ࡱ>  }tuvwxyz{| ebjbjcTcT 3>> yyy(mTy=k$))()))`-`-`-jjjjjjjampj+7 -@`-+7+7j))7j<<<+7))j<+7j<<cXg) ?yI8d(j k0=kep8pPgpg$`-h0*<2N4`-`-`-jj:`-`-`-=k+7+7+7+7p`-`-`-`-`-`-`-`-`- :  Records Management Retention and Disposal Schedule Title:Record Management Retention and Disposal Schedule Purpose of Schedule:To give staff guidance on how long records should be kept for business/administrative purposes and for the identification of records for permanent retention and preservation. Directorate Responsible:Finance and ICT Directorate Name and Title of Author:Miss Alison Vitty, Corporate Manager Publication Date:01/10/2009 Review:01/10/2010Version: NIAS/TW/IG/5 v1October 2009Previous to the development of this schedule records have been managed in line with DHSSPS Guidance (December 2004) Good Management, Good Records. This document was externally reviewed and timescales for documentation agreed with by the Public Records Office of Northern Ireland. Circulation List: Following approval, this document will be circulated to the following staff and groups of staff. All Trust Staff Trust Internet/Intranet Site Retention and Disposal Schedule 1.0 Background The Northern Ireland Ambulance Service Health and Social Care Trust (the Trust) was established in 1995 and operates as a single Northern Ireland wide Ambulance Trust serving a population of approximately 1.7 million across Northern Ireland. The Trust is one of the six Health and Social Care (HSC) Trusts and operates regionally across Northern Ireland The Trust is a regional service providing ambulance services to the people of Northern Ireland twenty four hours per day, seven days per week, and three hundred and sixty five days per year. We respond to the needs of a population of Northern Ireland in excess of 1.7 million people in the pre-hospital environment. It has an operational area of approximately 14,100 sq kilometres, serviced by a fleet of 243 ambulances (Accident & Emergency and Patient Care Service). We employ approximately 1,170 staff across 50 plus ambulance stations and sub-stations; Regional Emergency Medical Dispatch Centre; Regional Non-Emergency Medical Dispatch Centre; Ambulance Headquarters; and a Regional Ambulance Training Centre. The range of ambulance services provided by the Trust to the public include: Emergency response to patients with sudden illness and injury; Non-Emergency Patient Care and Transportation. The journeys undertaken cover admissions, hospital outpatient appointments, discharges and inter-hospital transfers; Specialised health transport services; Training and education of ambulance professionals; Planning for and co-ordination of major events, mass casualty incidents and disasters; Support for community based First Responder services; Stand-by at special events; Community Education; Out-of-hospital care research. 2.0 Introduction Good management of records is central to the effective and efficient delivery of care and services within the Northern Ireland Ambulance Service Health and Social Care Trust. The destruction of records is an irreversible act, while the cost of preserving records worthy of permanent preservation is of utmost importance and value. This Retention and Disposal Schedule is intended to give clear guidance on how long records should be kept (both manual and electronic) for business/administrative purposes and on the identification of records for permanent retention and preservation. Records created by the Northern Ireland Ambulance Service Health and Social Care Trust as defined by Public Records Act (Northern Ireland) 1923. As such, records do not belong to the creator but are subject to all aspects of the above legislation. All staff must ensure that records are managed and handled in accordance with the Trusts Retention and Disposal Schedule. The destruction of records is an irreversible act that must not be taken lightly. All HSC Trusts have a statutory duty to make arrangement for the safekeeping and eventual destruction of records. The Retention and Disposal Schedule identifies the minimum retention periods based on legal and other requirements. The retention of records beyond the minimum period must be justified. In identifying records suitable for retention or disposal, consideration should be given to the following: Local business requirements/instructions e.g. Where the record is, or might be, relevant to legal proceedings; Where the record is, or might be, relevant to a pending claim or other matter which could result in legal proceedings; Where the record is, or might be relevant to a complaint that already has commenced or is pending; Where the record is, or might be relevant to disciplinary proceedings Preservation of records, whose use/value cannot be anticipated fully at the present time but which may be of value to future generations. The provisions of the Data Protection Act 1998. 3.0 Objectives of the Schedule 3.1 The key objectives of this policy are: To ensure that all staff are aware of the importance of effective records management, including their final disposal; To ensure the legal obligations of the Data Protection Act 1998, the Freedom of Information Act 2000 and other relevant statutory legislation are adhered to in relation to the disposal of records; To provide a consistent approach to the manner in which records are retained and disposed of. 4.0 Scope of the Schedule 4.1 This schedule applies to all employees of the Trust, including permanent, temporary and contract workers who come into contact with information. 4.2 All HSC bodies have a common law duty of confidence to patients and staff alike. Everyone working in the Trust who records, handles, stores or otherwise comes across patient or personal information has a duty to maintain this confidentiality. This includes selecting a method of disposal that will uphold this requirement. 