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Uniform & Dress Code Policy Version 2.3 Date of Ratification: January 2014

Uniform & Dress Code Policy

Name of Policy Author & Title: Jo Embleton, Deputy Director of Nursing & Nikki Hill, Associate Director of HR

Name of Review/Development Body: Clinical Quality Risk Management Group Ratification Body: Clinical Quality Governance Committee

Date of Ratification/ effective from: January 2014 Review Date: January 2017 Reviewing Officer: Louise Stead, Director of Nursing &

Patient Experience

If this document is required in an alternative language or format, such as Braille, cd, audio, please contact the author.

Date Review Type (please tick

Version No.

Author of Review

Title of Author Date Ratified

Ratification Body

Page Numbers (where

amended)

Line Numbers

(where amended)

Details of change

Minor amendme

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1Full

Review Inserted Delete

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10/10/13 √ 2.0 Jo Embleton

Susan Darby

Deputy Director of Nursing

Head of HR

Jan

2014

CQGC N/A N/A N/A N/A

June 2014

√

2.1

Nikki Hill

Associate Director

of HR

5 5 6 7 9 10 19

5.1.1 5.1.3 5.1.5 5.2.1 Research nurses

(tunic / dress) must be fully covered Retail & restaurant areas Must Introduction to section Or trade union lanyard & yellow do not disturb tabards Uniform

Costa Coffee

Should

Sept 14 √ 2.2 Jo Embleton

Deputy Director of Nursing

16

SCBU uniforms

DRAFT

Uniform and Dress Code Policy Version 2.4

Date of Ratification: January 2014 of 24

Sept 2015

2.3

Gill Hickman Infection Control Nurse

7

5.1.5 Staff Identification and Badges

Amendments regarding the wearing of lanyards in clinical areas

Dec 2015

2.4 Jo Embleton Deputy Director of

Nursing

14 15

HON uniform Case Manager uniform


Date of Ratification: January 2014 Page 1 of 24

Content

Section

Page

1 Introduction 2

2 Purpose 2

3 Scope of Policy 2

4 Duties and Responsibilities 2

5 Subject Matter of Policy 4

5.1 Uniform and Dress Code 4

5.1.2 Professional Image 4

5.1.3 Foot wear and Handbags 5

5.1.4 Hair, tattoos, cosmetics & jewellery 6

5.1.5 Staff identification and badge 7

5.1.6 Wearing of a veil 7

5.1.7 Religious symbols & medical safety alerts 8

5.2 Laundering of uniforms 8

5.3 Dress Code 8

6 Training 9

7 Implementation 9

8 Monitoring compliance & effectiveness of the policy 9

9 Reviewing, Ratification & Archiving 9

10 Dissemination & Publication 9

11 Equality & Impact Analysis 10

12 Associated Documents 10

13 References 10

Appendix 1 Uniform Request Form 11

Appendix 2 Trust Uniforms 12

Appendix 3 Trust Guide on Shoes 24



1. INTRODUCTION / BACKGROUND As an NHS Foundation Trust our main purpose is to provide excellent, effective diagnosis, care and treatment to people who use our services. In order to do this, patients, visitors, members of the public, partner organisations, and patient groups need to see us as competent, respectful, professional, trustworthy, safe, reliable and caring. This is in part promoted by our appearance. This has highlighted that there is a need for an overarching Uniform & Dress Code Policy, which sets out the principles and criteria that are the basis of the Trust approach and should inform all local uniform and dress codes.

2. PURPOSE The purpose of the policy is to instruct all Trust staff, doctors, volunteers, agency and contracted staff and students / trainees of the standard of dress appropriately for their role/s in accordance with the principles and practice set out in this policy.

3. SCOPE OF POLICY The Policy applies to all Trust staff.

4. DUTIES & RESPONSIBILITIES

Duties within the Trust

4.1 Chief Executive The Chief Executive has overall responsibility for the strategic and operational management of the Trust; ensuring suitable procedures are in place for the development of policies/guidelines which assist the Trust in complying with its legal, statutory requirements and good practice.

4.2 Deputy Directors of Operations, Deputy Medical Directors, Deputy Directors

of Nursing, Head of Midwifery, Heads of Departments, Specialty Managers, Heads of Nursing, Matrons, Lead Clinicians, Senior Sisters are responsible for

Ensuring that all employees comply with this policy. To challenge any employee who is not compliant and manage the situation to ensure compliance.

Completion of a uniform request form (Appendix 1) is completed and submitted to the linen room on acceptance of a post.

Discussing and gaining agreement of a change or implementation of uniform with the Deputy Director of Nursing and Associate Director of HR.

Discussing and agreeing funding for the implementation of uniforms in a previous non uniform wearing area of the Trust.

4.3 Deputy Director of Nursing is responsible for

Reviewing this policy in partnership with the Associate Director of HR from a uniform perspective.

Providing guidance to Heads of Departments on uniform change / implementation.

