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Class Five: Our policies and procedures

Here you will find:

Policies and procedures relating to the conduct of business and the provision of services, and human resources, including recruitment and employment policies

The Health Board’s Policy on Policies sets out the various roles and responsibilities and the route to be followed when developing or updating Health Board wide policies, procedures and other written control documents and distributing them as appropriate within the Health Board.

All formal policies have to be approved by the Board or one of its Committees. 

Policies/procedures and other written control documents that are not Health Board wide will be the responsibility of the relevant Directorate/Area policy lead.  

For further information please contact:


Health and safety
Equality and diversity
Welsh language scheme in accordance with the Welsh Language Act 1993
Standing orders and financial instructions / procedures
Data protection  / Records Management  / Caldicott Guardian

Information Governance is a framework that brings together legal, ethical and quality standards that apply to the handling of information; it applies to sensitive and personal information, of any individuals, including employees and patients.  In the Health Board this is overseen by the Performance, Finance & Information Governance Committee (PFIGC), and is managed on a day to day basis by the Information Governance team in accordance with Data Protection legislation and the Common Law Duty of Confidentiality.  The PFIGC reports directly to the Board.

A senior person, usually a health professional, is nominated to act as a Caldicott Guardian, specifically responsible for safeguarding the confidentiality of patient information. The person appointed for Betsi Cadwaladr University Health Board is Mr Nick Lyons, Executive Medical Director.

The Health Board's Data Protection Officer is Mrs Justine Parry, Assistant Director of Compliance and Business Management.

The Health Board's Senior Information Risk Officer is Mr Dylan Roberts, Chief Digital and Information Officer.
If you wish to contact any of the above roles please email:

Information Governance sits alongside clinical and corporate governance, and focuses on ensuring that information is handled in a safe and secure manner.

NHS Wales has produced a leaflet entitled 'Your Privacy Your Rights' which explains why the NHS collects information about patients and how the information is used.  It gives details on the patients' right to see their health record and how to gain access to them.

The Information Commissioner’s Office (ICO) is the UK regulator for Data Protection and Freedom of Information legislation, set up to uphold information rights in the public interest, promoting openness by public bodies and data privacy for individuals.

Estate management
Charging regimes and policies