5.0 Storage of Records 5.1 To ensure compliance with this Retention and Disposal Schedule, each Directorate area/Department must have in place an effective records management system. This should cover procedures in relation to areas of filing, archiving and disposal and should enable staff to access records, archive when necessary and ultimately dispose of them. It is essential that records are easily accessible (both manual and computerised) for the purpose of access requests under the Data Protection Act 1998, the Freedom of Information Act 2000 or legislative principles. 5.2 Records should be stored securely, when not in use, in lockable desk drawers, cabinets, safes or room. The accommodation should comply with health and safety requirements, have proper environmental controls and adequate protection against fire, flood and theft. Further guidance is available in Records Management Information Sheets. 6.0 Retention Periods The Public Record Office of Northern Ireland (PRONI) want to preserve papers which will provide information on the HPSS to future generations. They are interested in the development of organisational structure which is a useful tool for researchers. The following list provides guidance on some of the issues for which they want to preserve records. This list is by no means exhaustive. Materials relating to appointments to public bodies i.e Chairpersons and Board Members of Hospitals, Trusts etc. Minutes and policy papers of (consultation) of public bodies. Papers relating to the granting of Trust status to individual hospitals and to the roll-out of HSS Trusts or similar bodies. Papers relating to the organisation of the Health and Social Services Board at the local level e.g. the creation of the Area Health and Social Services Board in 1973. Strategic, operational and business plans, annual reports and statements of accounts of DHSSPS/HPSS, Trusts, Health and Social Care Boards, Agencies and other related bodies. Papers relating to criminal negligence or malpractice in the HPSS. Papers relating to emergency planning. Material that records how The Troubles have impacted on the HPSS e.g. responses to emergencies, provisions of services, bomb blasts etc Managers need to consider whether exceptional circumstances e.g events of local or national significance reflected in records) require records to be kept for longer periods for specific purposes. In such cases, PRONI should be informed. To do this, contact should be made with the Corporate Manager. They will have the ultimate decision as to whether or not such records will be permanently preserved. 7.0 Interpretation of the Schedule This Schedule covers all records regardless of the medium in which they are held e.g. Patient Report Forms (electronic or paper based) C3 Records Emails Letters, reports, finance records Computerised records Scanned documents Photographs, slides and other images If viewed in electronic format, the search facility in Word or PDF can be used to search for particular record types. You should also remember that records containing personal information are subject to the Data Protection Act 1998. The recommended minimum retention periods reflect both long-standing good practice and statutory requirements. Where legislation is applicable, it is mentioned in the Schedule. The Schedule has 6 columns: Title  Subject Work AreaThe main area of work or classification under which each record fallsRefFacilities the use of and reference to Record Type within the ScheduleRecord TypeIdentifies the type of records generated within each respective work area Minimum Retention PeriodThe retention period is normally calculated from the date the file is closed. In some cases, this differs, and in these instances the reasons are explained. The minimum retention period is the length of time that the Trust requires the record for administrative need.Legislation/SourceRecords are kept for a specific time because of statutory requirements. The column states the appropriate legislation, where applicable.Final ActionThere are five possibilities: Destroy: The file should automatically be destroyed by the organisation PRONI Permanent Preservation The Public Records Act (NI) 1923 gives PRONI the authority to preserve those records it considers worthy of preservation. They aim to select and preserve those records, which provide a legal or historical record of the past, and to make these available for consultation and research Retain Permanently These records should be maintained permanently in the Trust. Determined on Review In some cases, the files have been selected for review. This is either because PRONI want to consider their value at the review stage or because their administrative use is not certain at present. This first review will take place 5 years after the file was closed. Special Review by PRONI These records should be made available to PRONI without prior investigation by the Trust so that PRONI can assess their historical value. The minimum retention periods should be calculated from the beginning of the year after the last date on the record. For example, a file in which the first entry is in February 2004 and the last in September 2007, and for which the retention period is seven years, should be kept in its entirety at least until the beginning of 2014. 8.0 Who Makes the Decision Regarding Disposal and Destruction of Records? 