Staff Induction Policy - Gloucestershire Hospitals NHS Trust

Gloucestershire Hospitals 

NHS Foundation Trust 

TRUST POLICY 

In the case of hard copies of this policy the content can only be assured to be accurate on the date 

of issue marked on the document. 

The Policy framework requires that the policy is fully reviewed on the date shown, but it is also 

possible that significant changes may have occurred in the meantime. 

The most up to date policy will always be available on the Intranet Policy web site and staff are 

reminded that assurance that the most up to date policy is being used can only achieved by 

reference to the Policy web site. 

INDUCTION POLICY 

This document may be made available to the public and persons outside of the Trust as part of the Trust's 

compliance with the Freedom of Information Act 2000 

Date of Issue…Dec 2006 ………. 

Review Date…Dec 2009 …. 

Induction Policy/ Procedure for Induction of new staff in the Trust Page 1 of 42 

Sponsor: Graham Shaw, Human Resources Director/ Author: Sue Manser, Associate Director of Learning & Development 

Issue Date: August 2007/ Updated: January 2009



TRUST POLICIES 

Authorisation Form 

DOCUMENT: INDUCTION POLICY 

Authorisation Name and Position Date Approved 

Responsible Author(s) 

Policy Sponsor 

Assured by 

Sue Manser 

Associate Director of 

Learning & Development 

Graham Shaw 

Human Resources Director 

August 2007 

Updated Sept 2008 

Updated Jan 2009 

August 2007 

September 2008 

January 2009 

Employment Committee September 2007 

September 2008 

Consideration at authorised groups (e.g. Board, Board sub committees, Policy 

Group, Clinical Policies Sub Group, Departmental meetings etc) 

Name of Group Minute Details Date considered 

Employment Committee 30/2007 

46/2008 

3 September 2007 

20 October 2008 

Operational Board 172/07 September 2007 






Equality Impact Assessment 

Initial Screening 

1. Policy, service, strategy, procedure or function…Induction Policy 

2. Lead (e.g. Director, Manager, Clinician): Sue Manser, Associate Director 

Learning and Development 

2. Person responsible for the assessment: 

Name… Sue Manser 

Job Title: Associate Director Learning and Development 

3. Is this a new or existing policy, service strategy, procedure or function? 

New 

Existing 

4. Who is the policy/service strategy, procedure or function aimed at? 

Patients Carers Staff Visitors 

Any other 

Please specify: 

5. Are any of the following groups adversely affected by this policy: 

If yes is this high, medium or low impact (see attached notes): 

Disabled people: No Yes 

Race, ethnicity & nationality: No Yes 

Male/Female/transgender: No Yes 

Age, young or older people: No Yes 

Sexual orientation: No Yes 

Religion, belief & faith: No Yes 

Impact 

If the answer is yes to any of these proceed to full assessment. This applies whether the impact 

assessment is high, medium or low. 

If the answer is no to all categories, the assessment is now complete. 

6. Does the policy, service strategy, procedure or function include measures which promote 

equality? 




No Yes 

7. If yes, what are these measures? 

The Induction Policy and process is inclusive of all staff – individual amendments, adaptations to the 

way the induction information and material are provided can be made for staff experiencing difficulty 

accessing or understanding it. 

Date of assessment: 31.08.07 

Signature ……………………………. 

Director: G Shaw………………….. 

Completed by: Sue Manser 

Job title : Associate Director L & D 

Signature…………………………… 

This EIA will be published on the Trust website. A completed EIA must accompany a new policy or a 

reviewed policy when it is confirmed by the relevant Trust Committee, Divisional Board, Trust Director 

or Trust Board. Executive Directors are responsible for ensuring that EIA’s are completed in 

accordance with this procedure. 






INDUCTION POLICY 

Section 

1 Introduction 

2 Corporate Induction Programme 

2.1 Components 

2.2 Attendance 

2.3 Corporate Induction training day 

2.4 Corporate Induction Handbook 

2.5 Corporate Local Induction Handbook 

2.6 Clinical Induction training day 

3 Monitoring and Reporting of completion of all components of 

induction 

4 Departmental Induction Programme 

5 Specific Staff Groups 

5.1 Bank nurses 

5.2 Agency Nursing staff 

5.3 Junior Doctors/ Foundation Programme Doctors 

5.4 Senior Medical Staff 

5.5 Locum Doctors 

5.6 Senior Managers 

5.7 Volunteer Staff 

5.8 Staff recruited from overseas 

5.9 Students and Clinical Placements 

5.10 Hosted Services 

5.11 Temporary staff, Contract Staff and staff on honorary contracts 

5.12 Work Experience 

6 Responsibilities for Induction 

7 Flexible Arrangements 

8 Review (including list of annexes) 






1. Introduction 

1.1 The Gloucestershire Hospitals NHS Foundation Trust is committed to ensuring high 

standards of patient and staff safety, improving the quality of patient care and 

minimising the risk of harm to patients and staff. In order to achieve this, the Trust 

recognises the importance of effective induction arrangements both for the individual 

new employee and the organisation. 

1.2 The Trust induction policy, programmes and processes are designed to meet the 

requirements of NHSLA, Standards for Better Health and HSE accreditation 

standards. 

1.3 The induction arrangements are designed to welcome new employees to the Trust 

and introduce them the values and objectives of the organisation so that they feel 

like part of the team as quickly as possible. They are also designed to impart 

essential safety and risk management information, provide core mandatory training 

and give the new employee the practical information they will need to begin their 

new jobs. 

1.4 It has been recognised that there is a danger of overloading new employees with 

information and this has been taken into account in the design of the policy and 

delivery of the programmes. 

1.5 It is also recognised that induction is not a substitute for initial speciality job training 

and that most employees will require further training. 

1.6 It is a mandatory requirement for all new staff to undertake corporate, local and 

departmental induction on joining the Trust. In addition to this all clinical staff must 

undertake clinical induction. 

1.7 It is mandatory for all current employees who move to another department to 

complete a departmental induction in their new department. The responsibility for 

this rests with the receiving manager. 

2. Corporate Induction Programme 

2.1 Components - The corporate induction programme has 4 components: - 

• Attendance at a Corporate Induction training day. 

