Policy

Business Continuity Policy

Maintaining safe clinical care and critical functions during disruption, emergency and major incident

For Private Healthcare ClinicRef BS-PH-POL-001See a sample (PDF) →
£54.99
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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. Business impact analysis and risk assessment
  • 6. Incident response and command structure
  • 7. Scenario-specific clinical continuity arrangements
  • 8. Communications during disruption
  • 9. Notifications and regulatory duties
  • 10. Roles and responsibilities
  • 11. Training and awareness
  • 12. Records, monitoring and audit
  • 13. Related documents
  • 14. Version control and review
  • 15. Disclaimer
  • Appendix A: Business continuity invocation checklist
  • Appendix B: Key contacts and dependencies log

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance)
  • Civil Contingencies Act 2004 and the Civil Contingencies Act 2004 (Contingency Planning) Regulations 2005
  • Care Quality Commission (Registration) Regulations 2009, Regulation 18 (Notification of other incidents)
  • Emergency Preparedness, Resilience and Response (EPRR) framework issued by the relevant national health body
  • ISO 22301:2019 Security and resilience - Business continuity management systems
  • UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018
  • Health and Safety at Work etc. Act 1974 and the Management of Health and Safety at Work Regulations 1999
  • Control of Substances Hazardous to Health Regulations 2002 (COSHH) and the Regulatory Reform (Fire Safety) Order 2005

Who it applies to

All directors, registered managers, clinical and non-clinical staff, agency and bank workers, contractors and volunteers of [Organisation Name]

Glossary

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

Accountable Officer
The senior person who holds overall responsibility for major-incident decisions and for authorising changes to the service during a disruption.
Bank worker
A member of staff who works flexible or ad-hoc shifts for the organisation rather than fixed contracted hours.
Business continuity
An organisation's ability to keep delivering its essential services, or restore them quickly, when something disrupts normal operations.
Business continuity management system (BCMS)
The overall set of plans, processes and responsibilities an organisation uses to manage business continuity.
Business continuity plan (BCP)
A practical document setting out how a particular service will keep running, or recover, during a specific type of disruption.
Business Impact Analysis (BIA)
A review that works out which activities matter most, how quickly they must be restored, and what they depend on.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Civil Contingencies Act 2004
The law that sets out how organisations must prepare for and respond to emergencies in the United Kingdom.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Commissioner
An organisation that arranges and pays for healthcare services on behalf of patients.
Control of Substances Hazardous to Health Regulations 2002 (COSHH)
The law for safely managing chemicals and other hazardous substances at work.
Controlled drug
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Cyber-attack
A deliberate attempt to damage, disrupt or gain unauthorised access to computer systems or data.
Data breach
An incident where personal information is lost, stolen, or accessed or shared without proper authority.
Data Protection Act 2018
The UK law that sits alongside the UK GDPR and governs how personal information must be handled.
Data Protection Officer (DPO)
The named person responsible for overseeing how an organisation protects and uses personal data.
Decontamination
The combined process of cleaning, disinfecting and, where needed, sterilising equipment so it is safe to reuse.
Duty of Candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Electronic patient record (EPR)
The digital record holding a patient's clinical information, used in place of paper notes.
Emergency Preparedness, Resilience and Response (EPRR)
The arrangements health organisations use to plan for, respond to and recover from emergencies and major incidents.
Grab-pack
A ready-prepared pack of key documents and contacts that can be picked up and used immediately in an emergency.
Health and Safety at Work etc. Act 1974
The main law setting out employers' duties to protect the health and safety of staff and others.
Health and Safety Executive (HSE)
The national body responsible for regulating and enforcing workplace health and safety.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that registered care providers must meet.
Incident Coordination Group
The team brought together to manage and direct the response to a disruptive incident.
Infection prevention and control (IPC)
The measures used to stop infection spreading between patients, staff and visitors.
Information Commissioner's Office (ICO)
The UK regulator that upholds information rights and enforces data-protection law.
Invocation
The formal decision to switch on a business continuity plan and start the emergency response.
ISO 22301:2019
An internationally recognised standard that sets out good practice for business continuity management.
Local Resilience Forum
A multi-agency partnership of local responders, such as emergency services and councils, that plans for emergencies in an area.
Locum
A clinician who stands in temporarily to cover for a regular member of staff.
Loggist
A person whose role during an incident is to keep an accurate, timed record of decisions and actions.
Major incident
A serious event whose consequences need special arrangements by one or more responding organisations.
Maximum Tolerable Period of Disruption (MTPD)
The longest a critical activity can be interrupted before the impact becomes unacceptable.
Medical gases
Gases such as oxygen used in clinical care, usually supplied through pipes or cylinders.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Personal protective equipment (PPE)
Items such as gloves, aprons and masks worn to protect against harm or infection.
Ransomware
Malicious software that locks or encrypts an organisation's data until a ransom is paid.
Recovery Point Objective (RPO)
The maximum amount of data, measured as a period of time, an organisation can afford to lose in a disruption.
Recovery Time Objective (RTO)
The target time within which a critical function must be back up and running after a disruption.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Regulatory Reform (Fire Safety) Order 2005
The law that places duties on responsible people to manage fire safety in non-domestic premises.
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 register
A managed list of the risks facing an organisation, with their likelihood, impact, owners and controls.
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).
Sterile services
The facility or service that cleans, disinfects and sterilises reusable medical equipment.
Temperature excursion
An occasion when stored medicines or vaccines go outside their safe temperature range.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
UK Health Security Agency (UKHSA)
The national body responsible for protecting the public from infectious diseases and other health threats.
Uninterruptible power supply (UPS)
A battery-backed device that keeps equipment running for a short time when mains power fails.

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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