8.1 Disposal does not necessarily mean destruction. There are two principal options: to dispose (eg by passing on to another organisation) or to destroy. Staff in the operational area that ordinarily uses the records will usually be able to decide. Senior Managers in Directorate areas are responsible for making sure that all records are periodically and routinely reviewed to determine what can be disposed of or destroyed in the light of local and national guidance. 8.2 As most HSC records, including administrative ones contain sensitive or personal information, those that are destroyed must have their confidentiality safeguarded. Therefore the method used to dispose of the records must be fully effective in securing their legibility. Patient Report Forms (PRFs) PRFs retained in paper format will be destroyed by shredding once their retention period has passed. Identifiable and Confidential Information All information containing information sufficient to identify its subject both patient and staff, should be disposed by shredding. Likewise, non personal information considered to be confidential must be destroyed by shredding. Non-Identifiable and Non-Confidential Information Information containing non-personal identifiable information or that is considered to contain non-confidential non-personal information can be disposed of in the clearly marked Recycled Waste Sacks. The Trust has in place Service Level Agreements with relevant suppliers to ensure the safe management of shredded, confidential and recycled information. NIAS RECORD MANAGEMENT RETENTION AND DISPOSAL SCHEDULE WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONAmbulance Service Specific RecordsAMB1Patient Report Forms (patient identifiable components) 26 yearsLimitation Act 1980DESTROYAMB2AS1, AS2, AS3 Records10 yearsDESTROYAMB3Audio tapes of calls e.g. 999 calls, patient transportation requestsRetain taped calls for 3 years providing all relevant information has been transferred to the appropriate patient record When the information is NOT transferred into a patient record, the tapes should be retained for 10 yearsLimitation Act 1980DESTROYAMB3Clinical Audit Records5 yearsDESTROYAMB4Data collected in the course of researchRetain for an appropriate period, to allow further analysis by the original or research team subject to consent, and to support monitoring by regulatory and other authoritiesDESTROYAMB4Vehicle equipment, maintenance logs, records of service inspections, vehicle log booksLifetime of equipmentDESTROYAMB5Records of destruction of health related recordsPermanentlyRetain permanently within organisation WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONAMB5Risk Assessment RecordsRetain the last risk assessment for a period of 1 year until a new one replaces itDESTROYAMB6CCTV Images31 days (records that our part of an investigation may be held for a longer defined period)Information Commissioners Code of Conduct DESTROYAMB7Recordings documenting the archiving, transfer to public records archive or destruction of records15 yearsDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONAccident/IncidentsA1Record sheets/book Forms Reports10 years from the occurrence or last entry or until the 21st birthday whichever is the greaterDESTROYA2Record sheets (where litigation has commenced)10 years from the date proceedings have been completed or at the 21st birthday whichever is the later, subject to legal adviceDESTROYA3(RIDDOR) register10 years from the occurrence or until the 21st birthday whichever is laterReporting of Injuries, Diseases and Dangerous Occurrences NI 1997DESTROYComplaintsB1Correspondence, investigation and outcomes10 years from completion of the action.The Public Records Office of NI should be invited to sample these records. If they decide not to preserve them the records should be destroyedB2Returns made to the DepartmentFiles are closed annually and kept for 6 years following closure. DESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONContracts /Service Level AgreementC1Approval files15 yearsDetermined on reviewC2Approved suppliers lists11 yearsConsumer Protection Act 1987DESTROYC3Contracts non sealed (property) on termination6 years from date of practical completionThe Limitation (Northern Ireland) Order 1998DESTROYC4Contracts non sealed (other) on termination6 yearsThe Limitation (Northern Ireland) Order 1998C5Contracts (including capital works contracts) sealedContracts under seal and associated records should be kept for a minimum of 15 years. When they reach 15 years old they should be reviewed and PRONI invited to examine themDetermined on Review C6Contractual arrangements with hospitals or other bodies outside the Health Service including papers relating to financial settlements made under the contract6 yearsDESTROYC7Tenders (successful)15 yearsDESTROYC8Tenders(unsuccessful)6 yearsDESTROYEquipmentD1Forms Surgical Appliances AP1, 2, 3 and 42 years from completion of auditDESTROYD2Inventories (not in current use) of items having a life of less than 5 years.1.5 yearsDESTROYD3Inventories of plant and permanent or fixed equipmentPermanentDESTROYD4Inventories of furniture, medical and surgical equipment not held on store charge having a minimum life of 5 yearsPermanentDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONEquipment ContinuedD5Products liability11 yearsConsumer Protection (Northern Ireland) Order 1987DESTROYEstatesE1Buildings and engineering works, inclusive of major projects abandoned or deferred key records, (e.g. final accounts, surveys, site plans, bills of quantities)PermanentRetain permanently within organisationE2Buildings and engineering works, inclusive of major projects abandoned or deferred town and country planning matters and all formal contract documents (e.g. executed agreements, conditions of contract, specifications, as built