• A Corporate Induction handbook for staff. 

• Completion of the Corporate Local Induction Workbook. 




• Additional clinical induction training day for clinical staff. 

2.2 Attendance - It is a mandatory requirement for all new employees to attend the first 

available corporate induction training day following their starting date, in all 

circumstances this will be within the first 4 weeks. Clinical staff are also required to 

attend a corporate clinical induction training day(s) which provides them with 

essential mandatory training and information on key polices and issues for their role. 

2.3 Corporate Induction Training Day 

2.3.1 Attendance 

• Staff who are new to the NHS must attend the whole corporate induction training 

day. 

• Staff who have recent NHS experience but are new to the Trust are required to 

attend the morning session only. 

2.3.2 Booking - Booking onto corporate induction is through direct contact with Learning 

and Development (telephone 08454 225111) dates are on the ‘induction’ pages of 

the Trust intranet. New staff members are asked in their offer letter to book onto 

corporate induction. However, the appointing manager should arrange this and 

inform their new starter. 

Note - In order to be issued with their ID badge - New starters must bring a 

completed copy of the Corporate Induction Form sent to them with their offer letter. 

2.3.3 Location and Frequency - The corporate induction training day is delivered in 

Cheltenham (Sandford Education Centre) and Gloucester (Redwood Education 

Centre), and should wherever practicable be undertaken on the main site where the 

new employee will be based. Where staff work on more than one Trust site or have 

close contacts with staff on other sites, visits to these sites should be included as 

part of their departmental induction programme. 

2.3.4 The Programme - The programme is delivered regularly on a rolling programme in 

Gloucester and Cheltenham. The frequency is kept under review and is determined 

by the forecast number of staff to be recruited, and therefore subject to 

change. Programmes, dates and venues for the corporate induction training day are 

available on the Trust Intranet and from the Learning and Development Department. 

2.3.5 Content of Corporate Induction Training Day - The Education, Learning and 

Development Committee will review the content of the corporate induction 

programme annually, in September, making recommendations for changes to be 

implemented by the Learning and Development Department by the following 

January. The Head of Induction and Mandatory Training is authorised to make 

changes to insure information and training materials are kept up to date or to meet 

an immediate requirement of the Trust. 

2.3.6 Current Programme - See Annex A. 

2.4 Corporate Induction Handbook 

All new staff will be provided with a corporate induction handbook when they attend 

the corporate induction training day. This contains a letter of welcome from the 

Chief Executive and information on essential policies and procedures for reference. 

The index, showing topics covered in the handbook can be seen at Annex B. 




2.5 Corporate Local Induction Workbook 

2.5.1 Completion of the corporate local induction workbook is an important part of the 

induction process. This enables new staff to relate the general information provided 

on the induction training day to their own working area and ensures they are aware 

of essential local Health and Safety arrangements. 

2.5.2 It is a mandatory requirement for all new staff to complete the workbook within four 

weeks of attending the corporate induction training day. 

2.5.3 The workbook is available on the Induction pages of the Trust intranet. 

2.5.4 Managers must sign the declaration sheet at the back of the induction workbook and 

return it to the Learning and Development Department to inform them that it has 

been completed. This is recorded on the individual’s training record. 

2.5.5 All staff moving to another department within the Trust must complete a 

departmental induction in their new department which should include the relevant 

Health and Safety information from the Corporate Induction Workbook. 

2.5.6 Content of Corporate Local Induction Workbook can be found at Annex C. 

2.6 Clinical Induction Training Day 

2.6.1 It is mandatory for all new clinical staff to attend a clinical induction training day (in 

addition to the corporate induction training day). This provides them with essential 

clinical mandatory training and information on key polices and issues for their role. 

2.6.2 The clinical induction training day is for all new clinical staff. Some of the training 

sessions split Registered and Non-Registered Health Care professionals so that 

they receive training appropriate to their roles and experience. 

2.6.3 The clinical induction training days are held regularly in Gloucester and Cheltenham. 

Dates and times are on the Induction pages of the Trust intranet. 

2.6.4 It is the responsibility of the appointing manager to book all new clinical staff onto the 

next relevant clinical induction training day when they start. 

2.6.5 Content of Clinical Induction Training Day can be found in Annex D. 

3. Monitoring and Reporting Completion of all Components 

of Induction 

3.1 The Training Records Team record attendance at the corporate induction training 

day and clinical induction training day and completion of the Corporate Local 

Induction Workbook on the training record database. 

3.2 On a monthly basis - the training records’ team checks that all new permanent and 

temporary staff have completed corporate induction and clinical induction (if 

required) and send a letter to the manager informing them of any new starters who 

have not attended within the required timescales, and advising them to book their 

staff member onto the next available session. 




3.3 On a monthly basis – the training record’s team check that all new permanent and 

temporary staff who have attended Corporate Induction have also completed their 

Corporate Local Induction Workbook within the required timescales. They send a 

letter to the manager of any staff member who has not returned the completed 

declaration sheet, reminding them that this is a mandatory requirement of the 

induction process. 

3.4 On a weekly basis the training records team check that all new permanent and 

temporary staff who have attended Corporate Induction have also completed their 

Corporate Local Induction Workbook within the required timescales. They send a 

letter to the manager of any staff member who has not returned the completed 

declaration sheet, reminding them that this is a mandatory requirement of the 

induction process. 

3.4 Regular reports of compliance/ non-compliance with completion of the induction 

requirements is included in the Learning and Development Quarterly Report which 

goes to the Education, Learning and Development Committee and the Employment 

Committee for information and action. 

4. Departmental Induction Programme 

4.1 In addition to completing all elements of the corporate induction it is mandatory for 

all new permanent staff to complete a departmental induction. This also applies to 

all current Trust employees who are new to the department and staff on short 

contracts. 

4.2 To ensure a consistency of approach and content across the Trust and compliance 

with National Standards there is a Trust checklist for departmental induction (Annex 

E) and a checklist for Senior Medical Staff (Annex F) and Senior Manager induction 

(Annex G). These can be obtained from the Induction pages on the Trust intranet. 

