Postal Services - Black Country Partnership NHS Foundation ...

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Postal Services

                                 Target Audience

  Who Should Read This Policy

  All BCPFT Staff and services                      

Version 1.0 April 2018
Postal Services Policy

Ref.                                  Contents                      Page
1.0 Introduction                                                    4
2.0 Purpose                                                         4
3.0 Objectives                                                      4
The objectives of this policy are:                                  4
4.0 Process                                                         4
5.0 Procedures connected to this Policy                             7
6.0 Links to Relevant Legislation                                   7
6.1 Links to Relevant National Standards                            8
6.2 Links to other Key Policies                                     8
6.3 References                                                      8
7.0 Roles and Responsibilities for this Policy                      9
8.0 Training                                                        9
9.0 Equality Impact Assessment                                      9
10.0 Data Protection and Freedom of Information                     10
11.0 Monitoring this Policy is working in Practice                  10

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Explanation of terms used in this policy

Confidentiality and Security of Mail – Ensuring any letters/documents are addressed
appropriately and intended for the use by the individual they are addressed to; obtaining signatures
where necessary

Transport – BCPFT’s transport department who deliver and collect post securely from various sites

Couriers – external transport company used by BCPFT to deliver documents securely, obtaining
signatures

Specialist Delivery – an important item of post that is tracked to ensure it reaches its destination
safely and securely

Third Party – an external organisation employed by BCPFT to process mail safely and securely on its
behalf

Freepost - a postal service whereby the cost of postage is paid in advance by BCPFT

Franking Machine Credit – A machine that prints the postage charge on to envelopes. It is pre-
loaded with money to cover the cost of postage

Third Party Printing – BCPFT uses Synertec (organisation) who provide a service of alternative
methods of processing and sending mail on behalf of the Trust

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1.0 Introduction
This policy has been written in relation to internal and external post produced by
BCPFT services, it is to act as a guide for all service sectors within BCPFT.

2.0 Purpose
The purpose of this document is to act as a guide for all BCPFT members of staff so
that a consistent and efficient approach is applied to the sending and receiving of
internal and external post.

3.0 Objectives
The objectives of this policy are:

      To provide a clear and concise explanation with regards to who is responsible
       for the management and co-ordination of all BCPFT post at each site.
      Explain all services related to post both internal and external at each site.

4.0 Process

4.1 Confidentiality and Security of Mail

      Any mail sent to the Post Room should be clearly addressed and easy to read.
      If your mail is confidential, please ensure it is clearly marked, Private and
       Confidential, or ‘Addressee only’ as appropriate.
      Any mail received by the Post Room which is either damaged or where the
       address is not clear, will be opened by the Post Room Staff and returned to
       sender in a sealed envelope.
      Any mail returned to the Trust as ‘undelivered’ will be opened by the Post
       Room Staff and returned to sender. The original envelope with any royal mail
       markings or comments will also be returned to the sender so that they can
       review any comments made.
      Where post has been returned to the Trust in a damaged or opened envelope,
       or if the original letter has been placed in another envelope and so appears to
       have been read, the Post Room staff will log this as an incident on Datix. Any
       incidents should be assigned to the sender of the mail in the first instance. A
       copy of the incident report will be included with the returned post and sent
       back to the sender.

BCPFT post will be collected and delivered via BCPFT Transport, Royal Mail and
various couriers approved by the Trust.

The majority of mail will follow the process detailed below:

   1. BCPFT Transport staff will deliver mail, both internal and external, to Trust
      sites occupied by BCPFT staff. While they are delivering the mail they will
      also collect any outgoing internal or external mail from the site. Please note
      that this mail must be sorted into internal and external post by the staff at each
      site ready for collection, all sorting bags and equipment will be provided.
   2. All post will be sent as 2nd class as standard practice. 1st class mail should
      only be requested in exceptional circumstances and should be clearly marked
      on the envelope.
   3. Any mail where specialist delivery is required e.g. Recorded Delivery, Special
      Delivery – the person sending the letter must complete the sender details on
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       the reverse of the envelope and mark the front of the envelope with the words
       ‘recorded delivery’ or ‘special delivery’. Please keep this type of post separate
       so it can be processed quickly. Please refer to the Royal Mail Website for
       description of services and delivery timescales. www.royalmail.com
   4. Transport will collect the post and this will be taken to the central Post Room
       located at Penn Hospital.
   5. The Post Room will sort the internal post into the appropriate sack ready for
       Transport to collect and deliver.
   6. The external post will be sorted and franked by the Post Room Staff /
       Reception / Transport at Penn.
   7. Royal Mail will collect all external post on a daily basis from Penn reception.
   8. Transport will collect all sorted internal post from the Post Room on a daily
       basis and deliver to the appropriate sites.
   9. All post must be segregated into 1st, 2nd class and internal from each site.
   10. All external post should be sent in white envelopes, this is a direction from
       Royal Mail