record drawings and documents on the appointment and conditions of engagement of private buildings and engineering consultantsPermanent Retain permanently within organisationE3Buildings papers relating to occupation (but not Health and Safety information) of the building3 years after occupation ceasesConstruction (Design Management) Regulations (NI) 1995Determined on reviewE4Drawings/CAD DrawingsPermanentThe Public Records Office of NI should be invited to sample these records. If they decide not to preserve them the records should be destroyedE5Deeds of Title/Title DeedsPermanentRetain permanently within organisation  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONEstates ContinuedE6Engineering WorksPermanentRetain permanently within organisationE7Inspection reports e.g. boilers, lifts etcLifetime of an installation. Normally retain for the lifetime of an installation. However, it is necessary to asses whether obligations incurred during the lifetime may not be invoked until afterwards, in which case a judgement must be made. If there is any measurable risk of a liability in respect of installation beyond their operational lives, records of this kind should be retained indefinitely.Consumer Protection (Northern Ireland ) Order 1987DESTROYE8Land surveys/registers20 yearsDESTROYE9Fire Training Records5 yearsDESTROYE10Fire Inspections5 yearsDESTROYE11Health and Safety InformationUntil cancelled or supersededDESTROYE12Leases, the grant of leases, easements, Licences and other rights over property3 years after expiryDESTROYE13Maintenance Contracts Routine6 yearsDESTROYE14Maintenance requisition books/job dockets6 years after the last entry in the bookDESTROYE15Medical Device/Equipment AlertsUntil reviewed or withdrawn by NIAICDESTROYE16Manuals Operating/MaintenanceLifetime of equipmentDESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONEstates ContinuedE17MapsRetain permanentlyThe Public Records Office of NI should be invited to sample these records. If they decide not to preserve them the records should be destroyedE18Plans Buildings (as built)LifetimeThe Public Records Office of NI should be invited to sample these records. If they decide not to preserve them the records should be destroyedE19Plans Buildings (detailed)LifetimeThe Public Records Office of NI should be invited to sample these records. If they decide not to preserve them the records should be destroyedE20Plans EngineeringLifetime of buildingDESTROYE21Property Acquisitions DossiersPermanentMaintain permanentlyE22Property Disposal DossiersPermanentDESTROYE23Site FilesLifetimeDESTROYE24Structure Plans (LAs)Lifetime of building then reviewDetermined on reviewE25Surveys Buildings and Engineering WorksLifetime of Building DESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONFinanceF1Annual Accounts (final one set only)PermanentPrepared in pursuance of the Health and Personal Social Services (Northern Ireland) Order 1972A copy of the final published accounts should be sent to PRONI background papers retained permanentlyF2Audit records original documents2 years from completion of auditDESTROY F3Audit reports (including management letters, and system/final accounts memorandum)2 years after formal clearance by Statutory AuditorDESTROYF4Cost Accounts3 yearsDESTROY F5Accounts Minor Records a. Pass-books, bank statements of accounts, pay in slips, lodgement slips, counterfoils, cancelled and discharged cheques, accounts of petty cash expenditure, travelling and subsistence accounts, minor vouchers including duplicate receipt books, income records, receipt for registered mail, forms used in connection with the supply of surgical appliances, laundry lists and receipts. 2 (from completion of the audit) The Limitation (NI) Order 1989DESTROY b. Working Papers3 (from completion of the audit)DESTROY c. Debtors records cleared2 (from completion of the audit)DESTROY d. Debtors records uncleared6 (from completion of the audit)DESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONFinance ContinuedF6Advice notes (Delivery statement, or note advising what is in a package, or what is coming. They are usually received in advance of the invoice)2 yearsDESTROY F7Benefactions/Endowments/Trust Fund Documents relating to benefactions, special donations and memorials of any sort covered by Health Service Legislation.5 years after the end of the financial year in which the Trust monies become finally spent of the gift in kind was accepted Cases where the benefaction of endowment Trust fund/capital/interest remains permanent, the records should be permanently retained by the organisation DESTROY Retain permanentlyF8Bills, receipts and cleared cheques6 yearsDESTROY F9Budgets2 years from completion of auditDESTROY F10Buying orders for goods and services6 yearsDESTROYF11Capital Charges Data2 years from completion of auditDESTROY F12Capital Paid Invoices6 years following the end of the financial year to which they relateThe Limitation (Northern Ireland) Order 1989DESTROY F13Cash Books6 years following the end of the financial year to which they relateThe Limitation (Northern Ireland) Order 1989DESTROY F14Cash Sheets6 years following the end of the financial year to which they relateThe Limitation (Northern Ireland) Order 1989DESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONFinance ContinuedF15Creditor Payments3 years following the end of the financial year to which they relateDESTROYF16Delivery notes2 years following the end of the financial year to which they relateDESTROY F17Demand notes6 years following the end of the financial year to which they relateDESTROY F18Estimates including supporting calculations and statistics3 years following the end of the