4.4 Associate Director of Human Resources is responsible for

Reviewing this policy in partnership with the Deputy Director of Nursing from a dress code, equality and diversity perspective.

Provide guidance to Heads of department on dress code and uniform issues in relation to aspects involving equality and diversity issues, managing individual members of staff who are unwilling to comply to this policy.



Assessing staff or applicants who wear a veil to establish if their communication is affected (see 5.1.6)

4.5 Linen Room Staff are responsible for

Ordering the uniform or replacement uniform on the receipt of a completed uniform request form (Appendix 1).

Alerting the employee / employee’s manager that the uniform has arrived at the Trust.

To recycle returned uniforms, those that are in a suitable condition.

To assist with any enquires on uniform delivery delays.

4.6 Members of Staff (including Agency Staff) who wear a uniform are

Accountable to their manager to comply with this policy.

Responsible for ensuring the uniform they wear is clean, well presented and in a good state of repair.

Not to wear long sleeved garments under the uniform. Short sleeved t-shirts and vests are permitted but must be ‘v’ necked and with no design / logo visible through the uniform.

Not allowed to wear the uniform beyond Trust premises if not engaged in Trust business. Where available, changing facilities should be used. Staff may travel to and from work in their uniform (this does not include scrubs) but the uniform (tunic / dress) must be fully covered regardless of the weather (RCN, 1999, DH, 2010).

To wear their Trust ID badge at all times and it must be visible to all. A full list of Trust uniforms can be found in Appendix 2

4.7 Members of staff (including Agency Staff) who wear theatre scrubs are

Accountable to their manager to comply with this policy.

Responsible for ensuring the uniform they wear is clean, well presented and in a good state of repair.

To have all scrubs laundered and provided through the Trust linen services.

Not to wear long sleeved garments under the uniform. Short sleeved t-shirts and vests are permitted but must be ‘v’ necked and with no design / logo visible through the uniform.

Not to wear theatre scrubs beyond Trust premises.

Not to wear theatre scrubs outside of theatres (including retail and restaurant areas) unless attending to a patient in another area of the hospital.

4.8 Members of staff who do not wear a uniform or scrubs are

Accountable to their manager to comply with the dress code aspects of this policy.

In the interest of patient safety all members of staff are to challenge colleagues who do not comply with this policy.



5. SUBJECT MATTER OF POLICY 5.1 Uniform & Dress Code

The policy recognises that employers have reasonable expectations that their employees’ appearance will support and promote the values and aims of the organisation. At the same time it takes into account employees’ expectations that they will be valued as individuals.

5.1.1 All forms of dress, whether or not a uniform is required must:

Comply with infection control policies in clinical areas and in particular must facilitate effective hand washing as per Hand Hygiene Policy. Any members of staff engaged in direct patient care or hygiene related roles must wear short sleeve clothes or uniform, or be bare below the elbows.

Comply with Health and Safety Policy.

Support good communication between staff and patients, carers and visitors.

Support a secure and safe environment.

Be respectful and reassuring for patients, carers and visitors.

Maintain the dignity of staff and patients.

Respect religious requirements, provided this does not conflict with Trust Policy & Procedures

Promote the Trust as a professional organisation. 5.1.2 Professional Image

Trust staff are ambassadors for both the organisation and their profession. It is therefore imperative that they adhere to the policy, by setting a good personal example and by supportively challenging colleagues who are not following the Trust policy All staff have the authority to challenge any member of staff (regardless of the area they work in) if they are not adhering to the Royal Surrey County Hospital Uniform & Dress Code Policy and ‘bare below the elbows’ procedure (Hand Hygiene Policy). Professional image presented by Trust staff is an important component in the way in which staffs are regarded. Staff should project a professional image to encourage public trust and confidence (RCN 2005, DH, 2010). The following sections regarding hair, cosmetics, perfume, aftershave and jewellery are applicable to all staff who work in a clinical environment or enter a clinical environment as part of their role.



5.1.3 Foot Wear and handbags (Trust Shoe Guide –Appendix3)

Acceptable Shoes Unacceptable Shoes

Uniform Staff Uniform Staff

Black, flat, non-slip sole, lace- up style

Black, flat, non-slip sole, high tongue loafer

Black, flat, non-slip sole trainer

‘Crocs’ or croc style shoes

Ballet pump style, open toed shoes/sandals

Flip flops, “fit flops”, “MBTs” or “easytones”

Scrub Staff (in theatres environment) Scrub Staff (in theatres environment)

Toffeln Qwirki theatre clog (heel strap must be worn at all times) or white theatre boots


Open toed shoes/sandals

Non-Uniform Staff Non-Uniform Staff

non-slip sole, lace- up style

non-slip sole, high tongue loafer

Low heel shoe


Flip flops, “fit flops”, “MBTs” or “easytones”

High heels

Open toed shoes/sandals

Handbags Rationale

Staff Hand bags are not to be taken to the patient bedside or into areas where treatment and care is being provided

Infection Control and prevention.



