Developing a policy
Policies and procedures
Policies are generally a position statement but because of the nature of general practice, these policies also include how the policy is implemented, therefore a policy and procedure are combined.
A procedure is a written description describing the series of steps taken to achieve a desired result.
The guidance provides essential detail for each criteria, including a section on each policy/procedure and what they should contain and include.
With clinical policies/processes where there is potential risk for patients, auditing is required to make sure that the policy and process are being adhered to. These policies/procedures include:
- 5.1. A documented clinical correspondence and investigations policy and procedure
- 9.1. A documented repeat prescribing policy and procedure.
- 9.2. Documented standing orders policy and procedures.
- 9.3. A documented medicine reconciliation policy and procedure in accordance with the Health Quality and Safety Commission Medical Reconciliation Standard 2012.
- 12.1 and 12.2 - Infection control and healthcare waste policies
How to structure a policy and/or procedure
Below is an example of a policy structure. Practices are not required to follow this format; however, assessors will be reviewing the practice’s policies and procedures for the main areas outlined below. Policies and procedures should be tailored to the practice. PHOs may have resources to support practices to create their own policies and procedures.
The College has provided key elements to include for required policies and procedures.