financial year to which they relateDESTROY F19Expense claims including travel and subsistence claims claims and authorisation6 years following the end of the financial year to which they relateDESTROY F20Excess fares7 years after payment ceasesDESTROY F21Funding data6 years following the end of the financial year to which they relateDESTROY F22Income and expenditure journals6 years following the end of the financial year to which they relateDESTROY F23Invoices6 years following the end of the financial year to which they relateThe Limitation (Northern Ireland) Order 1989DESTROY F24Ledger Records including such documents as cash books, ledgers, income and expenditure journals, nominal rolls, non exchequer funds records (patient monies) 6 years following the end of the financial year to which they relatePRONI to review WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONFinance ContinuedF25Mortgage documents (acquisition, transfer and disposalPermanentPRONI to reviewF26Receipt for registered and recorded delivery mail2 years following the end of the financial year to which they relateDESTROY F27Receipts2 years following the end of the financial year to which they relateDESTROY F28Requisitions2 yearsDESTROY F29VAT records6 years following the end of the financial year to which they relateDESTROY F23Value for money (VFM) reports. Created or instigated internally in the organisation.Normal review (ie 10 years)Determined on reviewInformation Technology (IT)L1Software licencesLifetime of softwareDESTROYL2IT StrategyClose when strategy is signed off or project finished. 2 years afters closure or until suspended.DESTROYL3Development of WebsiteClose at end of project. 2 yearsDESTROYL4Development of IntranetClose at end of project. 2 yearsDESTROYL5Y2K compliance documents7 yearsDESTROY  WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONLegalJ1Records/documents related to any form of litigationAs advised by legal advisor. All records to be reviewed. Normal review 5 years after the file is closed.Determined on Review OrganisationK1Agendas of Trust Board meetings (master copies including associated papers) Minutes of the Trust Board, major Committees and sub-Committees i.e Audit Committee, Remuneration Committee, Clinical Governance Committee, Risk Management Committee (including associated papers) Agendas other20 years 20 Years 2 yearsTransfer to PRONI Transfer to PRONI DESTROYK2Annual/Corporate Reports20 yearsDestroy background papers. PRONI should be added to the circulation list and copy of each published annual/Corporate report sent to themK3Minutes reference copies1 yearsDESTROYK4Business Plans including HWIPs and Trust Delivery Plans20 yearsDestroy background papers. PRONI should be added to the circulation list and copy of each published annual/Corporate report sent to them WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONOrganisation ContinuedK5Assembly Questions, Parliamentary Questions, MLA/MP Enquiries from Stormont10 years (normal review process)Determined on reviewK6CCTV ImagesTo be retained for 28 days and then permanently erased (in line with DATA Commissioners Code of ConductDESTROYK7Correspondence and other papers of minor or ephemeral importance not covered elsewhere e.g. Advertising matter; Covering letters; Reminders; Letters making appointments, Anonymous or unintelligible letters Drafts; Duplicates of documents known to be preserved elsewhere (unless they have important minutes on them), indexes and registers complied for temporary purposes; Routine reports; Punched cards; Other documents which have ceased to be of value of settlement of the matter involved. 3 years after the settlement of manner to which it relatesDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONOrganisation ContinuedK8Departmental Enquiries10 years normal review processDetermined on reviewK9Departmental Enquiries (admin)Review after enquiry has endedDetermined on reviewK10Departmental Enquiries under legislationSee guidance on Special Category records in Section 8Health and Personal Social Services (NI) Order 1972, Article 54All papers transferred to PRONI on completion of the enquiryK11Dairies other Diaries Chief Executive Diaries which contain details of staff travelling5 years following the calendar year to which they relate Review 5 years following the calendar year to which they relate 6 years following the calendar year to which they relateDESTROY Determined on review DESTROYK12Disposal Schedules/indexes (documents describing public records marked for permanent preservation or containing the management of public records) background papers Disposal Schedules (actual signed schedule or indexes)Review at 10 years PermanentPublic Records Act (NI) 1923 and Disposal of Documents Order 1925 Determined on review A copy is permanently retained in the HPSS organisation and a copy should be sent to PRONIK13Documents more than 100 years oldAny records currently held should be referred for a special PRONI reviewSpecial review by PRONI WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONOrganisation Continued K14Equality and good relations: documents created or used specifically for the purposes of meeting statutory duties placed on public bodies regarding the promotion of equality and good relations including equality schemes and background documents; documents relating to the equality screening of policies and equality impact assessments; annual statements to the Equality Commission on the implementation of duties; equality training plans and materials 7 yearsDetermined on reviewK15Governance and quality assurance recordsReview 15 yearsDetermined on reviewK16Guidance and circulars received from the DepartmentUntil