supply Regulations 2002 –
CHIP
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












The Management of Health and Safety at Work Regulations 1999
Lifting Operations and Lifting Equipment Regulations 1998
Provision and Use of Work Equipment Regulations 1998
Workplace (Health, Safety and Welfare) Regulations 1992.
Control of Substances Hazardous to Health (Amendment) Regulations 2003
Wildlife and Countryside Act 1981
Animal Welfare Act 2006
Health Service Guidelines HSG(92)35, Pest Control management for the Health
Service
Hygiene Code of Practice
Depart of Health – Standards for Better Health April 2006 MHRA: Medical device
Alert MDA/2006/001 Reporting Adverse Incidents and disseminating Medical Device
Alerts 2006
Depart of Health – Standards for Better Health April 2006
Provision and use of Work Equipment Regulations 1998
SH CP 10 Infection Prevention & Control Policy - Version 3
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APPENDIX 1 - INDIVIDUAL PESTS AND WILDLIFE (INCLUDING BUT NOT EXCLUSIVE)
1. Houseflies
Significance
Houseflies can transmit intestinal worms or their eggs and are potential vectors of disease such
as dysentery, gastro-enteritis, typhoid, cholera and tuberculosis. They will frequent and feed
indiscriminately on any liquefiable solid food, putrefying material or food stored for human
consumption.
Control
Flies have rapid, prolific breeding habits and high mobility. In order to break the life-cycle,
control measures should be directed against larval and adult flies.
Hygiene/Management
Satisfactory hygiene is necessary to limit potential breeding sites and food sources. Entry of
flies into buildings can be prevented by 1.12mm mesh fly screen, air cushions, bead screens or
self-closing door equipment with rubber seals and maintained electronic fly traps.
2. Cockroaches
Distribution
Cockroaches are common in premises associated with the production or handling of food.
Gregarious and nocturnal they spend the day hiding in cracks and crevices around areas such
as sinks, drains, cookers, the backs of cupboards and in refrigerator motor compartments.
They favour buildings with service ducts and complex plumbing installations which allow them
to travel freely.
Significance
Cockroaches are potential vectors of disease such as dysentery, gastro-enteritis, typhoid, and
poliomyelitis. Their diet is omnivorous and includes fermenting substances, soiled dressings,
hair, leather, parchment, wallpaper, faeces and food for human consumption. The latter may be
contaminated either by the mechanical transfer of causative agents of disease from the insect’s
body, or by transmission in the faeces.
Control
Monitoring and control is essential although successful control of cockroaches is a complex
subject, and depends very much upon tailoring control measures to the species concerned.
Infestations can be difficult to control as cockroach eggs are poorly penetrated by insecticides.
Consequently surveillance of the area by the pest control contractor may need to be prolonged.
Hygiene/Management
A high standard of hygiene will deny sources of food and hiding places.
3. Ants
Black Ants Foraging worker ants cause a nuisance as they travel widely in search of food,
following well-defined trails and clustering around the food source. Sweet foods are preferred.
They are obviously an unpleasant sight and may damage food for human consumption
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Pharaoh’s Ants
These 2mm omnivorous light brown ants are half the size of the black ants. They cannot breed
without artificial heat, are very persistent and pose a serious cross infection risk in hospitals.
The ants may be found in wall cavities, heating pipes, behind sinks and ovens and therefore in
laundry, linen rooms, clinical and residential areas. They are particularly attracted to sweet or
light protein.
Hygiene/Management
Although frequently inaccessible and difficult to destroy, ants nests must be eradicated. If
infestation is to be successfully controlled, hormone treatment is required which sterilises the
female ant.
4. Wasps
Wasp stings cause pain and distress. Some individuals are particularly sensitive. Wasp nests
are only used for one season, so it may be possible to put up with the problem temporarily.
They are often found in cavities in brickwork, in air bricks and roof vents. The nest can be
treated by the Trust’s pest control contractor; such work may be best carried out in the evening
or weekend as poisoned stupefied wasps can cause problems. Particular attention should be
paid to areas around rubbish bins that should be kept in a hygienic condition.
5. Other Insect Pests
There are many other insect pests that occur sporadically in hospitals. The most common of
these being flies of various species, crickets, silverfish and the stored product insects and
mites which can be found infesting dried foods such as flour weevils.
6. Mice and Rats
These are the vertebrates with greatest potential for damage to food stocks and building fabric
in hospitals. Modern rodenticides are extremely efficient in the eradication of mice and rats
from hospitals.
