dress, appearance and uniform policy

Reference: DCP153 Version: 2.4 This version issued: 10/06/21 Result of last review: Minor changes Date approved by owner (if applicable):

09/06/21

Date approved: 18/08/20 Approving body: Senior Nurse Forum Date for review: August, 2023 Owner: Ellie Monkhouse, Chief Nurse Document type: Policy Number of pages: 33 (including front sheet) Author / Contact:

Melanie Sharp, Assistant Chief Nurse

Northern Lincolnshire and Goole NHS Foundation Trust actively seeks to promote equality of opportunity. The Trust seeks to ensure that no employee, service user, or member of the public is unlawfully discriminated against for any reason, including the “protected characteristics” as defined in the Equality Act 2010. These principles will be expected to be upheld by all who act on behalf of the Trust, with respect to all aspects of Equality.

Chief Nurse Directorate

DRESS, APPEARANCE AND UNIFORM POLICY

Reference DCP153 Date of issue 10/06/21 Version 2.4

Printed copies valid only if separately controlled of 33

Contents Section ............................................................................................................. Page

1.0 Purpose........................................................................................................ 3

2.0 Area ............................................................................................................. 3

3.0 Duties ........................................................................................................... 3

3.1 General Principles – All Staff Groups ........................................................... 3

3.2 Overall Dress & Appearance Standards – All Staff Groups ......................... 3

3.3 Non Uniform and Uniform Requirements / Standards .................................. 6

4.0 Duties and Responsibilities for Managers .................................................. 10

5.0 Monitoring Compliance and Effectiveness ................................................. 11

6.0 Associated Documents .............................................................................. 12

7.0 References................................................................................................. 12

8.0 Definitions .................................................................................................. 13

9.0 Consultation ............................................................................................... 13

10.0 Equality Act (2010) ..................................................................................... 13

11.0 Freedom to Speak Up ................................................................................ 14

12.0 Uniform Appendices ................................................................................... 14

Appendices: Appendix A - General Dress/Appearance/Uniform Standards – Nursing, Midwifery

& All AHP Staff ................................................................................ 18

Appendix B - Specific Uniform Standards – Nursing & Midwifery Staff ................. 19

Appendix C - Specific Uniform Standards – AHPs and Associated Staff .............. 21

Appendix D - Specific Uniform Standards – Facilities Soft Services & Domestic Staff/Hospital Support Services ...................................................... 23

Appendix E - Specific Uniform Standards – Clerical Staff ..................................... 26

Appendix F - Specific Uniform Standards – Trust-wide Radiographers and Associated Staff .............................................................................. 27

Appendix G - Specific uniform standards – Physiologists ..................................... 28

Appendix H - Specific Uniform Standards – Central Sterile Services Department 29

Appendix I - Specific Uniform Standards – Estates Department Uniform Standard ......................................................................................................... 30

Appendix J - Uniform Standard – Medical & Dental Staff ..................................... 31

Appendix K - Uniform Standard – Theatre Dress.................................................. 32



1.0 Purpose

1.1 The presentation of work and patient environments is of prime importance at all times. This includes the presentation of staff in terms of their dress and appearance.

1.2 This policy is intended to clarify for managers and employees the standards of dress and appearance that are considered acceptable when at work or working on behalf of the Trust.

2.0 Area

This policy applies to all staff including Doctors, Consultants, bank staff regardless of status, professional group or work location and includes anyone who works on the Trust premises, e.g. those on honorary contracts, agency workers, contractors, volunteers and students.

3.0 Duties

3.1 General Principles – All Staff Groups

3.1.1 All employees are supplied with a Trust identity badge that must be worn and easily visible at all times when on duty.

3.1.2 Employees must follow the standards of dress, appearance and uniform laid down in this policy.

3.1.3 The Trust recognises the diversity of cultures, religions and abilities of its employees and will take a sensitive approach when this affects dress and uniform requirements. However, priority will be given to health and safety, including security, manual handling, communication and infection, prevention and control requirements. Where there is a request to deviate from the prescribed standards on an individual basis, responsibility for this will be with the Divisional Triumvirate, in conjunction with the HR Department and relevant Professional Leads.

3.1.4 Failure to adhere to the set standards may constitute misconduct and the individual(s) concerned may be subject to consideration of action under the Disciplinary Policy/Procedure.

3.2 Overall Dress & Appearance Standards – All Staff Groups

3.2.1 Overall Dress & Appearance Standards and Clear Expectations:

• There is a clear general standard/expectation of all staff. This is that all staff must present for work clean, smart, appropriately dressed and tidy in their appearance – regardless of which area they work in



• Additionally, more specific standards may also apply for certain groups of staff, e.g. those issued with a uniform and/or those employed in direct patient care. Details regarding this can be found in subsequent sections. It is recognised that some staff may be present in the Trust wearing uniforms dictated by their external ‘employer’

3.2.2 ID Badges, Name Badges and Lanyards:

• When Trust employee ID badges are worn on a lanyard around the neck the lanyard must bear the NHS logo. Trust Volunteers must wear the Identifiable Volunteer lanyards. Lanyards should not be worn by individuals working in direct patient care. Displaying commercial company logos are not acceptable, however employed Union representatives may wear both and regional representatives may wear their union logo lanyard

• All staff will be provided with a name badge which must display Role and first name which should be agreed prior to printing, the surname can be included – if staff agree.