4.3 Completion of departmental induction programmes must recorded by the manager 

on the new staff members’ personal file. The Learning and Development 

Department must be informed of completion of departmental specialty induction by 

e-mail or through the share-point site (where available) as this is recorded on the 

centralised training record system. 

4.4 Doctors are generally based in a specialty rather than in any one particular 

department and so they are required to complete a specialty induction (see section 5 

below). 

5. Specific Staff Groups 

5.1 Bank Nurses 

5.1.1 All new Bank Registered Nurses/ Midwives, and nursing assistants will attend the 

corporate and clinical induction programme and complete the corporate local 

induction workbook within 4 weeks of attending the induction. 

5.1.2 Nursing assistants will also attend a clinical skills study day and complete a clinical 

skills workbook within 3 months of starting work. 




5.1.3 A number of supernumerary shifts will be organised to enable departmental/ ward 

orientation, induction and training. 

5.1.4 The nursing bank office monitors compliance with attendance and completion of 

induction. 

5.2 Agency Nursing Staff 

5.2.1 The Trust has agreed up to work within the Multi National Agency Framework which 

ensures that only agencies within that framework are used. The Framework ensures 

that all agency nurses are skilled in the speciality they are working in. 

5.2.2 The nurse in charge of the ward/ department will orientate the agency nurse to the 

area and provide essential patient and staff safety information using the bank and 

agency checklist (Annex H). The agency nurse must sign to say they have received 

the information and read the checklist. Additional information is provided in a ward 

information folder or on the intranet. 

5.2.3. Compliance with the process is audited 6monthly by the Bank Nurse coordinator. 

The arrangements for induction of agency staff will be reviewed with the new local 

agency contract in April 2009. 

5.3 Junior Doctors/ Foundation Programme Doctors 

5.3.1 All new junior medical staff attend the August Junior Doctors’ Induction. This 

programme is designed, organised and delivered by the Clinical Tutors in 

accordance with National Guidelines. Essential patient and staff safety information 

is provided, and each doctor is provided with access to a copy of the corporate 

induction handbook, the Specialty Induction SharePoint site and notes of what to 

expect during specialty induction. 

5.3.2 Attendance at the Junior Doctors’ Induction Programme and completion of a 

specialty induction is mandatory. Attendance is recorded on the Trust training 

records system, by the PGMEC and in the individual’s portfolio. 

5.3.3 Junior Doctors who start at other times of the year are provided with an induction 

information pack from the PGMEC and must attend the corporate induction and 

attend relevant parts of clinical induction programme training day (e.g. Basic Life 

Support). They must also complete the specialty induction within one month. 

5.3.4 Junior Doctors on rotation must complete a specialty induction on each new 

department/ area of work. 

5.4 Senior Medical Staff 

5.4.1 It is mandatory for all senior medical staff including Consultants to attend the 

corporate induction programme within the first two weeks of employment and attend 

relevant parts of clinical induction programme if required (e.g. Basic Life Support). A 

speciality induction plan designed by their Clinical Director is to be completed and 

follows a standard induction checklist available from the Medical Staffing Manager or 

from the induction pages of the Trust intranet – see Annex F. 




5.5 Locum Doctors 

5.5.1 The special arrangements for the induction of locum medical staff include those 

employed through an agency, or in future through NHS Professionals, are the 

responsibility of the Medical Staffing Manager with appropriate advice and support 

from the Medical Director and the Clinical Tutors. 

5.5.2 Key information is supplied to locums and includes: - 

• An individually tailored information sheet (e.g. reporting details, departmental 

staffing, bleeps and general house-keeping) 

• Specialty specific information (e.g. local protocols and further contact details) 

• Trust-wide information. 

5.5.3 Locum Doctors must sign the slip on the front page stating that they have read the 

induction pack and return this to Medical Staffing in person or via the internal post. If 

slips are not returned the Clinical Director and the agency from where the locum is 

recruited is notified. 

5.5.4 A record of the issue and completion of induction material by locum Doctors is kept 

by Medical Staffing. 

5.6 Senior Managers 

5.6.1 It is mandatory for all Senior Managers and Directors to attend the corporate 

induction training day, complete the corporate induction – local induction workbook 

and complete a departmental induction programme. If they have clinical duties or 

need to maintain clinical registration they may wish to attend elements of the clinical 

induction programme. 

5.6.2 Departmental induction plans are designed for senior staff in conjunction with their 

Managers, following a standard checklist which is available on the intranet and is 

contained in Annex G. 

5.7 Volunteer Staff 

5.7.1 Volunteers are encouraged to attend the corporate induction training day and 

complete the corporate induction workbook. 

5.7.2 The Volunteer Coordinators will ensure that any other aspects of their work, 

including issues around confidentiality, are suitably covered in separate 

arrangements. 

5.7.3 Volunteers where appropriate will also be included in departmental induction 

programmes. 

5.8 Staff recruited from Overseas 

5.8.1 In addition to the normal corporate and departmental induction programmes 

Managers must make suitable arrangements for the induction of staff recruited from 

abroad. 




5.8.2 The Department of Health and South West Deanery provide induction programmes 

for medical staff and the Nursing and Midwifery Council provide guidelines for the 

induction and adaptation of nurses recruited from overseas. 

5.8.3 Information about local support and courses on ‘English for Speakers of Other 

Languages’ (ESOL) is available from the Learning and Development Department on 

request. 

5.9 Students and Clinical Placements 

5.9.1 Students must attend the corporate induction programme unless a separate 

appropriate induction programme has been designed and provided for them as part 

of their clinical placement or studies. 

5.9.2 Managers responsible for clinical placements must ensure that students are 

provided with appropriate patient and staff safety and risk management training and 

those issues such as confidentiality and clinical governance are suitably covered 

prior to their placement or during their induction period. 

5.9.3 Medical Students from the University of Bristol Faculty of Medicine and Dentistry on 

placement within the Gloucestershire Academy will undertake induction programmes 

relevant to the location in which they will be working. The Academy Medical Dean 

has the responsibility for the design and delivery of these induction programmes 

supported by a network of clinical tutors, subject leads and front line NHS Staff. 