cancelled or supersededDESTROYK17Policy, procedures, and guidelinesUntil policy or procedures are revised. Review at change/revisionDetermined on ReviewK18Staff photographs held in personal file Photographs Other e.g. events, Public RelationsLifetime of file 1 yearDESTROY DESTROYK19Press Cuttings Press Releases1 year 7 yearsDESTROYK20Project Board Teams Review 5 years after project completedDetermined on ReviewK21Project Team Files5 years after project completedDESTROYK22Publication Scheme background papers relating to the development of the Publication Scheme10 years. Close when publication scheme finalisedDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONOrganisation ContinuedK23Finalised Publication SchemePermanently within the Trust. Copy should be sent to PRONIFreedom of Information Act 2000, Section 9Retain permanently K24Security PassRetain currently onlyDESTROYK25Request for access to patient/client/own record (DPA subject access request)2 years following the end of the calendar year in which the request was receivedDESTROYK26Security PassRetain Current OnlyDESTROYK27Record of custody and transfer of keys6 yearsDESTROYK28Register of Board members and Senior Managers interests6 years after the person leaves the organisationPRONI should be invited to sample these records. If they decide not to preserve them the records should be destroyedK29Registered staff lists1 yearDESTROYK30Reports (major)PermanentPRONIK31Research and development (scientific, technology, medical and other)Review 5 years after the research has been completed. Where possible review of this material should be made in consultation with medical professionals involved in the trials. Determined on ReviewK32Stock Control Reports Stock and Non Stock Orders 2 years following the end of the financial year to which they relateDESTROYK33Stores records major (stores ledgers etc) 6 years following the end of the financial year to which they relate DESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONK34Stores records minor (requisitions, issue notes, transfer vouchers, goods received, books etc)2 years following the end of the financial year to which they relateDESTROYOrganisation ContinuedK35Supplies records minor (e.g. invitations to tender and inadmissible tenders, routine papers relating to catering and demands for furniture, equipment, stationery and other supplies)2 years following the end of the financial year to which they relateDESTROYK36Training materials manuals, videos, photographs created for the purposes of training clinical staffRetained for as long as required for training purposesDESTROYK37Unpublished material of the history of authority or its predecessors, the organisation and procedures.Normal review processDetermined on reviewK38Freedom of information requests Case file records detailing the FOI request, the consideration of possible exemptions and subsequent appeals 3 years following the end of the calendar year in which the request was receivedThe National Archives GuidanceDESTROYL39Requests for access to records, other than Freedom of Information or subject access requests6 years after last actionDESTROYPersonnel (HR)L1Annual leave cards (held by staff individual members of staff)3 yearsDESTROYL2Attendance Book/Register2 yearsDESTROYL3CVs for non-executive Directors (successful)5 years following term of officeDetermined on reviewL4CVs for non-executive Directors (unsuccessful) 2 years following applicationDetermined on review WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTION Personnel (HR) Continued L5Establishment records Personal filesKeep for 6 years after subject of file leaves service, or until subjects 72nd birthday whichever is the later.Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. PECs checks original documentation and all copies Note confirming PECS check was carried out and appointment confirmedUntil final decision about the applicants suitability is determined Life of File Age 72DESTROY immediately by shredding or burning Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. Interview documentation/job files3 years after closureDESTROYLetter of appointment/contractsLife of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Copy of annual leave entitlementLife of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Application for special leave/study leave paid7 years Cabinet Office Guidance (Revised October 2002)DESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTION Personnel (HR) Continued L5Application for special leave/study leave (unpaid)Life of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Health declarationLife of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Health referrals including medical reports from Doctors and consultants and any correspondence with the OH ServiceLife of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Career summary consolidated record of whole career, location detailsLife of File Age 72Cabinet Office Guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Change of grade notificationLife of file Age 72Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Part-time/Job sharer/Term time applications, decisionsLife of file Age 72Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL5 Change of AddressLife of file Age 72Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. Provide Personal Information (supplied by the individual)Life of file Age 72Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Medical/Self certificates unrelated to Industrial Injury4 yearsCabinet Office guidance (Revised October 2002)DESTROYRegistration/termination/retirement lettersLife of file Age 72Cabinet Office guidance (Revised October 2002)DESTROYRecord of