5.1.4 Hair, Tattoos, Cosmetics, Perfume /Aftershave and Jewellery

Policy Rationale

Hair colour to be natural (not pink, green, blue etc)

Hair must be clean, neatly styled, and securely fastened off the face and collar. Ponytails and plaits (including extensions and hair pieces) must not be hanging down over the shoulder, but should be pinned up. Fastenings should be discreet without adornment.

Headscarf/head-dresses can be worn if required for religious obligations, but should be short length, plain coloured (with no tassels and pinned back to prevent them falling over the shoulder). A clean one should be worn each day.

Male staff should keep beards / moustaches neatly trimmed, or be closely shaven.

Promoting and supporting professional image

Hair carries high levels of micro-organisms including staphylococcus aureus which may be readily transferred to the hands and uniforms of wearers on contact. Sharp points, ribbons, scarves and hats are an infection and safety risk.

Any exceptions of this for cultural reasons should be discussed with the individual and the line manager.

Perfumes, aftershave and make-up should be discreet.

Patients / clients may find strong smells nauseating

One plain flat wedding band ring is permissible. Flat ring if worn, should be cleaned underneath each time hands are washed. Other rings are not permissible.

Necklaces must not be worn.

Any jewellery, which dangles, must not be worn. One pair of plain non-stoned studs may be worn in the ear lobes. Wristwatches, bracelets, nasal studs and any other facial jewellery must not be worn.

Medic alert jewellery should be cleanable, plain, discreet and not worn on the wrist. Line manager should be aware of medic alert.

Body piercings that are visible must be removed

Hand hygiene Policy- Jewellery has been found to harbour micro-organisms. Studs or rings through the skin can also introduce infection for the wearer and thereby be a source of infection risk to patients. Rings with stones can scratch patient’s skin & stones may become dislodged. Loose jewellery is a safety risk to the wearer.

This is in line with the Trust Health and Safety policy.

Reduce Infection risk. Ensure individuals safety if allergy occurs.


Finger nails should be short, clean and without nail varnish (including clear nail varnish).

No false nails should be worn.

Micro-organisms are readily harboured under nails and shorter nails are easier to clean. Nail varnish chips thus contributing to cross infection.

Nails should be short to prevent patients and staff being scratched when involved in direct



handling procedures.

Tattoos that are visible must be covered up where possible if they may cause offense to patients, relatives or other staff. Professional judgement should be utilised.


5.1.5 Staff Identification and Badges

Policy Rationale

The Trust requires that all staff wear and have visible an official photo identification card name badge at all times whilst on duty, clipped on.

Staff who wear uniforms

Whilst in uniform, the photo ID badge should be visible to ensure clear view for patients.

Staff who do not wear a uniform

Non clinical staff may wear the ID security badge on a Royal Surrey County Hospital or trade union issued lanyard

Lanyards

If worn in clinical areas lanyards must be visibly clean. When undertaking hands on clinical patient care ID badges (on lanyards) must be tucked into clothing / pockets to avoid touching the patient with lanyard or ID badge.

For easy identification of Royal Surrey County Hospital employees, for the protection of patients and members of the public. To avoid identification theft and maximise security.

Royal Surrey issued lanyards are deemed corporate, unified and meet the safety requirements (in case pulled)

This is to protect the patient, so they will not be hit by the lanyard and badge and meet the safety requirements of staff (in case pulled)

Staff who wear uniforms

Staff may wear two other badges only: their training badge and a union or professional organisation badge. No other badges are permitted.

Badge wearing should be minimised, as they may not only injure patients but also the wearer. All staff should ensure that when moving or handling patients any badge worn does not cause injury to themselves or the patient.

5.1.6 Wearing of a veil

To ensure effective communication, clothing which covers the face is generally not permitted for any staff in contact with patients, carers or visitors, nor for staff in other roles where clear face to face communication is essential. Staff in areas who wish to wear a veil for religious reasons when they are not working e.g. during breaks, walking



around the Trust, visiting the dining room may do so. However, they must remove the veil for checking against their photo ID badge on request. Where there is disagreement about the impact on effective communication it is good practice for staff from Human Resources to assess the effect before reaching a final decision.

5.1.7 Religious symbols and medical safety alerts

Religious symbols may be worn discreetly provided they comply with health and safety, infection control, bare below the elbows and uniform & dress code policies

5.2 Laundering of Uniforms

“All elements of the washing process contribute to the removal of micro-organisms on fabric. Detergents (washing powder or liquid) and agitation release any soiling from the clothes, which is then removed by sheer volume of water during rinsing” (DH, 2010) “Washing with detergents at 30ºC will remove most gram positive micro-organisms, including all meticillin-resistant Staphylococcus aureus (MRSA); and a 10-minute wash at 60ºC is sufficient to remove almost all micro-organisms” (DH, 2010). It is therefore recommended that uniforms are washed separately from other garments. Ironing or tumble drying has infection control benefits through thermal disinfection as well as professional ones.