5.10 Hosted Services 

5.10.1 Staff employed as part of a ‘hosted’ or ‘shared service’ and who work within 

Gloucestershire Hospitals NHS Foundation Trust must attend the Trust corporate 

induction training day and clinical induction training day ( if clinical ) as well as their 

employer’s induction programme. 

5.10.2 If they are working on GHFT premises regularly they must also complete the 

corporate local induction workbook. 

5.11 Temporary staff, Contract Staff and staff on honorary contracts 

5.11.1. It is the responsibility of the employing manager of any temporary staff, contract 

staff and/or staff on honorary contracts who work on the Trust premises to ensure 

that they receive essential health and safety information relevant to their role – 

through attendance at Corporate Induction and / or completion of the Corporate 

Local Induction Workbook. 

5.11.2 It is the responsibility of employing managers to keep a record of staff employed and 

induction completed. 

5.12 Work Experience 

5.12.1 School Age - Young people on work experience from schools and colleges (ages 

14-19) are not required to attend corporate induction. Their work experience 

placement will be arranged by Human Resources, in accordance with the Work 

Experience Policy. 




5.12.2 College and University Placements. Those work experience placements who spend 

more than 2 months with the Trust are expected to attended the corporate induction 

programme, and complete all relevant stages. 

6. Responsibilities for Induction 

6.1 The Associate Director of Learning and Development 

• Review and update the Trust Induction Policy every 3 years. 

• Ensure the provision of up-to-date corporate, clinical, local and departmental 

induction programmes that meet current National Standards and Trust 

requirements. 

• Evaluate the effectiveness of the Trust's induction arrangements and make 

recommendations for improvement. 

6.2 Head of Induction and Mandatory Training 

• Contribute to the review and update of the Trust Induction Policy every 3 years. 

• Design, deliver, and evaluate corporate and departmental induction programmes, 

training materials and resources ensuring that they are up to date and meet 

current National Standards and Trust requirements. 

• Monitor attendance at induction programmes, completion of workbooks and 

departmental induction programmes and produce quarterly divisional and Trust 

reports. 

• Ensure the development of effective departmental and specialty induction 

programmes across the Trust. 

• Provide checklists for departmental/ agency/ senior induction programmes. 

• Ensure that appropriate induction arrangements are made for new employees 

who may have difficulties accessing the induction programmes due to any 

disability, special educational needs, or because of any domestic or family 

commitments. 

6.3 Medical Director 

• Contribute to the review and update of the Trust Induction policy every 3 years. 

• Ensure the provision of effective and efficient: - 

‣ Junior Doctors' induction through the Director of Medical Education with the 

support of the Medical Staffing Manager). 

‣ Consultants' and Senior Medical Staff induction programmes (through Clinical 

Directors and the Assistant Human Resources Director). 

‣ Newly appointed Clinical Directors' induction. 

‣ Contributing to, evaluating and advising on departmental and specialist 

induction programmes (with the support of Clinical Directors and the Medical 

Staffing Manager). 

6.4 Nursing Director 

• Contribute to the review and update of the Trust Induction Policy every 3 years. 




• Ensure the provision of up to date Clinical, local and departmental induction 

programmes that meet current National Standards, Trust and Nursing 

requirements. 

• Contribute to evaluating the effectiveness of the Trusts’ induction arrangements 

and make recommendations for improvement. 

6.5 Divisional Leads 

• Ensuring compliance with the Induction Policy within their division. 

6.6 Managers 

• Line Managers are responsible for ensuring that all of their new employees have 

completed all 4 components the corporate induction and complete a 

departmental induction. 

• Departmental Managers will design and deliver departmental induction 

programme(s) which will supplement the corporate programme and which will 

follow the guidelines set out within the departmental induction checklist. 

• Managers will also ensure that staff who are new to their part of the organisation 

(although not new employees) are inducted to their new area or role through 

completion of the corporate local induction workbook and departmental induction. 

• Managers will contribute to the design and evaluation of induction programmes 

and the evaluation of programmes and material. 

• Managers will also ensure that all staff have access to induction programmes 

regardless of their hours of work, domestic or family commitments, status within 

the organisation etc. 

• Managers will inform the Learning & Development Department if a new employee 

may need assistance with access to any part of the programme because of any 

disability, special educational needs, or because of any domestic or family 

commitments. 

6.7 New employees 

• New employees must ensure that they complete all components of the corporate, 

clinical and departmental induction programmes required for their role. 

7. Flexible Arrangements 

7.1 It is recognised that there will be a very small number of staff who will not be able to 

attend the corporate induction programme due to domestic or other commitments. 

In these cases, Managers will, in consultation with the Learning & Development 

Department, ensure that these staff are issued with the staff handbook and local 

induction workbook and that the areas covered within the corporate induction 

programme are covered within the departmental induction. 

7.2 Special arrangements will also be made for any staff with a disability or who have 

difficulty accessing or understanding any of the induction information. 

8. Review 




This policy and the arrangements set out within it will be reviewed annually by the 

Associate Director of Learning and Development. 

List of Annexes: - 

A. Corporate Induction Programme 

B. Corporate Induction Handbook – Index of contents 

C. Corporate Local Induction Handbook 

D. Clinical Induction Programme 

E. Departmental Induction Checklist 

F. Consultant Induction Programme - Indicative Checklist 

G. Senior Manager Programme – Indicative Checklist 

H. Bank and Agency Nurse – Department Induction Checklist 




ANNEX A TO 

INDUCTION POLICY 2008 

DATED: September 2008 

Corporate Induction Programme 

The corporate induction training day includes the basic information useful to new employees 

and ensures that they are given the essential patient and staff safety and risk management 

information and provides core mandatory training. 