• Other badges must be appropriate, (e.g. indicating membership of a professional organisation or training institution) and be kept to a maximum of two where they are worn directly on a uniform; however lanyards may have others as long as they are appropriate. ID badges should be worn and clearly visible at all times. In laboratory areas ID badges may be worn under personal protective equipment/clothing at the discretion of the departmental manager

3.2.3 Chewing Gum

Chewing gum should not be consumed on Trust premises.

3.2.4 Jewellery

• Generic for all staff – Jewellery should be minimal and appropriate for work. Mandatory adornments required for religious faith or practice may be appropriate in some circumstances

• For staff working within clinical areas and/or with patient contact – with the exception of one plain wedding ring and one pair of ear rings or a single ear ring, (small plain metal studs i.e. with no hoop or loop element that could be caught), no visible jewellery such as chains, bracelets, wristwatches or other rings can be worn. To minimize the risk to staff who wear ear expanders, flesh coloured hider plugs must be worn. Small discrete nose piercing without stone is acceptable



3.2.5 Tattoos

If they can be deemed to be offensive they should be covered at all times e.g. religious, sexual or football related. Covering must be suitable/appropriate to the area of work. Line managers’ can establish specific requirements from the infection control team.

3.2.6 Hair:

• Generic for all staff – Hair including facial hair should be clean and well groomed

• For staff working within clinical areas and/or with patient contact hair should be neat, tidy or tied back and up off the collar. Where hair is longer keep secured away from the face Hair pieces and wigs if worn should be properly secured

3.2.7 Make-Up / Nails:

• Generic for all staff – Make up, if used should be discreet. Bright and garish make up colours are not acceptable in the working environment. Staff should be mindful of strong scents and these should be avoided. Nails should be clean and a reasonable length, nail polish or nail extension or false nails must be a reasonable length. Nail jewellery must not be worn

• For staff working within clinical areas, with patient contact and food preparation areas – Make up, if used should be discreet. Bright and garish make up colours are not acceptable in the working environment. Staff should be mindful of strong scents and these should be avoided. Staff are not permitted to wear artificial fingernails and are to maintain natural nails at a length no longer than over a 6mm in length, false eyelashes should not be worn and should be discussed individually with line manager

3.2.8 Personal Hygiene – All Staff Groups

Staff are expected to maintain a high level of personal hygiene at all times. Failure to do so will be brought to the individual’s attention by their line manager in a sensitive and private manner. In such circumstances staff will be expected to meet the standards outlined and with support if necessary



3.2.9 Mandatory Religious Adornments – All Staff Groups

The wearing of mandatory religious adornments is permitted for those who wish to wear them. However the wearing of these may pose certain risks, such as, being a source of cross infection and may also serve as a barrier to communication. For those individuals who wish to wear an adornment, a risk assessment will be undertaken on a case by case basis before any decision to permit an employee to wear an adornment is taken. This must be discussed and agreed with the individual, the line manager and the Heads of Nursing on behalf of the Chief Nurse or in the case of Medical Staff with the Medical Director in conjunction with advice from HR.

3.2.10 Footwear – All Staff Groups

Footwear must be clean, safe, in a presentable condition, professional and suitable for the activities undertaken and the working environment. Staff are not permitted to wear open toe shoes in any situation unless without prior agreement by their line manager – following individual discussions. See specific requirements and appendices for further details – starting from page 14.

3.3 Non Uniform and Uniform Requirements / Standards

3.3.1 Staff Not Required to Wear Uniform:

• Appropriate PPE must be worn where applicable and in accordance with Government, NHS England and Infection Control guidelines regarding any infectious diseases’

• Acceptable Clothing:

− All staff are expected to be clean, tidy and well presented. Staff working in clinical areas or direct patient contact must be bare below elbow. Clothes should be avoided that are revealing and above mid-thigh, showing midriff or underwear. Low cut tops should also be avoided

− Examples of acceptable clothing include:

Skirt, no more than 3 inches above the knee

Blouse, top or smart t-shirt but no offensive designs or spaghetti straps

Jumper – cardigan

Dress

Culottes/smart trousers

Suit



Bow tie/ties are acceptable when in a non-clinical environment i.e. office working

Dress trousers

Shirt with collar

Sports jacket/blazer

• Non-Acceptable Clothing:

− Examples of unacceptable clothing are:

Headbands

Shorts in a clinical area

Denim jeans

Overly tight or revealing clothing

Too short dresses/skirts no more than 3 inches above the knee

Low cut or transparent clothing

Leggings

Clothes which reveal the mid-riff or underwear

Clothing bearing large or inappropriate slogans/brand names.

Baseball caps

Combat or cargo style trousers

Track suits or sporting clothing with the exception of the Physio Team

Ripped or torn clothing

3.3.2 Staff Required to Wear Uniform:

• A uniform supports a corporate image and, for certain groups of staff; it is also a protective garment. In all cases where there is a uniform for clinical areas, this must only be worn for work. Wearing a uniform outside of work is not permitted for clinically based staff (nurses, allied health professionals, porters, domestics etc). The exception to the above point is staff travelling to and from work in their uniform as long as this is fully covered with a coat



• All of those employees who work in the community and perform clinical activities, where there is a risk that their clothing may become soiled, must be provided with and wear a uniform, whilst performing their role

• Trust clinical staff who are hospital based will have no requirement to wear their uniforms outside of the Trust; uniforms can only be worn outside Trust premises to carry out home visits to patients. This will not affect staff travelling between Trust sites in cars or on the shuttle bus/park and Ride

• Employees will be provided with enough clinical uniforms for staff to change frequently. A uniform should be changed when visibly contaminated and does need to be changed daily.