5.2.1 Laundering of scrubs and lab coats

All scrub uniforms worn in X-Ray, theatres, SCBU, DSU and SSSU, lab coats and yellow ‘do not disturb’ tabards should be laundered through the trust laundry service.

5.2.2 Laundering of soiled uniforms and scrubs

Uniforms and scrubs soiled with blood or body fluids should not be worn or taken outside the immediate work area unbagged. If a uniform or scrubs are accidentally soiled with blood or body fluids it should be changed immediately. It should be put in to a Red Soluble Bag, then into a Clear Polythene Bag with a “Return to Sender Linen Form” highlighting the name of the member of staff and their work location (please refer to Bagging Procedure for Linen). It should then be delivered to the linen room. The Trust will provide a temporary replacement uniform, if available or scrubs to ensure the member of staff’s dignity while at work. Staff can claim tax relief for laundry costs of uniform or clothing worn in the delivery of patient care. Please contact your tax office, payroll or trade union for advice.

5.3 Dress code

Staff whose usual role or activity on any particular day does not require uniform are expected to be equally conscious of the need for a professional appearance whilst ensuring that their clothing is of a protective nature. It should reflect the principles of professionalism, tidiness and safety and not be seen to be provocative or offensive. This includes staff that are contractors, agency or on clinical / work experience placement and staff with honorary contracts. 5.3.1. All own clothing should be modest with no low cut tops, plunging necklines,

short cut or cropped tops with revealing midriffs or underwear, see through garments or miniskirts.



5.3.2 Casual clothing such as jeans, leggings, jogging bottoms, combat trousers and cropped vest tops are not acceptable nor are footwear which poses a health and safety risk.

5.3.3 If entering a clinical area, you should ensure you are ‘bare below the elbows’ (Johnson 2007, Hand Hygiene Policy, 2009) and adhere to the sections of this policy related to shoes, jewellery, hair and make- up (DH, 2010).

5.3.4 Generally hats should not be worn unless they are part of a uniform. However in order to meet religious requirements, head covering may be worn and must be a clean one each day. Examples include turbans, head scarves and skullcaps. Staff who work outside may wear a plain sunhat or winter hat, depending upon the seasons.

6. TRAINING There are no training requirements for the objectives of this Policy. However, some

aspects are covered in Trust Infection Control training. 7. IMPLEMENTATION No action plan applicable as systems already in place.

8. MONITORING COMPLIANCE WITH & EFFECTIVENESS OF THIS POLICY

The effectiveness in practice of all procedural documents should be routinely monitored

(audited) to ensure the document‟s objectives are being achieved.

The process for monitoring compliance to this policy will be captured through;

1. Deputy Directors of Operations, Deputy Medical Directors, Heads of Departments, Speciality Managers, Heads of Nursing, Matrons, Lead Clinicians and Senior Sisters to address non compliance to the policy with the individual member of staff in real time. To monitor improvement and address continued non compliance via Trust policies and procedures.

2. Bare below the elbows audits and action plans to meet compliance. All audits will be submitted to the Trust audit department.

9. REVIEW, RATIFICATION AND ARCHIVING

The policy will be reviewed every 3 years or earlier if national policy or guidance changes are required to be considered. The review will then be subject to approval and re–ratification. The author or Central Policy Officer is responsible for ensuring that archive copies of superseded working documents are retained in accordance with the Records Management: NHS Code of Practice, 2009, refer to Policy Development and Management: including policies, procedures, protocols, guidelines, pathways and other procedural documents. Persons requiring access to an archived policy must contact the Central Policy Officer or the Company Secretary and provide them with the document title, name of author, ratification date and the version required. In addition, an electronic version of this is available on TrustNet under outdated policies.

10. DISSEMINATION AND PUBLICATION

Dissemination of the final policy is the responsibility of the author. They must ensure the policy is uploaded to the Trust’s Central Library (TrustNet) either via their Local Policy Officer or submitted directly to the Central Policy Officer.



The Head of Marketing and Communication is responsible for the trust-wide notification of existence of the policy. DDO’s, Clinical directors, Specialty Business Unit (SBU), or supporting services management teams, Ward Sisters/Charge Nurses and Heads of Department are responsible for distributing this policy and ensuring that all staff under their management (including bank, agency, contracted, locum and volunteers) are aware and understand the policy.

11. EQUALITY IMPACT ANALYSIS The author of this policy has undertaken an Equality Impact Analysis and has concluded there is no impact identified. The analysis is available via the Central Policy Officer.