Timing Lecture Who Attends 

0900-0930 Register and Admin 

0930-0950 Introduction and Welcome All new starters 

0950-1035 Fire All new starters 

1035-1105 Moving & Handling (Loads) All new starters 

1105-1120 Break 

1120-1200 Infection Control (Basic) All new starters 

1200-1215 Occupational Health All new starters 

1215-1245 

Health & Safety and Risk Management 

‣ Risk Assessment 

‣ Incident Reporting 

All new starters 

1245-1330 Lunch (Please note lunch is not provided) 

1330-1350 

Dealing with Difficult Situations 

‣ Security 

‣ Violence and Aggression 

‣ Major Incident Plan 

Staff new to NHS 

1350-1400 Counter Fraud Staff new to NHS 

1400-1430 

Human Resources 

‣ Policies 

‣ Documentation 

‣ Equality & Diversity 


1430-1445 Break 

1445-1525 

Effective Communications 

‣ Values 

‣ Customer Care and Complaints 

‣ Confidentiality 


1525–1535 Finish and Evaluation 




ANNEX B TO 



Content of Corporate Induction Handbook 

The Induction Programme 

Forward by Chief Executive 

Introduction 

• The Induction Process 

Section 1 – Fire 

• General Fire Procedure 

• Actions in the Event of a Fire 

• Fire Extinguishers 

• Points of Contact 

Section 2 – Manual Handling 

• Regulations 

• Responsibilities 

• Back Facts 

• Risk Assessment 

• Principles of Safe Moving & Handling 

• Sources of Help 

Section 3 – Infection Control 

• Infection Prevention 

• Standard Precautions 

• Hand Hygiene 

• Blood Virus and Inoculation – Injuries 

• Safe Use of Sharps 

• Decontamination 

• Waste Disposal 

• Points of contact 

• Glove Usage Guidance 

Section 4 – Occupational Health 

• Staff/ Points of Contact 

• Aims of Occupational Health 

• Services 

Section 5 – Health & Safety 

• Statutory Requirements 

• Obligations of Employers and 

Employees 

• Safety Representatives 

• Training Requirements 

Section 6 – Risk Management 

• Incident Management and Reporting 

• Risk Assessments 


• Sample of Risk Assessment Form 

Section 7 – Security 

• Calling for Security Assistance 

• Property 

• Reporting Incidents and Staff Support 

• Violence & Aggression 

• Further Training 


Section 8 – Counter Fraud 

• Your Role in Countering Fraud 


Section 9 – Human Resources 

• Working Together 

• Equality & Diversity 

• Agenda for Change 

• Staff Benefits and Fund 

Section 10– Paymasters 

• Pay Day 

• Income Tax 

• Pensions 

• Use of Motor Vehicles 

Section 11 – Data Protection & 

Confidentiality 

• Date Protection Act 

• Code of Confidentiality 


Section 12 – Department of Spiritual 

Care 

• Introduction & Information 

• Places of Worship / Prayer 




ANNEX C TO 



Induction Workbook 2008 

THE WORKBOOK MUST BE COMPLETED AND RETURNED 

Within 4 weeks for all staff 

(Pages 1-10) Find the answers to the following questions and fill in the sheet. 

Get your Supervisor / Manager to check that your answers are correct and complete the 

Declaration on page 10 

1 General 

1.1 The name of my Manager is: ______________________________________ 

1.2 My immediate Supervisor is: _______________________________________ 

1.3 My normal place of work is: ________________________________________ 

1.4 My hours of work are from:___________________ to: __________________ 

1.5 My break periods are: _____________________________________________ 

1.6 What is the dress code for your Department? 

________________________________________________________________ 

________________________________________________________________ 

2 Knowledge and Skills Framework (KSF) 

2.1 Do you have a copy of your KSF outline?_____________________________ 

2.2 Have you visited the Trust Intranet KSF website? _____________________ 

2.3 Are you clear about KSF Gateway Appraisals? ________________________ 

2.4 Have your first year review dates been set?___________________________ 

2.5 After your first year how often should you have an Appraisal? 

________________________________________________________________ 

2.6 Who is your Appraiser?___________________________________________ 


Sponsor: Graham Shaw, Human Resources Director/ Author: Sue Manser, Associate Director of Learning & 

Development 


3 Sickness and Absence 

3.1 If you are sick what is the procedure for notifying your manager or supervisor? 

________________________________________________________________ 

________________________________________________________________ 

3.2 What do you do if you feel unwell at work? 

________________________________________________________________ 

________________________________________________________________ 

3.3 When are you required to self-certificate sickness? 

________________________________________________________________ 

3.4 When do you require a doctor’s certificate? 

_______________________________________________________________ 

3.5 What kinds of symptoms should you be clear of before returning to work? 

________________________________________________________________ 

4 Fire 

4.1 How do you raise the Fire Alarm? (two methods) 

________________________________________________________________ 

________________________________________________________________ 

4.2 Do you evacuate to an assembly point or refuge point? Where is it? 

________________________________________________________________ 

________________________________________________________________ 

4.3 How often should there be a fire drill in your department? 

________________________________________________________________ 

4.4 What action should you take if you discover a fire (3 main actions)? 

________________________________________________________________ 

________________________________________________________________ 

________________________________________________________________ 



Development 


4.5 What is the procedure in your work area on hearing: 

• A Continuous Alarm_________________________________________ 

_______________________________________________________________________ 

• An Intermittent Alarm ________________________________________ 

________________________________________________________________ 

4.6 Draw a rough sketch of your department. Show on it the Fire Alarm points, the 

Fire Exits and the Fire Extinguishers. 

4.7 Who is your department’s Fire Warden and Deputy? 

________________________________________________________________ 

4.8 How often should you have Fire Training (mandatory update)? 

_____________________________________________________________________ 



Development 


5 Health & Safety and Risk Management 

5.1 Identify the main hazards in your department and list them below: 

________________________________________________________________ 

________________________________________________________________ 

________________________________________________________________ 

5.2 Have risk assessments been prepared to highlight these?______________ 

5.3 What are the main precautions you need to take for each of these hazards? 

________________________________________________________________ 

________________________________________________________________ 

5.4 Who is responsible for safe working in your department? 

________________________________________________________________ 

5.5 How would you report a Health & Safety problem or hazard? 

________________________________________________________________ 

________________________________________________________________ 

5.6 What hazardous substances do you come into contact with and how would you 

deal with these under COSHH Regulations? e.g. Medical gases. 

________________________________________________________________ 

________________________________________________________________ 

5.7 Who keeps the Incident/Accident Reporting Forms for all incidents, accidents & 

near misses? 