location of overseas serviceLife of file Age 72Cabinet Office guidance (Revised October 2002)DESTROYAnnual/Assessment Reports Chief Executive and Directors Annual/Assessment reports5 years Retain permanently in personal fileCabinet Office guidance (Revised October 2002) Cabinet Office guidance (Revised October 2002)Destroy Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Annual/Assessment Reports where appeal or legal proceedings are underway Annual Assessments reports for last 5 years of service 5 years from the result of the appeal Age 72 yearsCabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL5Report of Appeal 5 yearsCabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. Annual/Assessment Reports for last 5 years of serviceLife of file Age 72Cabinet Office guidance (Revised October 2002)Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed. Performance Appraisal Interview SheetRetain for 5 yearsCabinet Office guidance (Revised October 2002)DESTROY CommendationsLife of file Age 72Personal files of Chief Executives, Directors should be transferred to PRONI. All other files destroyed.Medical report of those exposed to a substance hazardous to health, including: Lead Asbestos Radiation 40 years from the data at which entry was made 40 years from the data at which entry was made 50 years from the data at which entry was made  Control of Lead at Work Regulations (NI) 1988 Control of Asbestos at Work Regulations (NI) 1998 Ionising Radiations Regulations (NI) 2000 Determined on review Determined on review Determined on review WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL6Disciplinary Records Papers relating to disciplinary action which has resulted in any change to terms and conditions of service, salary, performance pay or allowancesLife of file until Age 72DESTROYL7Duty rosters clock cards, time sheets and other documents of temporary importance2 years after end of year to which they relateDESTROYL8Forms all duplicate superannuation SD55A, B, C & D, SD502, SS10 and their successors for subsequent quinquennia10 years following the cessation of superannuation payments to the beneficiary or to his/her dependentsDESTROYL9FWH Personal record of hours actually worked0.5 yearDESTROYL10History records of pay scalesPermanentRetain permanentlyL11Industrial relations (not routine staff matters)Normal review processDetermined on reviewL12Job applications (following termination of employment)3 yearsDESTROYL13Job applications Unsuccessful Documents Interview documentation/job files Note containing that a PECs check was carried out and offer of appointment withdrawn Equality monitoring returns 1 year 3 years after closure 3 years 3 yearsDESTROYL14Job descriptions (following termination of employment)3 yearsDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL15Leaves dossiers (provided summary retained) Summary (retained on file)6 years after subject leaves the service Life of personal file Age 72DESTROY Personal files of Chief Executives, Director should be transferred to PRONI. All other files destroyed.L16Papers relating to any injury on dutyUntil age of 72DESTROYL17Personal Payroll History: Records of pay; Performance pay; Overtime pay; Allowances; Pay enhancements; Taxable allowances; Payment for untaken leave; Reduced pay; Maternity leave; Absence Record.Life of file Age 72DESTROYL18Subject Access Requests and responses (staff requests)2 years following the end of the calendar year in which the request was receivedDESTROYL19HRMSKeep for 6 years after the subject leaves service or until subjects 72nd birthday whichever is the laterDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) Continued L20Superannuation: Accounts Registers Death benefit nomination form Death certificates Decree absolutes Marriage certificates Unpaid leave periods Pensions estimates/awards Added voluntary contributions Added years 10 years 10 years Until subject reaches 72 Until return originals to provider Until return originals to provider Until subject reaches 72 Until subject reaches 72 Until subject reaches 72 Until subject reaches 72 Until age 72 DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROYL21Tax forms change of tax code7 yearsDESTROYL22Income Tax form P45Life of file Age 72DESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL23 Wages-Salary Records Bank details current only Category analysis print outs Clock cards and time sheets Computer payroll printout Cumulative adjustment forms Payment analysis print outs Pay sheets and records of unpaid salaries and wages Personal record forms Statutory maternity pay documents Temporary variation forms 6 years after employment ended 2 years after employment ended 3 years after employment ended 7 years after employment ended 2 years after employment ended 2 years after employment ended 10 years after employment ended 7 years after employment ended 6 years after employment ended 3 years after employment ended  DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY DESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL24Trade Union schedules Salary requests from bank/building society Overpayment documentation Performance Pay Special bonus papers Third party client/advances in lieu of pay Eyesight test documents1 year after employment ended 1 year old 6 years after repayment or write-off 7 years 7 years 6 years after repayment Retain current onlyDESTROY DESTROY DESTROY DESTROY DESTROY DESTROYL25Staff photographs held in personal fileLifetime of file 72 yearsDisposal method of personal file refers L26Training records all staffLifetime of file 72 yearsDESTROYL27Management files files set up by Managers containing personal information relating to one or more members