Third Party Printing & Postal Services

Synertec provides a service providing an alternative method of processing and
sending mail on a business class, further details are available from Procurement.

Postage Stamps

Postage stamps can still be used by teams however they must be purchased from
the Trust Procurement system E-series via the Trust Contract Supplier. It is the
responsibility of each team to ensure stamped mail is posted via a Royal Mail post
box. Please note that using postage stamps is far more expensive than using the
franking services from the Post Room.

Parcels and Large Mail

Transport will collect parcels and large mail for processing via the Post Room. Any
exceptional parcels or large mail (this would include very heavy items or oddly
shaped items) please contact the Estates and Facilities Helpdesk on 0121 612 8010
to advise.

Recorded, Signed for and Special Deliveries

As well as 1st and 2nd class posting BCPFT staff can request that mail is sent via
Royal Mail Special Delivery or Royal Mail signed for 1st and 2nd class. This works
with the main mail service and staff must ensure that the correct service is requested
on the envelope. For full details please see SOP

Exceptions: Personal mail/parcels deliveries must not be delivered to Site
Receptions.

You can use the Royal Mail Signed for 1st Class or 2nd Class post for important post
when you need confirmation that your letter has arrived at its destination.

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This service costs from £1.73 for letters up to 100g then increase by weight for 1st
class and £1.64 for the same weight for 2nd class.

The Service offers you the following benefits

      Ability to confirm online when your item has been delivered
      Aim to deliver next working day for 1st class
      Aim to deliver in two to three working days for 2nd class
      Proof of delivery including a signature from the receiver
      Compensation cover up to £50. Excludes jewellery and money (coins, cash,
       postal orders, bonds and coupons or vouchers exchanges for money, goods
       or services, which includes tickets).
      You can also see a copy of the recipient’s signature online.

You can log into the Royal Mail Track and Trace website which will be updated as
soon as your letter has been delivered. If you require the tracking number please
contact Penn Reception.

Please note that this is not a fully tracked service – Royal Mail will only provide you
with confirmation of delivery and a sample of the signature. If sending abroad it will
not be tracked at the point of leaving the U.K.

Business Replies (Freepost envelopes)

A business reply service can be set up by any team who requires this service and it
is the responsibility of the team to set up an account registered to a specific address.
Please note this will incur an annual cost for the licence as this has to be registered
with Royal Mail. Charges for using this service are charged via invoice in arrears.
The Freepost Standard Service allows you to pre-print your envelopes with the
business address of your choice and your Freepost Licence Number. You supply the
envelopes to your clients / patients. You will be invoiced on the number of responses
which are returned to your address.

If you take out a new Freepost Standard licence you will need to apply a licence
barcode to your envelopes from the first time you use that licence. There is an annual
fee to purchase the licence which is registered to the nominated address.
To take advantage of Business Reply and Freepost, you need to have an account
with Royal Mail. Black Country Partnership NHS Trust already has an account with
Royal Mail. You will therefore need to call the Response Services Team on 08457
950 950.

The Response Services Team will tell you how to add Freepost to the main account
for your specific service / team. You will need to download the online application
form and read the Terms and Conditions before you make your application.

First download, print and complete the application form . Before applying, make
sure you have read and understand our terms and conditions .

Once completed, post your application to the Response Services team at:

Royal Mail Response Services Team, PO Box 740
Barnsley, S73 0ZJ
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Tel: 0141 5577014

Email: response.services.admin@royalmail.com

If you are unsure and have further questions about this service, you can contact the
Royal Mail Account Manager who is allocated to the organisation.
If you still have queries, please log a call on the Estates and Facilities Helpdesk 0121
612 8010 and your query will be passed to Penn Reception.