12. ASSOCIATED DOCUMENTS All existing Trust policies, procedures & plans will be adhered to, including:

Health and Safety Policy

Infection Control Policies

Linen Policy

Theatres local uniform policy

13. REFERENCES

Nursing & Midwifery Council (2010) The Code, London DH (2010) Uniform & Work Wear: Guidance on Uniform & Work Wear Policies for NHS employees, DH. DH EPIC (2007) Guidelines on Infection Control. Hand Hygiene Policy (2009) Royal Surrey County Hospital FT NHS Trust. Johnson A (2007) New measures to tackle hospital bugs. DH Manual Handling Operations Regulations (1992) Amended 1998. NMC (2002) Code of Professional Conduct. RCN (1999) Taking a uniform approach – selecting the right clothing for nurses. Stubbs D A, Buckle P W, Hudson M P, Butler P E, Rivers R M (1985) , Nurses uniforms: an inverstigation of mobility International Journal if Nurisng Studies Vol22 No3.



APPENDIX 1:

UNIFORM REQUEST FORM

NAME

JOB TITLE

WARD

AMOUNT OF UNIFORMS REQUIRED.

SIZE

Please ensure you provide inside leg measurement for trousers.

MATRONS/ HEAD OF DEPARTMENT SIGNATURE

PRINT NAME AND TELEPHONE EXTENSION NUMBER

DATE REQUESTED

Please note if Matrons/Head of Departments signature do not appear on this request form, uniforms will not be issued.

Synergy Use Only:

Date Ordered

Amount Issued

Uniform Card Completed on



APPENDIX 2: Trust Uniforms

Administration Staff

Female staff Male staff

A&E Receptionist

White blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes

A&E Receptionist

White shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes

Ward Clerk Blue and navy patterned blouse, black trousers, enclosed, flat, non slip sole, black shoes

Ward Clerk White shirt, black trousers, enclosed, flat, non slip sole, black shoes

Outpatient Receptionist

Lilac blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes

Outpatient Receptionist

Lilac shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes

Outpatients bookings

Co-ordinator

Lilac blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes

Outpatients bookings

Co-ordinator

Lilac shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes

Outpatients bookings team leader

Royal blue blouse, black skirt/trousers, black jacket*, enclosed, flat, non slip sole, black shoes

Outpatients bookings team leader

Royal blue shirt, black trousers, black jacket*,enclosed, flat, non slip sole, black shoes

Medical records

Mandarin neck black tunic with black trousers, enclosed, flat, non slip sole black shoes or black trainers

Medical records

Mandarin neck black tunic with black trousers, enclosed, flat, non slip sole, black shoes or black trainers

Oncology Administration

Grey skirt/trouser suit with green blouse, enclosed, flat, non slip sole, black shoes or black trainers

Oncology Administration

Grey trouser suit with green shirt and grey tie, enclosed, flat, non slip sole, black shoes or black trainers

For those staff who are issued with a jacket as part of their uniform, they are expected to remove them to comply with BBE as per policy.



Cardiac Physiologists



Navy blue tunic or polo shirt with white piping; dark trousers, enclosed, flat, non slip sole, black shoes or black trainers


Navy blue tunic or polo shirt with white piping; dark trousers, enclosed, flat, non slip sole, black shoes or black trainers

Dieticians


Dieticians

Red tunic top or dress with navy piping, with ‘Dietitian’ embroidered in navy thread; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Dieticians

Red tunic top with navy piping with ‘Dietitian’ embroidered in navy thread; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Dietetic Assistant

Red tunic top or dress with navy piping, with ‘Dietetic Assistant’ embroidered in navy thread; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Dietetic Assistant

Red tunic top with navy piping with ‘Dietetic Assistant’ embroidered in navy thread; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Neurophysiology


Neurophysiologists

White tunic with grey piping, black/dark grey trousers/skirt or white dress with grey piping. with enclosed, flat, non slip sole black shoes or black trainers

Neurophysiologists

White tunic with grey piping, black/dark grey trousers with enclosed, flat, non slip sole black shoes or black trainers

Nursing – All dress uniforms length must fall on the knee or below




Director of Nursing/

Deputy Directors of Nursing /

Head of Midwifery

Grey and black pin striped dress, with white piping, with enclosed, flat, non slip sole black shoes

Director of Nursing/

Deputy Directors of Nursing /

Head of Midwifery

Dark grey and black pin striped tunic, with white piping and black trousers with enclosed, flat, non slip sole black shoes

Heads of Nursing

Grey dress, with white piping, with enclosed, flat, non slip sole black shoes

Heads of Nursing

Grey tunic, with white piping, with enclosed, flat, non slip sole black shoes

Matron & Clinical Site Managers

Navy blue tunic, with red piping and navy trousers or navy blue dress, with red piping, with enclosed, flat, non slip sole black shoes or black trainers

Matron & Clinical Site Managers

Navy blue tunic with red piping and navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Lead Nurse Navy blue tunic, with white piping and navy trousers or navy blue dress, with white piping, with enclosed, flat, non slip sole black shoes or black trainers