________________________________________________________________ 

5.8 Where would you find the latest version of the Health and Safety Control Book 

for Managers and Staff? 

_______________________________________________________________ 



Development 


6 Incident / Accident Reporting 

6.1 What is meant by an ‘incident’? 

________________________________________________________________ 

________________________________________________________________ 

6.2 There are 2 copies of the incident/accident form. Who do you send each copy to? 

BLUE:____________________________ WHITE:__________________________ 

6.3 List 4 examples of when an incident form should be completed. 

a. 

b. 

c. 

d. 

6.4 In your area what are the triggers for reporting? 

________________________________________________________________ 

________________________________________________________________ 

7 First Aid 

7.1 Where is your department’s First Aid box? 

________________________________________________________________ 

7.2 Who are the trained First Aiders or “Appointed Persons” in your department? 

________________________________________________________________________ 

8. Infection Control 

8.1 Where can you find the Infection Control Policies? 

________________________________________________________________ 



Development 


8.2 List 3 components of Standard Precautions that prevent the spread of 

infection? 

________________________________________________________________ 

________________________________________________________________ 

________________________________________________________________ 

8.3 What is the procedure for dealing with a sharps injury? 

________________________________________________________________ 

________________________________________________________________ 

8.4 What would you do if you needed further advice or information on Infection 

Control? 

________________________________________________________________ 

________________________________________________________________ 

9 Waste Disposal 

9.1 Give some examples of the sort of waste that would be put into the following 

coloured bags: 

BLACK (General waste for landfill only):______________________________ 

TIGER BAG (Offensive waste for landfill only)_________________________ 

ORANGE (Clinical waste for heat treatment only)_______________________ 

WHITE:__________________________________________________________ 

9.2 What colour bag would you use for waste from an infected patient? 

________________________________________________________________ 

________________________________________________________________ 

9.3 How do you dispose of “SHARPS”? (used needles, etc.) 

______________________________________________________________________ 

______________________________________________________________________ 

9.4 Who is your department’s Waste Management Co-ordinator? 

________________________________________________________________ 



Development 


9.5 What would you do if you needed further advice or information on Waste 

Management? 

______________________________________________________________________ 

______________________________________________________________________ 

10 Manual Handling 

10.1 Who is the Trust Manual Handling Adviser? 

__________________________________________________________________ 

10.2 Who is your department’s Manual Handling Key Worker? 

__________________________________________________________________ 

10.3 Where will you find a copy of the Trust’s Manual Handling policy? 

________________________________________________________________ 

10.4. List two duties that our employer, the Trust, has to provide under the 

Manual Handling Operations Regulations. 

a)___________________________________ b)_________________________ 

10.5 List two duties we as employees have to adhere to under the same regulations. 

a)___________________________________ 

10.6. Complete the following: 

b)_________________________ 

T 

I 

L 

E 

O 

10.7. True or False 

a) Before moving a load, you should examine it. 

b) Once you have reached your destination you can drop the load. 

c) When moving a load, you should keep it close to your body. 

d) Bend your back and not your knees for a good lift. 



Development 


10.8 Describe the Principles of Safe Moving and Handling of any load. 

______________________________________________________________________ 

______________________________________________________________________ 

10.9 How do you self-refer to the Physiotherapy Dept? 

______________________________________________________________________ 

______________________________________________________________________ 

11 Security 

11.1 How do you call for security assistance?_____________________________ 

________________________________________________________________ 

11.2 Are you a member of front-line staff who needs Conflict Resolution training 

(dealing with non-physical violence and aggression)? 

______________________________________________________________ 

12 Emergency Planning 

12.1 Where would you find a copy of the Trust’s Major Incident Plan? 

________________________________________________________________ 

12.2 Give 2 examples that might cause a Major Incident? 

______________________________________________________________________ 

______________________________________________________________________ 

12.3 Where would you find a copy of the Trust’s Business Continuity Plan? 

________________________________________________________________ 

12.4 What is a Business Continuity Alert? 

________________________________________________________________ 

12.3 What is your role in the Trust’s Emergency Plans? 

________________________________________________________________ 



Development 


13 Information Governance 

13.1 State the Code of Confidentiality _________________________________ 

________________________________________________________________ 

________________________________________________________________ 

________________________________________________________________ 

13.2 What are the areas of Confidentiality and Data Protection that are relevant to your 

department/area of work? (eg patient records, personal files) 

________________________________________________________________ 

________________________________________________________________ 

13.3 How do you dispose of confidential waste? 

________________________________________________________________ 

14 Library & Online Information 

14.1 Where would you find the Trust libraries? 

________________________________________________________________ 

________________________________________________________________ 

14.2 How do you join the Trust Library?__________________________________ 

14.3 What is the web address for the library catalogue?_____________________ 

14.4 What would you use an NHS Athens username and password for? 

________________________________________________________________ 

14.5 How do you access the National Library for Health (NLH)? 

________________________________________________________________ 



Development 




THE WORKBOOK MUST BE COMPLETED WITHIN:- 

4 weeks for all staff 

DECLARATION 2008 – ALL SECTIONS TO BE COMPLETED 

STAFF MEMBER TO COMPLETE: 

I hereby acknowledge receipt of a copy of the Staff Handbook and Induction 

Workbook. 

NAME OF STAFF MEMBER:_________________________________________ 

DATE OF INDUCTION:_____________________________________________ 

SIGNED (STAFF MEMBER):_________________________________________ 

DATE WORKBOOK COMPLETED:___________________________________ 

LINE MANAGER TO COMPLETE: 

I have checked all the entries in the Induction Workbook and am satisfied 

that all the requirements have been carried out. 

SIGNED (MANAGER):____________________________________________ 

NAME:_________________________________ DATE:_________________ 

POSITION:_____________________________________________________ 

ON COMPLETION OF THIS DECLARATION SHEET: - 

• A copy is to be placed on the employee’s Personal file. 

• The Declaration sheet must be returned to: 

INDUCTION WORKBOOK RECORDS OFFICE 

LEARNING & DEVELOPMENT, 

REDWOOD EDUCATION CENTRE, 

GREAT WESTERN ROAD, 

GLOUCESTER, GL1 3NN. 