The Trust will notify the relevant local authority of any infestation of its land or buildings by rats
and mice in “substantial numbers” as required by the Prevention of Damage by Pests Act 1949.
Rodents have been known to gnaw through electric cables and cause fires. All sightings and
other evidence of their presence should be reported to the Local Site Manager/Administrator.
The Trust will take reasonable steps to ensure that its buildings are rodent proofed by, for
example, fitting collars where pipes pass through walls and by filling gaps in the building fabric,
etc.
All food and organic waste shall be kept in rodent proof containers.
7. Bats
Bats are protected by the Wildlife and Countryside Act 1981 and the Conservation (Natural
Habitats, etc) Regulations 1994. The penalties for contravention are severe.
If bats are discovered in any of the Trust’s buildings or on any of its land they must not under
any circumstances be killed, expelled, stopped from gaining access, touched or disturbed.
Contractors must be prevented from doing work anywhere near them. English Nature should
be contacted for advice. www.naturalengland.org.uk.
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8. Birds
The nuisance of birds can be controlled in the first instance by preventative measures, e.g.
blocking of nesting holes and the application of devices to discourage perching. Netting and
trapping can also be considered with the aim of immediate release away from the area/location
of capture. As a last resort birds may be culled by shooting with the approval of the Trust Chief
Executive and local police authority. No attempt should be made to poison them. Whichever
method is employed it should take into account whether the birds are currently in a nesting
season or whether they are protected by law. Advice should be sought from the Royal Society
for the Protection of Birds (RSPB).
9. Squirrels
The most serious damage in urban areas arises where the squirrel enters the roof spaces of
houses by climbing the walls or jumping from nearby trees. Once inside, they chew woodwork,
ceilings, insulation or electrical wiring or tear up the loft insulation to form a drey. The best
method of control is to proof the building/loft. Prevention is better than cure. If a cure is required
the best form of control is trapping with the use of a squirrel trap.
10. Foxes
Foxes in this country may occasionally spread disease such as toxocara and leptospirosis but
the risk is believed to be small. More significantly foxes do cause nuisance in a number of
ways. During the mating season the noise of barks and blood curdling screams proliferate and
in addition to the feeding habits described above there is the damage to gardens caused when
digging for food and of course the indiscriminate depositing of faeces. Killing foxes in urban
areas is both unnecessary and unlikely to provide a long-term solution as other foxes move in
to vacant territories.
11. Rabbits
Rabbits can cause great damage by burrowing under buildings and putting at risk the
foundations of buildings, however there is strict guidelines on their removal so please contact
the nominated officer for advice. This applies to any suspected myxomatosis cases.
12. Moles
Moles are a widespread species and are not protected by conservation legislation, only having
basic protection from cruelty under the Wild Mammals Protection Act 1996.
The mole is a common British mammal and, although not often seen, the results of its
tunnelling are well known and may cause damage in a range of situations. In gardens and
amenity areas, molehills and tunnels can be a nuisance. In agriculture, contamination of grass
by soil may lead to poor quality silage being produced. There is also a risk of damaging grasscutting machinery. Mole runs may disturb roots and adversely affect plant growth.
Before carrying out any mole control, it is important to consider if such action is warranted or if
the molehills and tunnels can be tolerated. Where control measures can be justified, there are
two main methods, trapping or poisoning with aluminium phosphide. Please note that
strychnine hydrochloride can no longer be legally purchased or used for mole control in the UK.
13. Deer
From 1 October 2007, under the Deer Act 1991 (as amended), all wild deer with the exception
of Muntjac (Muntiacus reevesi) are protected by a close season. The Regulatory Reform (Deer)
(England and Wales) Order 2007 amends the original Act and will improve deer welfare in a
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number of ways. The best long-term solution to reduce the damage caused by deer is to
achieve an adequate cull each year and so reduce the local deer population. This is best
achieved through a wider, co-coordinated cull undertaken by a local Deer Management Group
(DMG) rather than on an ad-hoc basis by individuals. However, the legislation makes
provisions for actions that can be taken in exceptional circumstances where problems cannot
readily be resolved through normal deer management.
14. Badgers
Badgers and their setts are protected under the Protection of Badgers Act 1992, which makes
it illegal to kill, injure or take badgers or to interfere with a badger sett. Interference with a sett
includes blocking tunnels or damaging the sett in any way. The majority of problems posed by
badgers can be resolved non-lethally, normally by the partial or complete closure of the sett of
the badger(s) causing the problem. Sett closures require a license.
