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Organisational Policy and Procedures Manual

 

This outline has been designed to assist organisations develop written polices and organizational manuals

 

 

What are Policies & Procedures?
 

 

Policy is a statement of agreed intent that clearly and unequivocally sets out an organisation’s views with respect to a particular matter.
 

  •  It is a set of principles or rules that provide a definite direction for an    organization
     

  •  Policies assist in defining what must be done

 Procedure/Practice is a clear step-by-step method for implementing an organisation’s policy or responsibility.

  •  Procedures describe a logical sequence of activities or processes that are to be followed to complete a task or function in a correct and consistent manner
     

  •  Procedures can be produced in the form of flow charts, checklists or written steps of the process

 Note: For every policy you establish, you will need to look at creating supporting procedures

Why Have Policy?

  • So people working in an organisation can have a framework for actions that help them get on with the job they need to do.
     

  • So people in the organisation don’t have to keep on discussing and re-discussing the same issues every time they arise – one thought out decision can be applied to many similar cases – efficiently.
     

  • So legal and other requirements can be met.
     

  • A tool in quality improvement.

 What is a Policy & Procedures Manual?

 A Policy & Procedures Manual is a written record of the agreed policies and practices of an organisation. It should be readily available to all people involved in the management or work of an organisation. The Manual should be kept in a loose leaf file so that it can be updated and added to as polices and practices are reviewed and amended.

 Unwritten polices and procedures often lead to confusion and conflict.

  Steps in writing policies

 There are three processes that are commonly used for developing policy:

1. The policy/planning/evaluation day (or weekend)

2. A consultative process for developing particular policies

3. A policy review process

 In larger organisations, the processes are likely to be more formalised:

  • Standing Policy & Procedures Committee (s) for different areas.
     

  • Recommendations and decisions passing through several levels of   management

 1.Planning / Evaluation

The Management in the organisation meet to develop key organisation policies such as:

  • Mission

  • Organisational Philosophy

  • Aims, objectives, strategies

  • Determining priorities for policy development during the coming year

 2.Policy Development Process

a.  Seek commitment to developing policy

b.  Collectively identify an area for policy development

c.  Staff or another group, brainstorm the issues involved

(Tip: focus on naming the issues; don’t necessarily attempt to resolve the issues)

d. Write a first draft

e. Distribute the draft and consult across the organisation for comment

f. There may be a meeting to review all the feedback, written and verbal and to amend and revise the draft

(Tip: where there are major differences of view, name them, don’t resolve them – the Management Committee might be good for a major policy debate)

g. Re-circulate the draft and continue this process as necessary

h. Write a final draft

i. Prepare a cover sheet for the Board/Management Committee identifying the steps that were used in developing the draft policy

j. Decision is made by the Board/Management Committee

k. Ensure the Board/Management Committee endorse the policy

(Tip: put in the date on which the policy was ratified)

l.  The policy is incorporated into the Policy and Procedures Manual

m. Set a date for review of the policy

n. The policy is communicated to all the relevant people and if necessary, a date is set for a training/information session to ensure all staff have the knowledge and skills to implement the policy

 

3.  Policy Review Process

A staff meeting or a Board/Management Committee meeting should be held once every 12 months to look at the organisational manual and ask whether the policy in it is still relevant and appropriate. If not, a process like the one above would be followed to revise existing policy or develop new policy

 

Tip: In small organisations wanting to develop an organizational manual, consider the following:

* Devote time at a staff meeting at least once a month to brainstorm issues related to one area of policy

Review the draft of a policy that has been prepared as a result of previous brainstorming

* At every Board/Management Committee meeting, devote some time to reviewing a draft policy and making decisions on it.

 

 What could the table of contents look like?

 The following is an example table of contents of an organisation’s policies and procedures manual.

 Introduction:

This section can outline the purpose of the manual and the intended users

 Section 1: Service Management

A. Overview of the Program/Service

1. History of the service/program

2. Mission

3. Aims, goals & objectives

4. Philosophy

5. Service Code of Practice

6. Outcomes

B. Standards, Rights & Responsibilities

1. Service Standards

2. Organisation Code of Conduct

3. Organisation Rights & Responsibilities

4. Staff rights & Responsibilities

5.Advisory Committee rights & Responsibilities

7. Policy on Conflict of Interest

  C. Incorporation

 1. A copy of the constitution

2. A copy of the Association’s Incorporation Act

3. Information on the requirements of the Incorporation

4. A copy of the register of Member Organisations

5. A copy of the register of Management Committee Members

6. Annual General Meeting requirements

7. Copies of forms such as:

o       Application for membership

o       Agenda

o       Notice of Annual General Meeting

o       Election of Officers

o       Proxy

o       Nominations

 
D. Board/Management Committee

1. Committee responsibilities

o       Legal responsibilities

o       Policy & Planning

o       Financial

o       Staff

o       Other committee responsibilities

 2. Roles and responsibilities of Board/Management Committee Members

o       Chairperson

o       Secretary

o       Treasurer

o       Other

o       Management Committee Members

 