PLEASE NOTE THAT WE ONLY REQUIRE THE DECLARATION SHEET 

AND NOT THE WORKBOOK / INDUCTION HANDBOOK 



Development 


ANNEX D TO 



Course Programme for Clinical Induction 2008 

New Clinical Staff - Registered and Non-Registered Practitioners 

Timings Registered Staff Trainer Non-Registered Staff Trainer 

0850-0900 Registration L&D Team 

0900-1030 Resuscitation 

1030-1040 Changeover 

Resuscitation 

Officer 

1040-1110 Discharge Planning Discharge Sister 

Manual Handling (Patients) 

Manual Handling 

Team 

1110-1130 Break / Changeover – Tea & Coffee are provided for this break 

1130-1300 Moving & Handling (Patients) 


Team 

Resuscitation 

1300-1330 Lunch – Please note Lunch is not provided 

Resuscitation Officer 

1330-1420 Infection Control (Reg & Non-Reg together) Infection Control Team 

1420-1510 Blood Transfusion (Reg & Non-Reg together) Blood Trans Pract. 

1510-1525 

PLEASE NOTE 

DRINKS ARE NOT PROVIDED FOR THIS BREAK 

1525-1555 Medicine Management L&D Team Food Hygiene L&D Team 

1555-1625 Equipment (Tour of Equipment Library) Alison Jenkins 

1630 Evaluation and Finish 




ANNEX E TO 





Name of Ward / Department 

Site 

DEPARTMENTAL 

INDUCTION CHECKLIST 

Staff name 

Start date

Index 

Introduction to Staff 

In order to ensure a consistent approach across specialities and departments this Departmental 

Induction Checklist has been designed to set the standard of induction required to introduce new 

members of staff to their department. The Induction process consists of:- 

• Corporate Induction - Mandatory for all staff, 

• Clinical Induction – Mandatory for all Clinical Staff 

• Departmental Induction when this checklist is to be used. This should be 

completed within the first month of joining the Trust. 

The line manager/ supervisor or appointed mentor will provide support and guidance during this 

process. Departments are encouraged to add additional activities to this checklist to meet their 

specific requirements. The line manager / supervisor are also responsible for ensuring that the 

Corporate Induction Workbook is completed and the declaration form is signed and returned as 

per the instructions. 

This is a full index to the pages in this document. Each Subject Item has been hyperlinked so 

that you can move around this document easily when using a computer. You will also note an 

Index icon on the top left or top right of each page that will bring you back to this index. 

Subject 

Page No 

Induction Information 1 

Induction Checklist 2 – 4 

Policies 5 

Declaration & Signature Form 6

Induction Information 

Index 

Details to be given to post holder regarding:- Information / Comments √ 

Name of Your Department 

Name of Your Division 

Name of Ward Manager 

Name of Line Manager 

Department / Site Security & routes of access 

Familiarity with Fire Exits within work area / Department 

Uniform & name badge 

Trust Identification Badge 

(if starting prior to attending Corporate Induction) 

Green Transport Plan 

Car Park Permit / Bicycle arrangements 

Normal hours of work / shifts / work & breaks 

information 

Departmental Storage and Key holders 

Locker arrangements 

Email / PAS / P2P training etc 

Job Description & KSF Outline 

Appraisal Information 

Trade Unions / Professional Associations 

Annual Leave Entitlement & booking Procedures 

Sickness reporting, notification and certification 

Familiarity with Fire Exits within work area / Department 

1

Induction Checklist 

Index 

ACTIVITY DETAILS SIGNATURE / NOTES 

Starter Form 

Corporate Induction 

Corporate Induction 

Workbook 

Clinical Induction 


Update 

Equipment Training 

Clinical Skills 

(For HCA’s) 

Orientation to 

Department 

Orientation to Wards 

/ Clinical areas 

Starter Form 

P45 / P46 

Staff Members must be booked on 

Corporate Induction by their Line 

Managers within 4 weeks of start 

date with the Trust.– Tel GRH 5111 

Corporate Induction is held at Sandford 

Education Centre, CGH and Redwood 

Education Centre, GRH – It is 

compulsory for all new employees to 

attend. 

Completed declaration sheet must be 

signed and returned (within 2 weeks of 

start date for a full time employee). 

It is compulsory for all new Clinical Staff 

to attend Clinical Induction. 

For all staff who are not able to 

attend Clinical Induction at beginning 

of employment 

All Clinical Staff need to be booked on 

to equipment Training. 

All HCA’s need to be booked on to 

Clinical Skills. 

• Introduction to immediate 

colleagues. 

• Structure of department 

• Local facilities (Kitchen, Toilets, 

locker etc). 

Tour key areas and wards and meet key 

staff. 

Orientation to Site to 

include: 

• Restaurant 

• Shops 

• Cash point 

• Chapel 

• Car Parks 

• Please note that this does not replace or constitute a Manual Handling Update 

2

Index 


Expectations and 

Limitations of Post 

With line manager establish the scope 

of the role, referring to the KSF Outline 

for the post. 

Employment Terms 

to be discussed 

Identify Training 

Needs 

• Letter of Contract 

• Pay arrangements 

• Annual leave entitlement / time off in 

lieu 

• Pre-employment health screen and 

immunity status 

• Appointment with Occupational 

Health if Required 5165 

• On-call commitments 

• Sickness / Absence Reporting 

• Period of supervised practice. 

• 

Establish areas where training is 

needed to develop to Foundation 

Gateway level of KSF. 

Call-out 

Procedures:- • Fire 

Competent in the use of 

the Bleep system and 

know how to call for 

assistance in the event 

of:- 

• 

• 

Security incident 

Cardiac Arrest 

How to complete an ACI Form 

Risk Management 

Location of Risk Assessments. 

Where to find a PARS (Report of a 

Physical Assault on NHS Staff Form) 

Trust Nursing 

Paperwork 

MCA Training 

Consent 

Aware of documentation 

If required 

If required 

Hand Hygiene 

3

Index 


Identify commonly used medication and 

refer to local policies and procedures 

How to complete a drug workbook. 

Medicines 

Management 

How to complete a drug assessment. 

