Policy

Lone Working Policy

Protecting staff who work alone or in isolation across surgery, home visiting and out-of-hours settings

For GP SurgeryRef BS-GP-POL-008See a sample (PDF) →
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Identifying and assessing lone-working risks
  • 6. Home visits and community lone working
  • 7. Lone working on the premises
  • 8. Chaperones and intimate examinations
  • 9. Communication, alarms and check-in arrangements
  • 10. Roles and responsibilities
  • 11. Training
  • 12. Records, monitoring and audit
  • 13. Related documents
  • 14. Version control and review
  • 15. Appendix A - Pre-visit lone-working checklist
  • 16. Appendix B - Lone-working incident / near-miss report form
  • 17. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment), Regulation 17 (Good governance), Regulation 18 (Staffing) and Regulation 19 (Fit and proper persons employed)
  • Care Quality Commission (Registration) Regulations 2009 - Regulation 18 (Notification of other incidents)
  • Health and Safety at Work etc. Act 1974 - sections 2 and 3
  • Management of Health and Safety at Work Regulations 1999 - Regulations 3 and 5
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013
  • Corporate Manslaughter and Corporate Homicide Act 2007
  • Equality Act 2010
  • UK General Data Protection Regulation and Data Protection Act 2018

Who it applies to

All employed, locum, sessional, bank, agency, student and contracted personnel of [Organisation Name] who at any time work alone, without close or direct supervision, or are otherwise out of sight or sound of colleagues - including GPs, nurses, healthcare assistants, phlebotomists, dispensary staff, reception and administrative staff, cleaners, maintenance and management staff, and those undertaking home visits or domiciliary care.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Alarm Receiving Centre
A staffed monitoring centre that receives alerts from personal safety devices around the clock and arranges an appropriate response.
Amber / red alert
Settings on a lone-worker device: amber signals that a worker has entered a potentially higher-risk situation and started a timed check-in, while red signals an emergency needing an immediate response.
Blood-borne virus (BBV)
An infection such as hepatitis B, hepatitis C or HIV that can be passed on through blood.
Breakaway and disengagement techniques
Trained physical skills that let a worker safely free themselves from being grabbed or held and move away from danger.
Buddy / nominated contact
A designated colleague who knows a lone worker's planned movements and check-in time and what to do if contact is not made.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Care Quality Commission (Registration) Regulations 2009
The rules setting out which incidents a registered provider must formally notify to the Care Quality Commission.
Chaperone
A trained person present during an intimate examination to support and protect the patient and the clinician.
Controlled drug
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Corporate Manslaughter and Corporate Homicide Act 2007
The law under which an organisation can be prosecuted if a serious management failure leads to a person's death.
Data Protection Act 2018
The UK law that sits alongside the UK General Data Protection Regulation and governs how personal information is handled.
De-escalation (conflict resolution)
Communication skills used to calm a tense or aggressive situation and reduce the risk of it turning violent.
Duress alert
A discreet signal sent from a personal safety device to summon help when a worker is threatened or in danger.
Dynamic risk assessment
The continuous on-the-spot judgement of risk by a worker in a changing situation, leading to a decision to proceed, adapt, or withdraw.
Enhanced and extended access
Appointments offered outside core surgery hours, such as evenings and weekends, to widen patient access to care.
Equality Act 2010
The law protecting people from discrimination based on characteristics such as age, disability, sex or race.
GPS location
Satellite positioning that pinpoints where a device, and so its user, is located.
Health and Safety at Work etc. Act 1974
The main UK law placing a duty on employers to protect the health and safety of staff and others affected by their work.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting the fundamental standards that providers of regulated health and social care must meet.
Hierarchy of control
A ranked approach to managing risk that starts by removing a hazard and, only if that is not possible, works down through safer alternatives and protective measures.
Information governance
The framework for handling people's personal and health information legally, securely and appropriately.
Lone worker
Anyone who works by themselves without close or direct supervision, or who is out of sight and sound of colleagues, for all or part of their working time.
Lone-worker device
A monitored personal safety device or smartphone application offering duress alerts, audio recording, GPS location and round-the-clock escalation to a monitoring centre or responder.
Management of Health and Safety at Work Regulations 1999
The regulations requiring employers to assess and manage the risks their work activities create for staff and others.
Markers / alerts
Documented warnings held against a patient or address, such as a history of violence or aggressive animals, used to flag risk before a visit.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Out-of-hours
Periods outside normal contracted surgery hours when urgent primary care still needs to be available.
Personal-attack (panic) alarm
A fixed or portable alarm a worker can trigger to call for immediate help when threatened.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Registered Provider
The individual or organisation legally registered with the regulator to carry on a service, holding overall accountability for it.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
The law requiring certain workplace injuries, diseases and dangerous events to be reported to the Health and Safety Executive.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Sharps
Needles, blades and other items that can cut or puncture the skin.
Significant-event analysis
A structured team review of a notable incident to understand what happened and what can be improved.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
So far as is reasonably practicable
A legal test meaning a risk must be controlled unless the time, trouble or cost of doing so is grossly out of proportion to the benefit.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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