Lead Nurse Navy blue tunic, with white piping and navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Senior Sister Royal blue tunic and navy trousers or dress, with enclosed, flat, non slip sole black shoes or black trainers

Senior Charge Nurse

White tunic with navy epaulettes or royal blue tunic. Grey trousers, with enclosed, flat, non slip sole black shoes or black trainers

Junior Sister Royal blue tunic and trousers or royal blue dress, with enclosed, flat, non slip sole black shoes or black trainers

Junior Charge Nurse

White tunic with red epaulettes or royal blue tunic. Grey trousers, with enclosed, flat, non slip sole black shoes or black trainers

Staff Nurse Pale blue tunic and navy trousers or pale blue dress, with enclosed, flat, non slip sole black shoes

Staff Nurse White tunic with pale blue epaulettes. Grey trouser with enclosed, flat, non slip sole black



or black trainers

shoes or black trainers s,

Associate

Practitioners

Aqua tunic top with, black trousers or aqua dress, enclosed, flat, non slip sole black shoes or black trainers

Associate

Practitioners

White tunic top, with aqua epaulettes, black trousers, enclosed, flat, non slip sole black shoes or black trainers

Health Care Assistant

Grey tunic with navy trousers. Grey dress with enclosed, flat, non slip sole black shoes or black trainers

Health Care Assistant

Grey trousers with grey tunics and enclosed, flat, non slip sole black shoes or black trainers

Site Nurse Practitioners & Discharge Team

Navy tunic or dress with royal blue piping. Navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Site Nurse Practitioners & Discharge Team

Navy tunic and black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Case Managers Navy blue dress or tunic with bright blue pin stripe Navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Case Managers Navy blue tunic with bright blue pin stripe. Navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Clinical Nurse Specialists when clinically working

Maroon tunic or dress. Black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Clinical Nurse Specialists when clinically working

White tunic with Maroon epaulettes Black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Infection Control Nurses

Purple tunic or dress with white piping. Black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Infection Control Nurses

Purple tunic with white piping. Black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Newborn Nurse Practitioner

Black tunic, white piping. Black trousers with enclosed, flat, non slip sole black shoes or black trainers rs,

Newborn Nurse Practitioner

Black tunic, white piping. Black trousers, with enclosed, flat, non slip sole black shoes or black trainers

Play Specialist Bottle green polo shirt. Black trousers, with

Play Specialist Bottle green polo shirt. Black trousers, with



enclosed, flat, non slip sole black shoes or black trainers

enclosed, flat, non slip sole black shoes or black trainers

Theatres /PACU

Refer to local policy Theatres Refer to local policy

Emergency Nurse Practitioners

Navy blue/white spotted dress or tunic. Navy trousers, with enclosed, flat, non slip sole black shoes or black trainers

Emergency Nurse Practitioners.

White tunic with navy epaulettes. Navy trousers, with enclosed flat black shoes or black trainers

X-Ray Senior Junior Sisters

Royal Blue Scrubs, with enclosed, flat, non slip sole black shoes or black trainers

X-Ray Senior Junior Charge Nurses

Royal Blue Scrubs with enclosed, flat, non slip sole black shoes or black trainers,

X-RAY

Staff Nurse

Pale Blue Scrubs with enclosed, flat, non slip sole black shoes or black trainers,

X-RAY

Staff Nurse

Pale Blue Scrubs with enclosed, flat, non slip black shoes or black trainers,

DSU and SSSU Nurses

Pale blue scrubs, with enclosed, flat, non slip sole black shoes or black trainers Laundered by Trust. Not to be worn off site.

DSU and SSSU Nurses

Pale blue scrubs, with enclosed, flat, non slip sole black shoes or black trainers. Laundered by Trust. Not to be worn off site.

SCBU staff nurses

Bright pink scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU staff nurses

Bright pink scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU

Nursery nurses

Light pink scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU

Nursery nurses

Light pink scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU

HCA

Blue scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU

HCA

Blue scrub top with navy trousers with enclosed, flat, non slip sole black shoes or black trainers

SCBU Navy scrub top with navy trousers with enclosed, flat, non slip sole black

SCBU Navy scrub top with navy trousers with enclosed, flat, non slip



Senior Sister shoes or black trainers Senior Sister sole black shoes or black trainers

Senior Manual Handling Adviser and Manual Handling Trainer

White and navy tunic, navy trousers enclosed, flat, non slip sole black shoes or black trainers

Senior Manual Handling Adviser and Manual Handling Trainer

White and navy tunic, navy trousers enclosed, flat, non slip black shoes or black trainers

Respiratory Clinical Nurse Specialist

Navy tunic with white v neck trim and respiratory nurses logo, navy trousers enclosed, flat, non slip sole black shoes

Respiratory Clinical Nurse Specialist

Navy tunic with white v neck trim and respiratory nurses logo, navy trousers enclosed, flat, non slip sole black shoes