of staffWhen an Officer cases employment within the Trust, Managers should forward such files to the Human Resources Directorate for retention in the individuals personnel file. Confidential information should be contained within a sealed envelope and marked appropriatelyDisposal method of personal file refersL28Supervision Notes documentation generated by staff supervision (clinical and professional) Destroy 1 year after date on which final note was madeDESTROYL29Flexi Sheets3 months after the period to which they relateDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPersonnel (HR) ContinuedL30Trawl Notices1 month after expiry dateDESTROYPharmacyM1Area Stores/HSDU & Misc. Deliveries2 yearsDESTROYM2Batch Records2 financial yearsDESTROYM3Controlled Drug (CD) Requisitions2 yearsMisuse of Drugs RegulationsDESTROYM4Clinical Trials15 yearsDESTROYM5Controlled Drugs Registers13 yearsMisuse of Drugs RegulationsDESTROYM6Drug Information Queries13 yearsDESTROYM7Fax Print Outs2 yearsDESTROYM8Fridge Temperature10 yearsDESTROYM9Gas Testing Documentation 13 yearsDESTROYM10Invoice Copies2 yearsDESTROYM11Letters/Memos13 years if applied to patient treatmentDESTROYM12List of Drugs/Batch No./Expiry Date for Ambulance Bags3 yearsDESTROYM13List of Users Ids & Privileges2 yearsDESTROYM14Medicine Record Sheet13 yearsDESTROYM15Medicine Transfer Forms2 yearsDESTROYM16On-Call Records2 yearsDESTROYM17Orders2 yearsDESTROYM18Pharmacy Controlled Drug Registers13 yearsMisuse of Drugs RegulationsDESTROYM19Product Defect FormsNo legal/statutory requirements 5 yearsDESTROYM20Product Recall DHSSPS & Ward Recall RecordsNo legal/statutory requirements 5 yearsDESTROYM21Quality Control Documentation13 yearsDESTROYM22Returns Dockets 2 years following the financial year to which they relateDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONPharmacyM23Security Reports2 years following the financial year to which they relateDESTROYM24Stock Adjustments7 yearsDESTROYM25Stock Checks2 yearsDESTROYM26Stock/Non-Stock Requisition Books2 yearsDESTROYM27On-Call Records2 yearsDESTROYM28Orders2 yearsDESTROYM29Pharmacy Controlled Drug Registers13 yearsMisuse of Drugs RegulationsDESTROYM30Product Defect FormsNo legal/statutory requirements 5 yearsDESTROYM31Product Recall DHSSPS & Ward Recall RecordsNo legal/statutory requirements 5 yearsDESTROYM32Quality Control Documentation13 yearsDESTROYM33Returns Dockets2 years following the financial year to which they relateDESTROYM34Security Reports2 years following the financial year to which they relateDESTROYM35Special Manufacturing Sheets13 yearsDESTROYM36Stock Adjustments7 yearsDESTROYM37Stock Checks2 yearsDESTROYM38Stock/Non-Stock Requisition Books2 yearsDESTROYM39Usage by Financial Code of Items Issued to Users2 years following the financial year to which they relateDESTROYM40Workload & Owings2 years following the financial year to which they relateDESTROY WORK AREA REF RECORD TYPE MINIMUM RETENTION PERIOD RELEVANT LEGISLATION/SOURCE  FINAL ACTIONStatisticalP2Regional Annual Statistical returns required by the Department5 years from submission to DepartmentDESTROYP2KA34 Returns Commissioning Groups and Department5 years from submission to Department or HSC TrustDESTROYP3All HSC Returns e.g Geo, ACT 1 5 years from submission to Department or HSC TrustDESTROY Signatories Signed in Accordance with the Public Records Act (Northern Ireland), 1923 Paul Sweeney Permanent Secretary, Department of Culture Arts and Leisure Aileen McClintock Director and Deputy Keeper of Records Public Record Office of Northern Ireland David Huddleson Head of Records, Cataloguing and Access Public Record Office of Northern Ireland Liam McIvor Chief Executive Northern Ireland Ambulance Service Health and Social Care Trust Sharon McCue Director of Finance and ICT Northern Ireland Ambulance Service Health and Social Care Trust Alison Vitty Corporate Manager (Trusts Records Officer) Northern Ireland Ambulance Service Health and Social Care Trust     Retention and Disposal Schedule - Northern Ireland Ambulance Service HSC Trust  PAGE \* MERGEFORMAT 32 Branch Name PAGE 22 <=>Eyz{@ A g h w x vooeooe[eNoh6?h0OJQJ^JhWOJQJ^Jh#OJQJ^J h8cIh0h8cIh05>*OJQJ^Jh8cIh0OJQJ^Jh>hh05>*OJQJ^Jh05>*OJQJ^J h05>*CJ(OJQJ^JaJ(h0OJQJ^Jh%h0CJ^Jh0CJ^Jjh0UmHnHu&jh#CJU^JmHnHtH u<=>Eyz $Ifgd0$a$gd0gd0gd0$a$gd0 z{? @ xxx $Ifgd0}kd$$Ifl0] Q'  t0'644 layt0@ A Z v w xxx $Ifgd0}kd$$Ifl0] Q'  t0'644 layt0w x xxx $Ifgd0}kd0$$Ifl0] Q'  t0'644 layt0 xxxxx $Ifgd0}kd$$Ifl0] Q'  t0'644 layt0  [RR $Ifgd0kd`$$Ifl\] }Q'  z Z t0'644 layt0        - . / 1 2 4 5 7 8 9 J K V e 󽯽顖vc$hSm5>*CJ OJQJaJ mH sH $h05>*CJ 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$^a$gdbQ^gd0$a$gdbQ $^a$gd gd0 & F7$8$H$^gd.8V~dѵçõ}i}}X}JJJh;ZOJQJ^JmH sH  hbQ5>*OJQJ^JmH sH &hbQhbQ5>*OJQJ^JmH sH h"fOJQJ^JmH sH h)OJQJ^JmH sH hpgOJQJ^JmH sH hHiOJQJ^JmH sH h OJQJ^JmH sH hbQOJQJ^JmH sH h0OJQJ^JmH sH  h05>*OJQJ^JmH sH h"f5OJQJ^JmH sH fV$a$gd;ZgdbQ & F0`0gdbQ^gd) & Fgd)gd) & FO;^O`;gdpg & F`gdpgef O"P"f"g"##_$$%$ & F7$8$H$^`a$gd)$7$8$H$^a$gd) 7$8$H$gd)$0^`0a$gd"f$a$gd;Zgd) $^a$gd;Z$0^`0a$gd;Zdefg4  N"O"P"Q"S"ַoT4h)h)B*OJQJ\^JmH nH phsH tH .h"fB*OJQJ\^JmH nH phsH tH hZ-OJQJ^JmH sH hHiOJQJ^JmH sH &h;Zh;Z5>*OJQJ^JmH sH  h;Zh;ZOJQJ^JmH sH h#OJQJ^JmH sH h"fOJQJ^JmH sH h;ZOJQJ^JmH sH hbQOJQJ^JmH sH S"T"f"g"k"##'c'd'R((((Ũ|f|P|P:P$+h"fB*OJQJ^JmH nH phsH tH +hWB*OJQJ^JmH nH phsH tH +hyMB*OJQJ^JmH nH phsH tH +hbQB*OJQJ^JmH nH phsH tH +h)B*OJQJ^JmH nH phsH tH +h;ZB*OJQJ^JmH nH phsH tH 9h)5B*CJOJQJ\^JaJmH nH phsH tH :h)h)5>*B*OJQJ\^JmH nH phsH tH 7h)h)5B*OJQJ\^JmH nH phsH tH  %%p&&&d'e'(())v)w))))) & F7$8$H$`gd7 7$8$H$`gd7 7$8$H$^gdyM 7$8$H$gdpg $7$8$H$a$gdW$7$8$H$^a$gdyM 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