• Appropriate PPE must be worn where applicable and in accordance with Government, NHS England and Infection Control guidelines regarding any infectious diseases’

• The wearing of “Themed” costumes i.e. Halloween costumes in clinical areas is not permitted. Minimal accessories are allowed as long as they do not impact on clinical care and can be discussed with Managers prior to wearing them

• Hospital borne organisms can be carried home on work wear. It is acceptable for staff to wash their uniforms at home (hospital scrubs are an exception to this and must be laundered by the Trust)

• If laundered at home, uniforms or workwear should be laundered: Separately from other household linen in a load not more than

half the machine capacity

At the maximum temperature the fabric can tolerate

It should then be ironed or tumbled dried (uniforms or workwear can be tumble dried with other household laundry as correct washing will remove any infectious micro-organisms on the uniform)

• A tax allowance can be claimed by healthcare staff who launder their uniform. For more information, see below link. https://www.gov.uk/guidance/job-expenses-for-uniforms-work-clothing-and-tools

• Bare Below The Elbows: must be attained prior to any form of clinical contact with patients. All staff in clinical areas must adhere to Bare Below the Elbow. A plain wedding band (i.e. without inset stone(s)) only is acceptable in clinical areas

https://www.gov.uk/guidance/job-expenses-for-uniforms-work-clothing-and-tools

https://www.gov.uk/guidance/job-expenses-for-uniforms-work-clothing-and-tools



• The use of protective clothing and footwear, including aprons, gloves, gowns and masks must be based on ‘an assessment of risk of transmission’ of micro-organisms to the patient or to the carer and to the risk of contamination of the healthcare practitioner’s clothing and skin by patients

• A black wipe clean/water resistant walking shoe with rubber non-slip heel to help minimise noise with a maximum heel height of one inch is acceptable. Safety footwear must be worn where provided. Other footwear may be considered in conjunction with Occupational Health

• The wearing of personal alcohol hand gel dispensers is acceptable along with “Fob” watches

• Those who work for the Trust and are required to wear a uniform are prohibited from smoking whilst in their uniform irrespective of whether the employee is off duty or off Trust premises, unless this is fully covered.

3.3.3 Non Clinical:

• All non-clinical staff who wear a uniform are permitted to wear it for travel to and from work, but this must be covered at all times

• “For or during extreme hot weather conditions those working in non-clinical areas may be permitted to wear shorts (if authorised by managers) as long as shorts are no shorter than three inches above the knee. Shorts will not be permitted in areas where safety requirements require full length clothing to be worn.”

3.3.4 Clinical Staff:

• A uniform shall be provided to staff employed in direct patient care, unless there is an acceptable reason and agreement in advance with the respective supervisor or line manager. Employees issued with a uniform must wear it at all times when on duty. Uniforms must not be worn. without hosiery. For or during extreme weather conditions and with prior agreement by the Chief Nurse or senior manager within the clinical area lighter and looser alternative uniforms (i.e. theatre scrubs) may be considered.

• However, any exemptions must be discussed and agreed with the individual, the line manager and where necessary senior manager within the clinical area, with advice from representatives of the Human Resources Department. Uniforms may not be altered in any way without the Trust’s permission except upon the advice of Occupational Health or Health and Safety. It is recognised that there may be exceptions (e.g. on cultural, religious or health grounds)



• The Trust will endeavour to use posters and other visual aids to illustrate to visitors and patients the uniform worn by staff in order that they may identify the appropriate member of staff they may wish to speak to

• The specific uniform standards which apply to different staff groups and departments are set out in the appendices

3.3.5 Replacement of Uniforms

In regard to uniforms which are damaged beyond repair or are stained permanently the Trust will issue replacement uniforms on a one for one basis.

3.3.6 Staff Working Outside Normal Hours (e.g. On-Call, Standby, Weekend Working, etc)

The wearing of more casual clothing where employees are called in from home, or come in for short periods outside the normal working hours, such as weekends, is not acceptable. Employees must ensure that they are clean and tidy and display their Trust identity badge at all times.

3.3.7 Exceptional Circumstances

There may be exceptional circumstances, such as moving of offices, where - with the prior agreement of the manager – more casual clothing, may be permitted, for a limited period of time.

3.3.8 Attendance at Work Related Events

All those who work for the Trust are reminded that whilst attending any meeting, training or conference (including those training courses which are sponsored and provided by the Trust), they are representing the Trust and therefore the principles outlined within this policy apply; specifically that an employee’s appearance should reflect the Trust’s corporate image.

3.3.9 Gender Identity

It is recognised that dress codes and expectations can have an impact on all trans people, particularly if they’re forced to express themselves through their clothing in a way which doesn’t align with their gender identity. Therefore, staff can wear a uniform which they feel is most appropriate to their gender identity. If an employee is transitioning, a new appropriate uniform should be made available to them in good time.

4.0 Duties and Responsibilities for Managers

4.1 Manager must ensure all staff are made aware of this policy and adhere to the principles at all times.



4.2 In areas where staff wear uniforms, managers are additionally required to:

• Assess the special needs of pregnant staff, with advice obtained from Occupational Health if necessary. Maternity uniforms will be provided as required

• Assess the needs of all Trans gender staff with new uniforms provided when and where appropriate

• Where replacement uniforms are required this must be done in a timely manner to prevent sloppy appearances

4.3 Consultant medical staff are responsible for ensuring their junior staff are aware of this Policy and adhere to the principles at all times.