Franking Machine Credit

This is paid by direct debit on a monthly basis – in respect of the Post Room at Penn.

Issues, Concerns and Complaints

For any issues, concerns or complaints regarding post please contact the Estates
and Facilities Helpdesk on 0121 612 8010 who will then be able to assist or re-direct
your call to the appropriate Manager / Co-Ordinator for action.

Any incidents must be logged as per Incident Policy on Datix.

5.0 Procedures connected to this Policy
    Transport and Collection Delivery Schedule
    Recorded, Signed for and Special Deliveries
    Business Reply Service
    Safe Haven SOP
    Incident Reporting

6.0 Links to Relevant Legislation

Data Protection Act 1998
The Data Protection Act 1998 became law in March 2000. It sets standards that must
be satisfied when obtaining, recording, holding, using or disposing of personal data.
The law applies to data held on computers or any sort of storage system, including
paper records.

There are 8 enforceable principles of good practice. Data should be:
    Fairly and lawfully processed
    Processed for limited purposes
    Adequate, relevant and not excessive
    Accurate
    Not kept longer than necessary
    Processed in accordance with the data subject's rights
    Secure
    Not transferred to countries outside the European Economic Area (EEA),
     without adequate protection

Access to Health Records Act 1990
Access to Health Records Act 1990 (AHRA) provides certain individuals with a right
of access to the health records of a deceased individual. These individuals are
defined under Section 3(1) (f) of that Act as, ‘the patient’s personal representative

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and any person who may have a claim arising out of the patient’s death’. A personal
representative is the executor or administrator of the deceased person’s estate.

There are also a range of public bodies that have lawful authority to require the
disclosure of health information. These include the Courts, legally constituted Public
Inquiries and various Regulators and Commissions e.g. the Audit Commission and
the Care Quality Commission. In these cases the common law obligation to
confidentiality is overridden.

Children & Families Act 2014
Children and Families Act 2014 gives greater protection to vulnerable children, better
support for children whose parents are separating, a new system to help children
with special educational needs and disabilities, and help for parents to balance work
and family life.

Children Act 2004
Children Act 2004 provides the legal basis for dealing with issues relating to children.
These guidelines have been put in place so that all individuals who are involved in
looking after children are aware of how they should be looked after in the eyes of the
law.

This act was brought into being in order for the government in conjunction with social
and health service bodies to help work towards these common goals:
•      To allow children to be healthy
•      Allow children to remain safe in their environments
•      Help children to enjoy life
•      Assist children in their quest to succeed
•      Help make a positive contribution to the lives of children
•      Help achieve economic stability for our children’s futures

6.1 Links to Relevant National Standards
    Data Security and Protection Toolkit
    Information Commissioners Office; information security
    CQC Regulation 16: Receiving and Acting on Complaints
    NPSA Being Open: Saying sorry when things go wrong (2009)

6.2 Links to other Key Policies

      Information Governance Policy
      Data Protection and Security Policy
      Incident Reporting

6.3 References

      www.royalmail.com

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7.0 Roles and Responsibilities for this Policy

 Title                       Role                 Key Responsibilities
 All staff                   Adherence            -   Adherence to the relevant sections in the policy
 Managers                    Operational          -   Ensure staff comply with the policy
 Information                 Specialist Advice/   -   Any changes in legislation
 Governance                  Inspections          -   Approval for the policy
 Transport                   Operational          -   Collect and deliver on time both internal and external post
 Penn Reception              Operational          -   Responsible for sorting and posting

8.0 Training

  What aspect(s)                              Is this training covered in the
                       Which staff groups      Trust’s Mandatory and Risk                                                          How often will    Who will ensure and
 of this policy will                                                               If no, how will the      Who will deliver the
                          require this         Management Training Needs                                                            staff require   monitor that staff have
   require staff                                                                 training be delivered?         training?
                           training?               Analysis document?                                                                 training          this training?
     training?