Research Nurses / Practitioner Band

Lilac tunic with white piping and navy trousers enclosed, flat, non slip sole black shoes

Research Nurses / Practitioner Band 5 and above

White tunic with lilac epaulettes. Navy trousers, with enclosed flat black shoes or black trainers

Resuscitation Team

Turquoise scrub tops with resus team and with their name embroidered on it, black trousers, flat, non slip black shoes or black trainers

Resuscitation Team

Turquoise scrub tops with resus team and with their name embroidered on it, black trousers, flat, non slip black shoes or black trainers

Student Nurses White tunic top with royal blue piping, black trousers or white dress with royal blue piping, enclosed, flat, non slip black shoes or black trainers

Student Nurses White tunic top with royal blue piping, black trousers, enclosed, flat, non slip sole black shoes or black trainers

Foundation Degree Students

White tunic top with grey piping, black trousers or white dress with royal blue piping, enclosed, flat, non slip black shoes or black trainers

Foundation Degree Students

White tunic top with grey piping, black trousers, enclosed, flat, non slip sole black shoes or black trainers



Medical Physics


Technical Services

Polo shirt and trousers

Enclosed & non slip sole shoes

Technical Services

Polo shirt and trousers


Radiopharmacy Lab coats for non aseptic area

Sterile clean room clothing for aseptic area


Radiopharmacy Lab coats for non aseptic area

Sterile clean room clothing for aseptic area


Midwives All dress uniforms length must fall on the knee or below


Hospital Midwives

Blue tunic top or dress with white piping, black trousers, enclosed, flat, non slip sole black shoes or black trainers

Hospital Midwives

Blue tunics with white piping and black trousers. Enclosed, flat, non slip sole black shoes or black trainers

Community Midwives

Royal blue polo shirt, navy trousers. Navy sweatshirt with Trust logo. Enclosed, flat, non slip sole black shoes or black trainers

Community Midwives

Royal blue polo shirt, navy trousers. Navy sweatshirt with Trust logo. Enclosed, flat, non slip sole black shoes or black trainers

Band 7 Midwives

Royal blue tunics navy trousers or Royal blue dress. Enclosed, flat, non slip sole black shoes or black trainers

Band 7 Midwives

Royal blue tunics, navy trousers Enclosed, flat, non slip sole black shoes or black trainers

Student Midwives

White tunic top with lilac piping; black trousers or white dress with lilac

Student Midwives

White tunic top with lilac epaulettes; enclosed, flat, non slip



piping, enclosed, flat, non slip sole black shoes or black trainers

sole black shoes or black trainers

Transitional Care Support Workers

Pink tunic top with navy trouser , enclosed, flat, non slip sole black shoes or black trainers

Transitional Care Support Workers

White tunic top with pink epaulettes; enclosed, flat, non slip sole black shoes or black trainers

Midwifery Support Workers

(Hospital & Community)


Midwifery Support Workers

(Hospital & Community)


Occupational Therapy


Occupational Therapists

White tunic top with green piping; green trousers or white dress with green piping, enclosed, flat, non slip sole black shoes or black trainers

Occupational Therapists

White tunic top/polo shirt with green piping; green trousers, enclosed, flat, non slip sole black shoes or black trainers

Occupational Therapy Technicians / Assistants

White tunic top with thin green stripes on collar and cuffs; bottle green trousers or light blue dress with green piping, enclosed, flat, non slip sole black shoes or black trainers

Occupational Therapy Technicians / Assistants

White tunic top with thin green stripes on epaulettes; bottle green trousers enclosed, flat, non slip sole black shoes or black trainers

Pharmacy


Pharmacists White tunic top with turquoise piping; black trousers, enclosed, flat, non slip sole black shoes

Pharmacists White tunic top with turquoise piping; black trousers, enclosed, flat, non slip sole black



or black trainers shoes or black trainers

Pharmacy Technicians

Turquoise tunic top with white piping; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Pharmacy Technicians

Turquoise tunic top with white piping; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Pharmacy

Assistants

Turquoise tunic top with white collar and cuffs; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Pharmacy Assistants

Turquoise tunic top with white collars and cuffs; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Phlebotomy


Phlebotomists White tunic with burgundy piping, black trousers, enclosed, flat, non slip sole black shoes. Black trainers that meet H&S standards may also be worn

Phlebotomists White tunic with burgundy epaulettes, black trousers, enclosed, flat, non slip sole black shoes. Black trainers that meet H&S standards may also be worn



Phototherapy


Photo therapists

White tunic top or polo shirt with purple and white stripes collar and cuffs; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Photo therapists

White tunic top or polo shirt with purple and white stripes collar and cuffs; black trousers, enclosed, flat, non slip sole black shoes or black trainers

Physiotherapy


Physiotherapy White tunic top/polo shirt with navy piping; navy trousers/shorts or white dress with navy piping, enclosed, flat, non slip sole black shoes or black trainers