4.4 Staff working in the following departments must change out of uniforms and or Personal Protective Equipment (PPE) before leaving the department (This includes leaving the department for breaks etc). Please also see note on page (6) staff required to wear a uniform, the reference to smoking:

• Theatres

• Endoscopy

• Pathology

• Mortuary

• Special Procedures Department (within X-ray)

• Deep Clean Team (removal of disposable overalls)

N.B. There may be local additions to the list above.

4.5 This Policy is not exhaustive in defining acceptable and unacceptable standards of dress and appearance, and staff must use common sense in adhering to the principles underpinning this Policy. The Trust recognises the diversity of culture, religions and disability issues of its staff and will take a sensitive approach when this affects the way that staff dress. However, priority will be given to health and safety, security and infection control considerations.

5.0 Monitoring Compliance and Effectiveness

All Managers will monitor compliance on an ongoing basis against the standards outlined in this policy.



6.0 Associated Documents

RCN (2014) “wipe it out- Once chance to get it right” Guidance on uniforms and work-wear.

7.0 References

7.1 Department of Health (2010) Uniforms and workwear: Guidance on uniform and workwear policies for NHS employers.

7.2 Health and Safety at Work Act 1974.

7.3 Health and Social Care Act 2008 Code of Practice.

7.4 Hedderwick, S. McNeil, S. Lyons, M. Kauffman, C, A. (2000) Pathogenic organisms associated with artificial fingernails worn be healthcare workers. Infection Control and Hospital Epidemiology. N21 V 8 p 505 – 509.

7.5 Management of Health and Safety at Work Regulations 1999.

7.6 Manual Handling Operations Regulations 1992.

7.7 Nursing & Midwifery Council (NMC) Code of professional conduct 2018.

7.8 Northern Lincolnshire & Goole NHS Foundation Trust (2016) Hand Decontamination Policy.

7.9 Northern Lincolnshire & Goole NHS Foundation Trust (2017) Risk Assessment Tool Procedure. Directorate of Governance and Quality Improvement.

7.10 Northern Lincolnshire & Goole NHS Foundation Trust (2017) Personal Protective Equipment. Directorate of Governance and Quality Improvement.

7.11 Northern Lincolnshire & Goole NHS Foundation Trust (2018) Mobile Phone Policy. Directorate of Facilities.

7.12 Personal Protective Equipment Regulations (1992).

7.13 Race Relations Act (1976) and amendments 2000.

7.14 Northern Lincolnshire & Goole NHS Foundation Trust (2018) Equality and Diversity Strategy.



8.0 Definitions

8.1 BBE – Bare below the elbows.

8.2 BMA – British Medical Association.

8.3 EPIC – Evidence-based practice in infection control.

8.4 HSDU – Hospital Sterilisation and Disinfection Unit.

8.5 MRSA – Methicillin Resistant Staphylococcus Aureus.

8.6 PPE – Personal Protective Equipment.

8.7 UCLH – University College London Hospital. 9.0 Consultation

9.1 Joint Negotiating Consultative Committee.

9.2 Senior Nurse Forum. 10.0 Equality Act (2010)

10.1 Northern Lincolnshire and Goole NHS Foundation Trust is committed to promoting a pro-active and inclusive approach to equality which supports and encourages an inclusive culture which values diversity.

10.2 The Trust is committed to building a workforce which is valued and whose diversity reflects the community it serves, allowing the Trust to deliver the best possible healthcare service to the community. In doing so, the Trust will enable all staff to achieve their full potential in an environment characterised by dignity and mutual respect.

10.3 The Trust aims to design and provide services, implement policies and make decisions that meet the diverse needs of our patients and their carers the general population we serve and our workforce, ensuring that none are placed at a disadvantage.

10.4 We therefore strive to ensure that in both employment and service provision no individual is discriminated against or treated less favourably by reason of age, disability, gender, pregnancy or maternity, marital status or civil partnership, race, religion or belief, sexual orientation or transgender (Equality Act 2010).



11.0 Freedom to Speak Up

Where a member of staff has a safety or other concern about any arrangements or practices undertaken in accordance with this policy, please speak in the first instance to your line manager. Guidance on raising concerns is also available by referring to the Trust’s Freedom to Speak Up Policy and Procedure (DCP126). Staff can raise concerns verbally, by letter, email or by completing an incident form. Staff can also contact the Trust’s Freedom to Speak Up Guardian in confidence by email to [email protected]. More details about how to raise concerns with the Trust’s Freedom to Speak Up Guardian or with one of the Associate Guardians can be found on the Trust’s intranet site.