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APPENDIX 2 - RESPONSIBILITIES Authorised Officer for Pest Control
The Authorised Officer is:
Head of Estates Services
Supervising Officer:
Contract and Project Manager
Email:
[email protected]
1. To appreciate the significance of the prevalent pests and the problems associated with
them.
2. To monitor the performance of the Pest Control Contractor to ensure that the contract
specifications and standards are being met and that the Trust is receiving an effective
service.
3. To receive, investigate and initiate appropriate action on all reports of pest evidence or
sightings of pests.
4. To assess the Contractor’s written reports and to note:
a. The action taken to combat pest infestation since the Contractor’s last report;
b. An assessment of the current situation, including any works required to be done to
eliminate harbourage and improve hygiene;
c. Any proposals for further action by the Contractor.
5.
To form the main link between the Trust staff and the Contractor in respect of pest control
issues.
6.
To have a knowledge of contracting for pest control and NHS Conditions of Contract for
Pest Control.
7.
To provide technical advice in respect of local requirements during the preparation of
contract specifications and adjudication of tenders.
8.
To liaise with the Pest Control Contractor, Environmental Health Officer of the relevant local
authority and appropriate personnel within the Trust on matters relating to pest control.
9.
To disseminate information and implement pest awareness training within the Trust, calling
on advice from specialist sources when necessary.
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Appendix 3 LEaD (Leadership, Education & Development) Training Needs Analysis
If there are any training implications in your policy, please complete the form below and make an appointment with the LEAD department (Louise
Hartland, Strategic Education Lead or Sharon Gomez, Essential Training Lead on 02380 774091) before the policy goes through the Trust policy
approval process.
Training
Programme
Frequency
Course Length
Delivery Method
Trainer(s)
Recording
Attendance
Staff Awareness &
reporting
How often will the target
audience need to attend this
course?
How
long
will
the
programme run (April –
April?) and how long will
each course take (3
hours?)
How and where do you
intend delivering this
programme (face to face,
e-learning,
Essential
Training Days)?
Who will be delivering
this
programme
if
delivery method is face
to face?
Who
do
anticipate
recording
attendance?
Directorate
Division
Target Audience
Adult Mental Health
No formal training required.
Learning Disability Services
No formal training required.
Older Persons Mental Health
No formal training required.
Specialised Services
No formal training required.
TQtwentyone
No formal training required.
Adults
No formal training required.
Children’s Services
No formal training required.
Specialist Services
No formal training required.
All (Workforce & Development,
Finance
&
Estates,
Commercial)
No formal training required.
MH/LD
ICS
Corporate
Services
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Strategic
Operational
Responsibility
you
&
Who is accountable
for
this
training
strategically and who
is
operationally
accountable?
Appendix 4: Equality Impact Assessment
The Equality Analysis is a written record that demonstrates that you have shown due regard to the need
to eliminate unlawful discrimination, advance equality of opportunity and foster good relations
with respect to the characteristics protected by the Equality Act 2010.
Stage 1: Screening
Date of assessment:
Name of person completing the assessment:
Job title:
Responsible department:
Intended equality outcomes:
Who was involved in the consultation of this
document?
November 2015
Tracy England/Bob Beeching
Senior Contract PFI/LIFT Manager/Contract and
Project Manager
Estates Services
No adverse impacts
Tracy England Senior Contract PFI/LIFT Manager
Bob Beeching Contract Manager
Theresa Lewis Lead Nurse Infection Prevention
and Control
Karl Beanland Estates Operations Manager
Paul Gallagher Modern Matron, Ravenswood
House
Please describe the positive and any potential negative impact of the policy on service users or
staff.
In the case of negative impact, please indicate any measures planned to mitigate against this by
completing stage 2. Supporting Information can be found be following the link:
www.legislation.gov.uk/ukpga/2010/15/contents
Protected Characteristic
Age
Disability
Gender reassignment
Marriage & civil partnership
Pregnancy & maternity
Race
Religion
Sex
Sexual orientation
Positive impact
N/A
N/A
N/A
N/A
Risk assessments carried out as
required
N/A
N/A
N/A
N/A
Negative impact
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
No adverse impacts
Stage 2: Full impact assessment
What is the impact?
Mitigating actions
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January 2016
Monitoring of actions
Sign Off and Publishing
Once you have completed this form, it needs to be ‘approved’ by your Divisional
Director or their nominated officer. Following this sign off, send a copy to the Equality
and Diversity Team who will publish it on the Trust website. Keep a copy for your
own records.
Name:
Scott Jones
Designation: Head of Facilities and Environment
Signature:
Date:
November 2015
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Pest Control Policy
Version: 3
January 2016