Physiotherapy White tunic top/polo shirt with navy piping; navy trousers/shorts, enclosed, flat, non slip sole black shoes or black trainers

Technical Instructors

White tunic top with 3 thin navy stripes on collar and cuffs, navy trousers, enclosed, flat, non slip sole black shoes or black trainers

Technical Instructors

White tunic top with 3 thin navy stripes on collar and cuffs, navy trousers, enclosed, flat, non slip sole black shoes or black trainers

Department Assistants

Light blue tunic top/ polo shirt with navy piping; navy trousers/shorts or light blue dress with navy piping, enclosed, flat, non slip sole black shoes or black trainers


Light blue tunic top/polo shirt with navy piping; navy trousers/shorts, enclosed, flat, non slip sole black shoes or black trainers

Student / Bank/ Agency Physiotherapists

White tunic top with navy trousers, or white dress, enclosed, flat, non slip sole black shoes or black trainers

Student / Bank/ Agency Physiotherapists

White tunic top with navy trousers, enclosed, flat, non slip sole black shoes or black trainers



Radiology


Radiographers

& Sonographers

White tunic top or dress with hospital blue piping or white radiology polo shirt; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Radiographers

& Sonographers

White radiology polo shirt and black or navy trousers; enclosed, flat, non slip sole black shoes or black trainers


White tunic top with pale green /aqua piping; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers


Navy Radiology polo shirt; navy or black trousers; enclosed, flat, non slip sole black shoes or black trainers

Radiology Nurses

Sisters

Nurses

Navy theatre scrubs

Blue theatre scrubs

Theatre clogs, enclosed, non slip sole & have a heel strap

Radiology Nurses

Navy theatre scrubs

Blue theatre scrubs

Theatre clogs, enclosed, non slip sole & have a heel strap

CT Admin Staff White tunic with pale green piping; navy or black trousers enclosed, flat, non slip sole black shoes or black trainers

CT Admin Staff White tunic with pale green piping; navy or black trousers enclosed, flat, non slip sole black shoes or black trainers

Radiotherapy Department


Radiographers White tunic top with hospital blue piping; navy trousers, enclosed, flat, non slip sole black shoes or black trainers

Radiographers White V neck tunic top with hospital blue epaulettes; and navy trousers; enclosed, flat, non slip sole black shoes or black trainers


White tunic top; navy trousers; enclosed, flat, non slip sole black shoes


White V neck tunic top; navy trousers; enclosed, flat, non slip sole black shoes or



or black trainers black trainers

Reception Staff Grey skirt/trouser suit with green blouse, enclosed, flat, non slip sole black shoes or black trainers

Reception Staff Grey trouser suit with green shirt and grey tie, enclosed, flat, non slip sole black shoes or black trainers

Mould Room Technologist

White tunic top with grey piping; grey trousers, enclosed, flat, non slip sole black shoes or black trainers

Mould Room Technologist

White V neck tunic top grey piping; grey trousers enclosed, flat, non slip sole black shoes or black trainers

Trainee Assistant Practitioner

White tunic top with yellow piping; navy trousers; enclosed, flat, non slip sole black shoes or black trainers


White tunic V neck top with yellow piping; navy trousers; enclosed, flat, non slip sole black shoes or black trainers

Assistant Practitioner

White tunic top with hospital blue piping; navy trousers; enclosed, flat, non slip sole black shoes or black trainers


White tunic top with hospital blue piping; navy trousers; enclosed, flat, non slip sole black shoes or black trainers

Speech and Language Therapy (SALT)


Speech & Language Therapist

Aubergine tunic with SALT in gold embroidery, black trousers, enclosed, flat, non slip sole black shoes or black trainers

Speech & Language Therapist

Aubergine shirt with SALT in gold embroidery, black trousers, enclosed, flat, non slip sole black shoes or black trainers

Uniform Policy Rationale

Policy Rationale

Socks – Navy blue or black. (neutral) Should look smart and aid comfort at work.

Tights - Black or flesh coloured Should look smart and aid comfort at work.



Cardigans- MUST NOT be worn in clinical areas

Navy blue for nursing & physiotherapy. Green for Occupational therapists. Black for staff who wear black trousers

Smart and professional outside clinical areas. Infection risk in clinical areas.

Trousers - are preferable to dresses and must be full length.

Dresses reduce hip flexion by 10 per cent

Belts or buckles should not be worn with dress or around tunic tops.

May restrict lifting and handling.

Buckles may be a risk to patients when

Lifting i.e. may scratch patient.

Manual handling Operations Regulations (1992).

Infection risk.



Appendix 3 Trust Guide on Shoes

ACCEPTABLE DUTY SHOES NOT ACCEPTABLE DUTY SHOES

Non-slip sole, lace up style

Non-slip sole, high tongue loafer

Low heel shoes

“Crocs” or Croc style shoes

Flip flops, “Fit Flops” , “MBTs” or “Easytones”

High heels