How to complete order from Pharmacy:- 

• Regular Medications 

• TTO’s and Cds (if appropriate) 

POPPAM 

How to order equipment. 

Equipment 

How to report broken equipment. 

See Also Clinical Equipment Training 

Plan (on separate sheet) 


Equipment 

Patients Property 

How to send manual handling 

equipment to the laundry. 

How to secure patient’s property. 

• Team briefings 

• Notice boards 

Communications 

Mentorship 

• Telephone and enquiries system 

• Trust Intranet 

• E-mail 

• Internal and external contacts. 

• Date and times of regular meetings. 

Is a mentor appropriate and has one 

been allocated? 

• Employee responsibilities 

Confidentiality 

• Verbal 

• Written 

• Computerised 

• Confidentiality form signed 

4

Policies 

Index 

ACTIVITY 

DATE 

DISCUSSED / 

READ & 

UNDERSTOOD 

STAFF MEMBER 

SIGNATURE 

MANAGER 

SIGNATURE 

By the end of the first month you be able to locate a Trust Policy and have familiarised 

yourself with the following Trust Policies:- 

• Infection Control 

• Risk Management 

• Health & Safety 

• Manual Handling 

• HR 

• COSHH 

• POPAM 

• Complaints 

• Fire 

• Trust Uniform Policy 

• 

• 

• 

And the following Ward / Department Policies, relevant to your role:- 

(the list should be compiled with the manager) 

1. 

2. 

3. 

4. 

5. 

6. 

Please remember to book a date with Line Manager / Mentor to 

review progress, agree objectives and produce a development plan. 

5

Index 

Induction Declaration 

We hope that this Department Checklist and other elements of your Induction programme will 

prove to be helpful and informative. 

When you have completed this Departmental Induction checklist please discuss with your line 

manager who will update your personal file, and ensure that the Training Records Department 

are informed to update your centralised Training Record. 

We hope you enjoy working with us. 

Signed New Staff Member 

Print Name of Staff Member 

Signed Line Manager / Mentor 

Print Name of Line Manager 

Date Induction Completed 

Training Records Informed by emailing: 

HospitalsTrust.TrainingRecords@glos.nhs.uk 

Please note that this can be found on the global address list. 

6

ANNEX F TO 



GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 

Consultant Induction Programme : Indicative Checklist 

Name 

Title 

Start 

Date 

Before starting 

Completed Date 

Offer letter, contract of employment issued * 

Bank, Next of Kin, Pensions, Car Parking forms issued* 

Departmental paperwork issued e.g. computer access, PAS etc ** 

Day One (or no later than Week One) 

Meeting with Medical Staffing / HR for joining formalities* 

Attendance at Trust Induction Programme (Staff Handbook issued)* 

Lunch with Clinical Director / General Manager** 

Meeting with General Manager (pm) for briefing on Management 

arrangements, contracts, budgets, quality improvements, etc.** 

Tour of Hospital** 

Day Two (or no later than Week One) 

Meeting with: Medical Director 

Nursing Director 

Director of Service Delivery** 

Introduction to Clinical Governance Department**

During First Two Weeks 


Meetings with heads of clinical departments in related specialties, as 

appropriate** e.g. 

Pharmacy 

Diagnostic Imaging 

Pathology 

Medical Illustration 

Meet Mentor** 

Follow up completion of Trust Induction Booklet* 

During First Month 

Meetings with: 

Clinical Tutor ** 

Chairman of Medical Staff Committee** 


Meetings with: 

Clinical Tutor ** 

Chairman of Medical Staff Committee** 

During First Three Months 

Introduction to PGMC and Inaugural Lecture** 

* HR / Training Department to arrange and notify consultant and Clinical 

Director 

**General Manager / Clinical Director to agree and arrange 

PLEASE RETURN YOUR COMPLETED FORM 

TO MEDICAL STAFFING, COLLEGE LAWN, CGH

ANNEX G TO 



GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 

Senior Manager Induction Programme : Indicative Checklist 

Name 

Title 

Start 

Date 

Before starting 


Received Offer letter/Contract of Employment 

Administration: 

• Application for Computer access 

• F200 Bank Form completed and returned 

• Next of Kin details given 

• Car parking application made 

Day One 

Meet with Trust / Department / HR representative 

Attend Trust Induction Programme 

Receive car pass 

Receive user name and password for computer access 

Tour of immediate work area 

Day Two 

Briefing with key nominated managers (where applicable) to cover: 

• Teams / personalities 

• Contracts 

• Budgets 

• Key Performance Indicators 

• Developments 

• Current Issues

During First Week 


Tour of GRH, CGH and Delancy. 

Meet (as appropriate to appointment): 

• Directors and Assistant Directors (key to post) 

• Department / Profession Leads (key to post) 

• Key stakeholders 

• Own Team members 

Review key Trust Policies (available on the Intranet): 

• Data Protection 

• Health & Safety 

• Human Resources (HR) 

• Risk Management 

• Major Incident Procedure 

During Second Week 

Meet (as appropriate to appointment): 

• Directors and Assistant Directors 

• Department / Profession Leads 

Complete and return Trust Induction Workbook 

Establish list of key contacts inside and outside of the Trust 


Establish links with key contacts inside and outside of the Trust with follow-up 

meetings as necessary 

Review other Trust Policies 

During First Three Months

ANNEX H TO 



Departmental Induction Check List for Bank and Agency Nurses 

Please read the following information and sign and date on the following page. 

It is your responsibility to be aware of the following information:- 

1. Fire Evacuation Policy 

2. Cardiac Arrest dial 2222 State cardiac arrest and ward 

3. All Emergencies dial 2222 State service needed and ward 

4. Location of CPR Trolley 

5. Lead Nurse Bleep Gloucester 2345 Cheltenham 1343 

6. Location of ward Information file for Bank and Agency Nurses 

or access to intranet. 

7. Bleep system - Dial 80, then Bleep number, then your number 

8. Ward layout 

9. Manual handling Equipment

Bank and Agency Nurse Ward Induction 

Ward Name 

All Agency and Bank Staff are to sign below to say they have read the Ward Induction card:- 

Date Print name Signature

Staff Induction Policy - Gloucestershire Hospitals NHS Trust

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