Leicestershire Partnership NHS Trust Checklist for the Review of Procedural document by appropriate Leicestershire Partnership NHS Trust Committee To be completed by policy lead and attached to any procedural document when submitted to the appropriate committee for consideration and approval. Yes/No/ Name of document Comments Unsure 1. Is the clear and unambiguous? Yes Is it clear whether the document is a guideline, Yes policy, protocol or standard? 2. Rationale Are reasons for development of the document Yes stated? 3. Development Process Is the method described in Yes Are people involved in the development Yes identified? Do you feel a reasonable attempt has been Yes made to ensure relevant expertise has been used? Is there evidence of consultation with Yes stakeholders and users? 4. Content Is the objective of the document clear? Yes Is the target population clear and Yes unambiguous? Are the intended outcomes described? Yes Are the statements clear and unambiguous? Yes 5. Evidence Base Is the type of evidence to support the Yes document identified explicitly? Are key references cited? Yes Are the references in full? Yes Are supporting documents referenced? Yes 6. Approval If appropriate have the joint Human N/A Resources/staff side committee (or equivalent) approved the document? 7. Dissemination and Implementation
Leicestershire Partnership NHS Trust Checklist for the Review of Procedural document by appropriate Leicestershire Partnership NHS Trust Committee To be completed by policy lead and attached to any procedural document when submitted to the appropriate committee for consideration and approval. Name of document Yes/No/ Unsure Comments 1. Is the clear and unambiguous? Yes Is it clear whether the document is a guideline, policy, protocol or standard? Yes 2. Rationale Are reasons for development of the document stated? Yes 3. Development Process Is the method described in Yes Are people involved in the development identified? Yes Do you feel a reasonable attempt has been made to ensure relevant expertise has been used? Yes Is there evidence of consultation with stakeholders and users? Yes 4. Content Is the objective of the document clear? Yes Is the target population clear and unambiguous? Yes Are the intended outcomes described? Yes Are the statements clear and unambiguous? Yes 5. Evidence Base Is the type of evidence to support the document identified explicitly? Yes Are key references cited? Yes Are the references in full? Yes Are supporting documents referenced? Yes 6. Approval If appropriate have the joint Human Resources/staff side committee (or equivalent) approved the document? N/A 7. Dissemination and Implementation
SALTreferralguidelinesfinal.docx