12.0 Uniform Appendices

12.1 Specific requirements for Nurses, Midwives and Allied Health Professionals

12.2 Uniform Standards for:

• Specific Requirements for Nurses and Midwives

• Specific Requirements for Allied Health Professionals

12.3 Appendix A – Uniform Standard – Nursing Midwifery and all AHP Staff

12.4 Appendix B – Specific Uniform Standards – Nursing and Midwifery Staff

12.5 Appendix C – Specific Uniform Standards – AHP and Associated Staff:

• Occupational Therapy

• Podiatrists

• Physiotherapy

• Assistant/Technical Instructors

• Community Paediatrics

• Manual Handling

• Dietetics

• Speech and Language Therapists

• Pharmacy Technicians and Support Workers

mailto:[email protected]



12.6 Appendix D – Specific Uniform Standards – Facilities Soft Service:

• Portering Staff

• Catering Staff

• Linen Staff

• Hospital Support Assistants/ Supervisors,

• Accommodation Assistant/Supervisor/Deep Clean Team

12.7 Appendix E – Specific Uniform Standards – Clerical Staff

12.8 Appendix F – Specific Uniform Standards – Trust-wide Radiographers and Associated Staff

12.9 Appendix G – Specific Uniform Standards – Physiologists

12.10 Appendix H – Specific Uniform Standards – Central Sterile Services Department/Receipt and Distribution Services/Driver &Transport Services

12.11 Appendix I – Specific Uniform Standards – Estates Department

12.12 Appendix J – Uniform Standard – Medical & Dental Staff

12.13 Appendix K – Uniform Standard – Theatre Dress -Within the Operating Theatre and Prep Room

SPECIFIC REQUIREMENTS FOR NURSES AND MIDWIVES Additional requirements for nursing and midwifery staff who wear a clinical uniform. Please also see Appendix B N.B. Nurses and Midwives who do not wear a clinical uniform are required to adhere to the principles detailed in section 3.3

Action Rationale Agreed Trust Nursing/Midwifery Uniform to be worn, information as available on the Trust Intranet Nursing website.

Contributes to Trust’s corporate image. May assist patients in recognising staff roles.

Belts and buckles may be worn. Two other professional badges may be worn on the collar. It is the nurse’s responsibility to ensure that there is no potential danger to the patient from buckles, badges, fob watches etc when moving patients.

Contributes to Trust’s corporate image. May assist patients in recognising staff roles. General risk assessment to be undertaken by professional.

In addition to the footwear requirements: Footwear will be fully enclosed, with the ability to wipe clean, a heel strap is

To minimise the risk of: Slips, trips and falls Injury during moving & handling



acceptable where clogs are required to be worn, e.g. Theatres The required colour for socks and shoes is plain black. Alternative colours of footwear are only acceptable when theatre clogs are worn Trainers should be considered an exception. The need for trainers to be worn should be demonstrated by a risk assessment as to why required and agreed with the Manager Trainers should be black and have no large logos

Contamination by spillages Cross-infection Noise pollution for patients (particularly at night) Contributes to Nursing/Midwifery corporate image.

Tights/stockings or hold-ups in plain black or neutral colour (no pattern of any type) should be worn by staff when wearing a dress except in extreme temperatures (at the discretion of the line manager and chief nurse).

Contributes to each professional’s corporate image.

Multi-coloured/patterned cardigans and sweatshirts are not part of the standard uniform however if staff choose to wear them they must fit the corporate image and must not be worn in the clinical areas.

Cardigans and sweatshirts are not acceptable in clinical areas as wool/fleece harbours more organisms and length of sleeves hinders effective hand washing.

The introduction of new uniforms must be via the Nursing and Midwifery Board.

To ensure consistent and corporate approach to nursing & midwifery uniforms. To ensure new uniforms comply with this policy in terms of Health & Safety, Infection Control and laundry requirements.



SPECIFIC REQUIREMENTS FOR ALLIED HEALTH PROFESSIONALS Additional requirements for Allied Health Professionals who wear a clinical uniform. N.B. Allied Health Professionals who do not wear a clinical uniform are required to adhere to the principles detailed in section 3.3

Action Rationale Agreed Trust Uniform to be worn as agreed for each particular profession.

Contributes to Trust’s corporate image. May assist patients in recognising staff roles.

Belts and buckles may be worn for non-clinical duties and where there is no patient handling.. Two other professional badges may be worn on the collar. It is the AHP’s responsibility to ensure that there is no potential danger to the patient from buckles, badges, fob watches etc when moving patients.

Contributes to Trust’s corporate image. May assist patients in recognising staff roles. General risk assessment to be undertaken by professional.

In addition to the footwear requirements previously detailed : Footwear must be enclosed, with the ability to wipe clean. The required colour to be specified for each individual profession The wearing of Trainers to be specified within each particular profession whether acceptable for that profession and for that individual area of work dependent on risk assessment.

To minimise the risk of: Slips, trips and falls Injury during moving & handling Contamination by spillages Cross-infection Noise pollution for patients (particularly at night) Contributes to each professions corporate image

Tights/stockings or hold-ups in plain, black or neutral colour (no pattern of any type) should be worn by staff when wearing a dress except in extreme temperatures. Socks should be plain black.

Contributes to each professional’s corporate image.

Cardigans and sweatshirts must not be worn in the clinical areas- with the exception of Community staff who are permitted to wear items.

Cardigans and sweatshirts are not acceptable in clinical areas as wool/fleece harbours more organisms and length of sleeves hinders effective hand washing.

The introduction of new AHP uniforms must be authorised by the Branch of Clinical Sciences’ Clinical Governance Group and the Nursing and Midwifery Board.

To ensure consistent and corporate approach to AHP uniforms. To ensure new uniforms comply with this policy in terms of Health & Safety, Infection Control and laundry requirements.

___________________________________________________________________ The electronic master copy of this document is held by Document Control,

Directorate of Corporate Governance, NL&G NHS Foundation Trust.