 Information           Any staff involved    Yes – mandatory training
 Governance            in sending /
 (Caldicott)           receiving post

9.0 Equality Impact Assessment
Black Country Partnership NHS Foundation Trust is committed to ensuring that the way we provide services and the way we recruit and treat staff
reflects individual needs, promotes equality and does not discriminate unfairly against any particular individual or group. The Equality Impact
Assessment for this policy has been completed and is readily available on the Intranet. If you require this in a different format e.g. larger print,
Braille, different languages or audio tape, please contact the Equality & Diversity Team on Ext. 8067 or email bcpft.equalityimpactassessment@nhs.net

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10.0 Data Protection and Freedom of Information
Data Protection Act provides controls for the way information is handled and to gives legal rights to individuals in relation to the use of their data. It
sets out strict rules for people who use or store data about individuals and gives rights to those people whose data has been collected. The law
applies to all personal data held including electronic and manual records. The Information Commissioner’s Office has powers to enforce the Data
Protection Act and can do this through the use of compulsory audits, warrants, notices and monetary penalties which can be up to €20million or 4%
of the Trusts annual turnover for serious breaches of the Data Protection Act. In addition to this the Information Commissioner can limit or stop data
processing activities where there has been a serious breach of the Act and there remains a risk to the data.

The Freedom of Information Act provides public access to information held by public authorities. The main principle behind freedom of information
legislation is that people have a right to know about the activities of public authorities, unless there is a good reason for them not to. The Freedom of
Information Act applies to corporate data and personal data generally cannot be released under this Act.

All staffs have a responsibility to ensure that they do not disclose information about the Trust’s activities; this includes information about service
users in its care, staff members and corporate documentation to unauthorised individuals. This responsibility applies whether you are currently
employed or after your employment ends and in certain aspects of your personal life e.g. use of social networking sites etc. The Trust seeks to
ensure a high level of transparency in all its business activities but reserves the right not to disclose information where relevant legislation applies.
The Information Governance Team provides a central point for release of information under Data Protection and Freedom of Information following
formal requests for information; any queries about the disclosure of information can be forwarded to the Information Governance Team.

11.0 Monitoring this Policy is working in Practice

 What key elements will be         Where             How will they be           Who will                          Group/Committee        Group/Committee      Evidence
                                                                                                      How
       monitored?                described in          monitored?             undertake this                     that will receive and   to ensure actions     this has
                                                                                                   Frequently?
(measurable policy objectives)     policy?         (method + sample size)      monitoring?                          review results         are completed      happened

Post-delivery internal           1.0, 2.0, 4.0   Sent items                 Delegated             TBA            Postal Action Group                         Postal Action
                                                                            Individual Postal                                                                Group
                                                                            Action Group                                                                     Meeting
                                                                            Member                                                                           Notes

Performance Information          7.0             Finance report discussed   Postal Action Group   Six-monthly    Business &                                  Postal Action
                                                 at Post Meeting Group      Members                              Performance                                 Group
                                                                                                                                                             Meeting
                                                                                                                                                             Notes

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Audit                     7.0   Review of returned items   Postal Action Group   TBA   Postal Action Group         Postal Action
                                                           Members                                                 Group
                                                                                                                   Meeting
                                                                                                                   Notes

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                                       Policy Details

Title of Policy                                   Postal Services Policy

Unique Identifier for this policy                 BCPFT-EST-POL-03

State if policy is New or Revised                 New

Previous Policy Title where applicable            N/A
Policy Category
                                                  Corporate
Clinical, HR, H&S, Infection Control etc.
Executive Director
                                                  Financial Director
whose portfolio this policy comes under
Policy Lead/Author
                                                  Head of Facilities
Job titles only
Committee/Group responsible for the
approval of this policy
                                                  Estates and facilities meeting/corporate DMB
Month/year consultation process
completed *
                                                  April 2018

Month/year policy approved                        August 2018

Month/year policy ratified and issued             September 2018

Next review date                                  April 2021

Implementation Plan completed *                   Yes

Equality Impact Assessment completed *            Yes

Previous version(s) archived *                    n/a

Disclosure status                                 ‘B’ can be disclosed to patients and the public
                                                  Policy, Confidentiality, Security of Mail Letters,
                                                  Documents, signed Delivery, Transport,
Key Words for this policy                         Couriers, Specialist Delivery, Third Party,
                                                  Freepost, Postal Service, Postage, Franking
                                                  Machine Credit, Third Party Printing

* For more information on the consultation process, implementation plan, equality impact assessment,
  or archiving arrangements, please contact Corporate Governance

Review and Amendment History
Version Date              Details of Change

1.0        April 2018     New Policy for BCPFT

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