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Regulatory information

Regulatory information

You can request a copy of any Policy or Procedure you wish to view through by contacting

View our Patient Access Policy

The development of local formularies and NICE

NHS organisations, including hospitals, must publish details about how they make medicines recommended by National Institute for Health and Clinical Excellence (NICE) technology appraisal guidance available for their patients. This is usually achieved through a local formulary.

What is NICE Technology Appraisal Guidance (TAG)?

NICE technology appraisal guidance makes recommendations on when and how new and existing medicines and treatments should be used in the NHS. (NICE, December 2012). For further information please refer to the NICE website:  

What is a Local Formulary?

At its most basic level, a 'formulary' is a list of medicines that are available for use within an organisation such as a hospital.  The main purpose of the formulary is to specify which medicines are approved for use under particular circumstances. Formularies take into account the efficacy, safety, and cost-effectiveness of medicines. A local formulary is the result of processes to support the managed introduction, utilisation or withdrawal of healthcare treatments within a local healthcare system, service or organisation. (NICE, Development and updating of local formularies, draft guidance, September 2012).

Does UHNM have a Formulary?

Yes. The formulary has been developed for NHS organisations in North Staffordshire and Stoke-on-Trent.  Medicines recommended for use in NICE TAs are incorporated automatically into the formulary.  This will be within three months of the NICE TA being published

How do I Access the Formulary?

You can view the formulary by visiting Stoke on Trent Clinical Commissioning Group's website​

Major incidents and civil emergencies

The NHS has a major role to play in the response to any major incident (or emergency, as defined by the Civil Contingencies Act). UHNM have a variety of roles to fill when responding to an emergency, both in support of the Staffordshire Category 1 Responders and in our role in the community. In order to get the most from the resources we have for this work and to ensure that all our patients receive the best possible help, we always work closely with our partners.

The Civil Contingencies Act 2004 defined UHNS (any Acute Hospital) as a Category 1 responder and as such placed on them six out of seven statutory duties to deliver a single framework for civil protection in the UK. Other Category 1 responders are:

The three Emergency Services

The Health Economies

All Local Authorities

The Environment Agency

The Act itself sets out the roles and responsibilities of local responders, ensuring consistency in civil protection activity to deal with the full range of emergencies from localised major incidents through to catastrophic emergencies. The seven Statutory Duties are:

  • Co-operation
  • Information Sharing
  • Risk Assessment
  • Emergency Planning
  • Working with the Voluntary Sector
  • Audit and Monitoring
  • Business Continuity Management
  • The Promotion of Business Continuity to the private sector is a duty placed only on Local Authorities.

What does this mean in practice?

During the immediate response to a major emergency, the Police will usually take a lead in co-ordinating the response and the local hospitals are likely to be called on to provide many different services in support of this response. To be prepared for this role UHNM has in place Major Incident and Business Continuity Plans.

As the emphasis moves from response to recovery, the NHS will co-ordinate with Resilience Partners in caring for the community involved and restoring the environment.

Civil Contingencies at UHNM​

UHNM has a Major Incident and Response Plan, which will be activated in the event of a major emergency. The plan sets out the steps we would have to take in order to deal with the emergency and also tries to envisage the many scenarios of such an emergency. As an NHS Trust, we are as prepared as we can be to deal with the aftermath of an emergency and we have regular training events to deal with mass casualties, train or plane crashes, major fires or chemical spillages etc.

One of the most important elements of any emergency is communication, particularly with members of the public, and we have systems in place to very quickly ensure that as much information as possible is passed on.

The Staffordshire Resilience Forum (SRF)

The Staffordshire Resilience Forum is a group made up of representatives from all of the Category 1 responders in Staffordshire. This group's objectives are to give strategic direction to the co-ordination of effort by emergency services and other agencies that respond to, and deal with, major incidents within the County.

The SRF's policy is to harmonise Civil Contingencies arrangements for an integrated response to disasters and emergencies and to direct an annual programme for planning, training and exercises.

The Civil Contingencies Unit (CCU)

The Local Authorities and NHS Health Economies all pay in to the Civil Contingencies Unit, who are responsible for co-ordinating Civil Contingency planning and training within Staffordshire. The main functions of the Civil Contingencies Unit include:

  • Planning 
  • Training and exercises
  • Operational Support via a 24/7/365 Duty Officer
  • Staffordshire Resilience Forum Secretariat

 What can you do to help yourself in emergencies?

If you find yourself in the middle of a major incident, your common sense and instincts will usually tell you what to do. However, it is important to:

  • Make sure 999 has been called if people are injured or if there is a threat to life
  • Not put yourself or others in danger
  • Follow the advice of the emergency services
  • Try to remain calm and think before acting, and try to reassure others
  • Check for injuries - remember to help yourself before attempting to help others
  • If you are not involved in the incident, but are close by or believe you may be in danger, in most cases the advice is:
                • Go inside a safe building
                • Stay inside until you are advised to do otherwise
                • Tune in to local radio or TV for more information

Of course, there are always going to be particular occasions when you should not "go in" to a building, for example if there is a fire. Otherwise GO IN, STAY IN, TUNE IN.

ICE - In Case of Emergency

Have you put 'ICE' in your mobile? Storing 'ICE' along with a name and telephone number will enable the emergency services to quickly contact someone for you in the event of an emergency. Eight out of ten people in the UK carry no next of kin details yet 80 percent carry a mobile phone, most of whom have it on them all the time. There is no simpler way of letting the emergency services know who to contact should you be involved in an accident than by using ICE. Standing for In Case of Emergency, ICE will allow the emergency crews to quickly contact a nominated person who can be informed of the incident.


Major emergencies are rare. It is perfectly possible that you will never be involved in one in your lifetime. It is the role of Emergency Planning in the NHS to make sure that you remain safe and that, should anything happen, we are prepared and respond in a professional way to make sure that the community suffers as little as possible.​

The Care Quality Commission has now published their official report confirming that University Hospitals of North Midlands NHS Trust has been rated as Requires Improvement following an inspection in summer 2019.

A series of visits took place between 5 June and 1 August 2019 during which the CQC inspected the trust's core services at Royal Stoke University Hospital and County Hospital in Stafford. These services included; urgent and emergency care, medical care, surgery, maternity and gynaecology, children and young people's services and end of life care; and they carried out an inspection under CQC's question of whether the service is well-led.

UHNM is rated Requires Improvement overall as well as for whether its services are safe, effective, responsive and well-led. It is rated Good for whether services are caring.

The Trust received feedback from inspectors at the time of the visits and action has been taken to address areas where it was felt that further assurance was needed.  

In line with NHS England guidance, all decision making staff are required to declare on appointment, on acquisition of an interest and thereafter on an annual basis, any interests they have (including other employment) which may be in conflict with their Trust duties. A copy of our Standards of Business Conduct Policy is available here.

Declarations of Interest 22-23 – Published November 2023 Of the 1,246 declarations received, 924 had nothing to declare.

Declarations of Interest 23-24 – Published May 2024 Of the 922 declarations received to date, 741 had nothing to declare.

UHNM Declarations of Gifts, Hospitality and Sponsorship - Published February 2024

UHNM Declarations of Gifts, Hospitality and Sponsorship - Published May 2024

G6 self-certification

FT4 declaration

UHNM Declarations of Interests - Non-Returns 2022 / 2023