Appendix A Uniform Standard

General Dress/Appearance/Uniform Standards –

Nursing, Midwifery & all AHP Staff

Table 1 below sets out the uniform and appearance standard for nurses, midwives and allied health professionals Table 1 ITEM

STANDARD

Uniform (Also see Table 2 below)

Uniform dress or uniform tunic and uniform trousers appropriate to designation.

Shoes Black wipe clean/water resistant walking shoe with rubber non-slip heel and rubber non slip soles to help minimise noise which are closed over the foot and must be in a clean condition. (Maximum heel height one inch). Trust issue where appropriate. Plain black or white trainers are only permitted to be worn in appropriate gym sessions.

Nails Nails should be clean and short. Nail polish, nail extensions or nail adornments must not be worn.

Make-Up Make-up if used should be discreet see Section 3.4 of the policy. Strong scents should be avoided.

Cardigans

These should never be worn when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances.

Tights/stockings/ Socks

Plain, black socks must be worn with trousers. Tights to be worn with uniform dress and must be either black or neutral colour. Patterned tights should not be worn with uniform.

Underwear Modesty garments worn underneath uniforms must be plain, short sleeved and neutral in colour. I.e. not visible via the uniform.



Appendix B Specific Uniform Standards – Nursing & Midwifery Staff

Table 2 below shows the uniform standard that is in use in the majority of clinical areas throughout the Trust. Some variations have been agreed in certain areas and managers must ensure that the relevant employees in these areas are aware of the uniform standard. Table 2 DESIGNATION UNIFORM COLOUR

Senior Nursing Team Blue Tunic/Dress, Navy Trousers

Nurse Consultant (Specialty) Navy dress/tunic with yellow trim, navy

trousers

Matron (Directorate or Specialty)

Navy tunic/dress with red trim, navy trousers

Senior Sister/Charge Nurse (Band 7) Navy blue dress/tunic with white trim, navy trousers.

Sister/Charge Nurse where designated as deputy to Senior Sister (Band 6)

Navy blue dress/tunic with pale blue trim, navy trousers

Sister/Charge Nurse Theatres/Delivery Suite (Band 6/7)

Navy blue scrubs and Green hats

Nurse Specialist (Band 6/7/8a) Navy blue dress/tunic with yellow trim, navy blue trousers

Nurse Practitioner (Band 6/7) Navy blue dress/tunic with yellow trim, navy blue trousers

Senior Midwife (Band 7) Navy blue dress/tunic with white trim, navy blue trousers

Infection Prevention and Control Nursing Team

Navy dress/tunic with yellow trim, navy trousers

Named Nurse for Safeguarding- Adults and Children/Named Midwife

Navy dress/Tunic with purple trim

Midwife (Band 5/6) Blue tunic/dress with white trim, navy blue trousers

Research Nurse/Midwife Clinical Skills Tutors

Navy tunic/dress with pale green trim, navy blue trousers

Medicines Management Team Navy tunic/dress with navy trim Navy blue trousers

Staff Nurse (Band 5) Pale blue dress/tunic with white trim, navy trousers

Staff Nurse (Band 5 theatres) Pale blue scrubs



DESIGNATION UNIFORM COLOUR

Support Worker or SHCA Pale grey tunic/dress with white trim,

navy trousers

Advanced HCA Pale Grey tunic/dress with blue trim, navy trousers

Nurse Associates (Band 4) White Tunics and yellow epaulettes and navy trousers

HCA Theatres Advanced HCA Escort Role

Pale Blue Scrubs and yellow hats Green scrubs

Hospital Support Worker Burgundy tunic with black trousers

Nursery Nurse (Band 4) Bright multi-coloured tunic/dress, navy trousers

Play Specialist (Band 4) Bright multi-coloured tunic/dress, navy trousers

Newborn Hearing Screening Manager Band 5

Dark Purple dress/Tunic with Lilac Trim, navy trousers

Newborn Hearing Screeners (Band 3) Lilac dress/tunic with white Trim, navy trousers

Dental Nurse

White tunic yellow trim, navy trousers

Bank Nurse As grade of employment during Bank work



Appendix C Specific Uniform Standards – AHPs and Associated Staff

Table 3

DESIGNATION UNIFORM Occupational Therapy Occupational Therapists Occupational Therapy Assistants

• White dress/tunic with green trim and green trousers

• White Tunic with aqua trim or aqua polo shirt,

green trousers • If cardigans are worn they must match either the

tunic or the trousers (These should never be worn when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

Podiatrists

• White tunic with Navy trousers • Black or navy cardigan (These should never be

worn when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

• Black shoes or black trainers Physiotherapy Physiotherapists Physiotherapy Assistants Therapy Assistant Practitioners

• White Polo tops and navy (cargo) trousers or blue

tracksuit bottoms • Pale Blue Tunic with navy trim or pale blue polo

shirt, navy (cargo) trousers • Aqua Polo shirt, Navy (cargo) trousers • If cardigans are worn they must match either the


Assistants/Technical Instructors

• Pale blue polo tops • Plain navy trousers • If cardigans are worn they must match either the

tunic or the trousers (These should never be worn when involved in clinical patient contact.



Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

Community Paediatrics • White polo top with NHS community logo • Cardigan: navy (These should never be worn

when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

• Trousers: navy Manual Handling • Navy polo shirt with ‘Moving and Handling Team ‘

logo • Plain navy trousers • If cardigans are worn they must match either the


Dietetics - • White tunics or dresses with Turquoise trim , • Trousers: Black or navy • If cardigans are worn they must match either the


Speech and Language therapists

• White with purple trim tunic or dresses • Trousers: Navy or black • If cardigans are worn they must match either the


Pharmacy Technicians and support workers

• White tunics • Trousers: Navy or black • Plain Navy/Black knee length skits may be

worn as an alternative in summer Orthoptist • Turquoise with white piping

• Black trousers • Black shoes.



Appendix D Specific Uniform Standards – Facilities Soft Services

Table 4 – Portering Staff

DESIGNATION UNIFORM

Porters • Black safety shoes (Trust issue), • Burgundy shirt/ polo shirt • Black cargo Trousers • Black fleece • HI-Vis Vest • Hi-Vis Outdoor Coat

A fleece must only be worn when carrying out duties outside the hospital environments or in cold locations. Table 4a – Catering Staff

DESIGNATION UNIFORM

Catering Assistants • Coloured T-shirts • Catering Hair Net and Hat • Black Trousers • Safety shoes

Chefs • Polo shirt • Catering hair net and hat • Chefs checked trousers • Chefs jacket • Safety shoes

Table 4b – Linen Staff

DESIGNATION UNIFORM

Linen Staff • Navy and white pinstriped tunic • Polo shirt • Black/Navy Trousers • Black/Navy cardigan/fleece • Black safety shoes



Table 4c – Logistics Staff

DESIGNATION UNIFORM

Drivers • Navy blue polo shirt • Navy blue shirt • Navy blue sweatshirt • Navy blue cargo trousers • Navy blue softshell showerproof

jacket • All weather waterproof jacket • Hi-vis Vest • Safety footwear

Specific Uniform Standards – Domestic Staff/Hospital Support Services Table 5 below shows the uniform specifics for Domestic Staff /Hospital Support Services Table 5

DESIGNATION UNIFORM Hospital Support Assistants Hospital Support Team Leaders Hospital Support Supervisors Deep Clean Team

• Burgundy Tunics Black trousers • Black shoes flat, no open toes, no

sling backs, no canvas, trainers, crocs or dolly shoes

• Burgundy Tunic with white trim • Black shoes flat no open toes, no

sling backs, no canvas, trainers, crocs or dolly shoes

• Blouse • Black Trousers • Black shoes • Burgundy polo shirt • Black trousers • Black shoes



The Roost Accommodation assistant Accommodation supervisor

• Dark Grey scrub top • Dark Grey tunic

Theatre Staff HSA – Trustwide Porters – DpoW Porters - SGH

• Theatre scrubs • Porters uniform • Theatre scrubs



Appendix E Specific Uniform Standards – Clerical Staff Table 6 below shows the uniform specifics for Clerical Staff

DESIGNATION UNIFORM

Receptionists (in all settings other than main reception areas e.g. outpatient areas, admissions)

• Navy fleur/spade blouse, or white Shirt

• Navy skirt • Navy trousers

Ward Clerks • Navy fleur/spade blouse, or white Shirt

• Navy skirt • Navy/Black trousers



Appendix F Specific Uniform Standards – Trust-wide Radiographers and Associated Staff

Table 7 below shows the uniform specifics for the Department of Radiology Table 7

DESIGNATION UNIFORM Radiographers • White dress with maroon trim or

• White tunic with maroon trim and maroon trousers

• Maroon cardigan (These should never be worn when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

Assistant Practitioners

• White dress with “Assistant Practitioner” embroidery (in burgundy)

• White tunic with Assistant Practitioner” embroidery and black or maroon trousers

• Maroon cardigan (These should never be worn when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).

Radiographic Assistants

• White dress or • White tunic and navy trousers • Navy cardigan (These should never be worn

when involved in clinical patient contact. Additionally, they should not be worn in the clinical environment unless in exceptional circumstances).



Appendix G Table 8 Specific uniform standards – Physiologists Table 8 below shows the uniform specifics for Neurophysiologists

Designation Uniform Neurophysiologists White tunic with navy trim and navy trousers, or

white dress with navy trim Respiratory (clinical) physiologists

White tunic, pale blue trim, navy trousers or white dress with navy trim



Appendix H Tables 9, 10 and 11 Specific Uniform Standards – Central Sterile Services Department Table 9 below shows the uniform specifics for the Central Sterile Service department:

DESIGNATION UNIFORM CSSD Staff • Red top with blue trim

• Navy trousers

Receipt & Distribution Services

Table 10 below shows the uniform specifics for the Receipt & Distribution services

DESIGNATION UNIFORM Receipt & Distribution Staff • Black Polo Shirt

• Black sweatshirt • Black Trousers • Black safety shoes

Driver/Transport Services

Table 11 below shows the uniform specifics for the Driver and transport services

DESIGNATION UNIFORM Driver & Transport Staff • Navy blue Polo Shirt

• Navy blue fleece • Navy blue Trousers • Black shoes



Appendix I Tables 12 Specific Uniform Standards - Estates Department Uniform Standard Personal Protective Equipment (PPE)

For the avoidance of doubt, personal protective equipment will continue to be issued when required. Footwear will be available from a selected range from which individuals are able to select. The wearing of personal protective equipment remains compulsory for all staff within the place of work when undertaking duties or visiting sites where construction is taking place. Staff wishing to be relieved of the obligation to wear personal protective equipment will have their case considered on an individual basis before any decision taken. This must be discussed and agreed with the individual, the line manager and the Directorate Manager.