3. Orientation Kit for new Board/Committee Members

 4. Terms of Agreement for Board/Committee Members

 5. Code of Behaviour for Management Committee members

 6. Agenda format for Board/Management Committee Meetings

o       Time

o       Attendance

o       Agenda

o       Quorum

o       Role of Coordinator/Manager at Management Committee Meetings

o       Minutes documents

 
E. Organisational Structures

1. Organisational Chart/Diagram

2. Accountability Chart

3. Organisation Meetings and Processes

 
F. Planning and Evaluation

(Evaluation attempts to answer questions about such matters as effectiveness, efficiency, adequacy and appropriateness of services)

1.         Evaluation Policy & Plan

2.         Evaluation Questions

3.         Evaluation Strategies

o       Ongoing monitoring

o       Annual presentation of data

o       Client/Member feedback

o       Feedback from other community groups

o       Planning day

o       Agenda

4.         Data Collection Sheets

5.         Data Reporting Format

6.         Client/member questionnaires

7.         Community group questionnaires

 
G. Insurance

(Covers the cost that may result from action or inaction of organisational members during the course of their work)

1. Policy regarding Insurance

 2. Register of Insurance Policies detailing all current Insurance Policies

H. Assets Management

 The Assets Register

 
I. Funding Agreements

1.         Summary of current funding

2.         Copies of current funding agreements

3.         Details of accountability requirements for each Funding source (including reporting requirements)

4.         Polices and Procedures on applying for grants/funds

5.         Policy & Procedure on Fundraising
 

J. Financial Management

1.         Role of the committee and Treasurer

2.         Principles of Financial Management

3.         Bank Account details

4.         Financial Report Formats

5.         Project Budget Sheet

6.        Project Reconciliation Sheet

7.        Financial information– Recording and Reporting timeframes

8.        Categories of Receipts and Payments

 
 K. Use of Equipment & Vehicles

1.         Policy on use of Private Vehicles

2.         Policy on use of Organisation Vehicles

3.         Policy on Depreciation

4.         Register of Motor Vehicles / Log Sheet / Accident Procedures / Breakdown Procedures / Maintenance

5.         Policy on Transportation

 
L. Occupational Health, Safety & Welfare

1.      Policy on Health & Safety

2.      Workplace Health & Safety

3.      Workplace accident procedures / Reporting Form

4.      Certificate of Registration of a Workplace

5.      Smoking Control Policy

6.      Employee Safety Awareness Questionnaire

7.      Manual Handling Procedures

8.      Workplace Health & Safety Representative

9.      Fire Control and Evacuation Procedure

10. Health & Safety Training on the causes and prevention of work related illnesses and injuries

o       Furniture & Equipment

o       Visual Display Units and Eye Strain

o       Stress

o       Worker security on home visits

11.       First Aid Station

12.       Workers Compensation

13.       Volunteer Personal Accident Insurance

 
 M. Service Delivery

1.         Promotion of services – Brochure

2.         Consumer Information – Client Handbook

3.         Prioritising Requests for Assistance

4.         Client Assessment:

5.         Assessment Records

6.         Principles to be observed in Assessments

7.         Privacy & Confidentiality in the Assessment Process

8.         Privacy & Confidentiality of Information

9.         Records – length of time Records are held

10.       Identification

11.       Training

12.       Clients Rights & Responsibilities

13.       Client Reviews:

Client Complaints Procedure

Clients Record Form

Dispute Resolution Process between clients and staff

Confidentiality of Complaints

Service Delivery completion/Exit

14.       Referral

15.       Referral Privacy & Confidentiality

16.       Fees

Payment of fees

Scale of fees

Services

Clients in receipt of other services

Collection of fees

  
Section 2: Human Resources

N. Staff Recruitment

1.         Policy & Processes for recruitment of staff

2.         Equal Employment Opportunity/Workplace Harassment
            Policies

3.         Recruitment process for Paid Staff
                                   Advertisements for staff positions

4.         Short listing
                                  The Short listing and Interview Panel

5.         Interviewing policy and processes

6.         Standard Interview Questions

7.         Procedure for starting a new member of Staff

8.         Appointments & Contracts

9.         Staff Orientation Kit

10.       Staff Personal File

 
O. Role Outlines & Conditions of Employment

1.         Role Outlines

2.         Selection Criteria

3.         Agreements of Employment

4.         Copies of relevant Awards

5.         Code of Behaviour for Staff

6.         Confidentiality Agreement

7.         Reporting requirements


P. Staff Management & Development

1.         Staff reporting Procedures and Formats

2.         Staff travels

3.         Timesheets

4.         Record of Annual Leave

5.         Policy on Staff Supervision and Performance Development

6.         Policy on Training and Development of Staff

7.         Staff meetings

8.         Performance Appraisals

9.         Staff Performance Dispute and Grievance Procedure

Staff Performance Dispute

Staff Grievance Dispute

Appeal

Misconduct

10.       Staff Performance Interview Note Sheet

11.       Employee Exit Procedure

12.       Exit Interview Record

 

 Q. Administration and Office Procedures

Office Policy Document:

Office Hours

Absences and Lateness

Attendance

Dress Code

Bulletin Board

Computer Software (Unauthorised copying)

Copyright/ Ownership Issues

Representing the Organisation

Resources

Personal Phone calls

Gifts and Soliciting

Office Security

Using office equipment

(all rights reserved to an  unknown source)