DESIGNATION UNIFORM Skilled and Semi-Skilled crafts persons • Overalls – in sufficient number for

work within dirty areas or when undertaking dirty activities.

• Three pairs of trousers Issued for general day to day work within the wards

• Three polo shirts and departments or short sleeved shirt.

• Two sweatshirts • Bib and braces for joiners and

painters only • Protective jacket for outside work or

inter-site travels only A register of uniform issue will be maintained. This will record new and replacement uniform components issued to each member of staff.



Appendix J Uniform Standard

Medical & Dental Staff GENERAL PRINCIPLES All Medical & Dental staff must adhere to the general standards outlined on pages 1-6 of this policy. When undertaking clinical duties, Medical & Dental staff must ensure that they are dressed appropriately for the activity they are performing. When undertaking procedures where there is the possibility of contamination of outdoor clothes they may wish to wear scrubs. These must not be green. Green scrubs may only be worn in the theatre environment. They must also wear relevant protective clothing such as gloves, apron, gown and mask, as appropriate for the procedure (also see Appendix 9 for Theatre Dress). In some clinical areas which may include intensive care, high dependency, emergency admissions (particularly out of hours) it may be appropriate for medical staff to wear theatre blues. ‘Bare Below the Elbow’ Prior to any form of clinical contact with patients, including routine clinical examination in an in-patient or an out-patient setting, all staff, including medical and dental staff and students, should: • Remove wrist watches and any other jewellery from their arms. • Remove all rings, with the exception of one plain wedding ring (without inset

stones)and one pair of ear rings or a single ear ring, small plain metal studs i.e. with no hoop or loop element that could be caught, no visible jewellery such as chains, earrings, bracelets or other rings can be worn. To minimize the risk to staff who wear ear expanders, flesh coloured hider plugs must be worn.

• Roll up their sleeves to above their elbows or wear a short sleeved shirt or blouse.

• Either remove or tuck their tie into their shirt, similarly avoid any other hanging items (e.g. name badge lanyards) so that they cannot touch the patient. Alternatively, wear a disposable apron over their shirt and tie.

• Cleanse their hands by washing or using alcohol gel in the recommended fashion.

All clothing should be laundered regularly at the highest recommended temperature for the garment to ensure cleanliness. Wearing of white coats is not permitted. Patients expect medical and dental staff to maintain a professional standard of dress whilst observing the widely publicised local and national infection prevention and control guidance.



Appendix K Uniform Standard - Theatre Dress

Within the Operating Theatre and Prep Room Suitable Operating Theatre scrubs must be laundered and supplied in adequate quantities throughout all Trust Theatre Complexes. Theatre scrubs for use within theatre must not be worn outside the department unless covered appropriately. This clothing must be: - clean at the beginning of every shift - changed every time it becomes stained with blood or body fluids - changed on return if worn outside the department in an emergency • The routine use of impervious theatre gowns is recommended to protect both the

patient and the operator • Individuals should wear well-fitting dedicated operating theatre footwear. These

must be cleaned and decontaminated on a regular basis and particularly when visibly dirty or when contaminated with blood or body fluids. Each person is responsible to keep their own footwear clean Staff, visitors or parents, should not wear plastic overshoes with the exception of estates staff who will only be required to don appropriate footwear if they are working in the theatre complex during clinical activity

• Within the operating theatre, hair must be entirely covered with a clean, disposable hat, which should be changed at least daily, on leaving the theatre suite or if it becomes contaminated with blood or body fluids. Beards must be covered with a snood

• No jewellery should be worn, with the exception of wedding rings (plain band – without inset stone(s)). Wrist watches are not acceptable

• It is recommended that individual’s in the Operating Theatre should wear masks when prostheses/implantation surgery is taking place, or if the patient is immunocompromised.

Within the Theatre Complex All theatre personnel, including medical staff, should wear Operating Theatre scrubs as above. Outside the Operating Theatre, but within the Theatre Complex, theatre personnel do not need to wear masks. Hats are also unnecessary, but long hair must be tied back and up off the collar. • Plastic overshoes should not be worn at any time

• All visitors that access the Operating Theatre itself must wear designated

Operating Theatre footwear and Operating Theatre uniform; Estates staff will only be required to don appropriate Operating Theatre scrubs and footwear if they are working in the theatre complex during clinical activity



Outside The Theatre Complex If Theatre personnel (other than porters) wish to leave the Theatre Complex: 1. For urgent clinical reasons whilst wearing theatre scrubs [e.g. reviewing patients on the surgical list between cases] When making brief visits to closely adjacent clinical areas for reason of patient care and treatment all Theatre personnel must at all times: • Individuals who leave the Theatre Complex in Operating Theatre scrubs in an

emergency situation must change into clean Operating Theatre scrubs prior to returning into the Operating Theatre.

2. For other reasons (visiting other parts of the hospital, attending meetings) When leaving theatre for other reasons all Theatre personnel must at all times remove hats and masks • Change into outdoor clothing and footwear in keeping with the standards of this

policy.

Staff are not permitted to wear their Theatre scrubs whilst sitting and eating and drinking in main eating areas Where any member of staff is found to be wearing theatre scrubs inappropriately outside of the theatre complex this will be reported to the department manager for further enquiry.