Board Governance Policy
Defines Board purpose, reserved matters, oversight, accountability, meetings, resolutions and governance review.
Draft · controlled reviewInstitutional Governance · Controlled Reading Layer
One governance system. One source of truth.
This library presents the controlled SCF governance architecture without duplicating operational records. Policies define institutional requirements; SOPs define approved processes; forms and registers preserve evidence; authorized review and approval determine the active version.
Applicable requirements → Board authority → Policy → SOP / Manual → Form / Register → Evidence → Review → Approval → Active record → Archive
Document control
Controlled status
Current status: the policy set below is a controlled draft for professional review. A document is not represented as approved, effective or signed until the relevant authorized review and approval record exists. Superseded versions remain archived rather than overwritten.
Single ownership
Each controlled document has one document identity, owner/custodian, version and review status. Other pages reference it rather than reproduce competing copies.
Professional review
Company Secretary/legal, clinical, safeguarding/privacy, finance and Board review are routed according to subject and authority.
Evidence continuity
Policies connect to the operational register or evidence set that demonstrates implementation. Approval metadata and signed artifacts remain in the restricted repository.
Master policy set
Governance and institutional policies
The 25-policy compendium remains the core governance set. Documentation & Record Management and POSH are maintained as additional controlled institutional policies. Each entry below has one purpose and does not duplicate the function of another policy.
Code of Conduct
Sets expected integrity, professional behaviour, respect, confidentiality and accountability for personnel and associated persons.
Draft · controlled reviewConflict of Interest Policy
Requires disclosure, review, abstention and documented management of actual, potential or perceived conflicts.
Draft · controlled reviewRelated-Party Transactions Policy
Controls founder-associated and other related-party arrangements through disclosure, public-interest review, approval, valuation and transparent reporting.
Draft · controlled reviewDelegation of Authority Policy
Defines reserved matters, delegated authority, approval limits, segregation of duties and escalation where authority is unclear.
Draft · controlled reviewSafeguarding Policy
Protects patients, caregivers, communities and vulnerable persons through prevention, reporting, response, escalation and non-retaliation controls.
Draft · controlled reviewChild Protection Policy
Sets child-safeguarding, consent, supervision, reporting, confidentiality and response requirements across programmes and associated activities.
Draft · controlled reviewInformed Consent & Patient Rights Policy
Defines informed participation, privacy, dignity, choice, withdrawal, media consent, referral transparency and patient-rights protections.
Draft · controlled reviewPrivacy & Confidentiality Policy
Defines purpose limitation, minimum necessary data, role-based access, confidentiality, secure use and controlled disclosure of personal information.
Draft · controlled reviewData Security & Breach Response Policy
Defines access security, incident detection, breach escalation, containment, review, corrective action and controlled notification.
Draft · controlled reviewFinancial Control & Stewardship Policy
Requires authorization, banking and ledger reconciliation, traceable evidence, separation of SCF cash, subsidy and in-kind support, and audit-ready records.
Draft · controlled reviewPatient Assistance Policy
Controls eligibility, approval, evidence and reporting for SCF aid, scheme navigation, partner subsidy and other patient-support episodes without double counting.
Draft · controlled reviewAnti-Fraud & Anti-Bribery Policy
Prohibits fraud, bribery, kickbacks, improper benefit and concealment, with reporting, investigation and corrective-action requirements.
Draft · controlled reviewWhistleblowing Policy
Provides protected good-faith reporting, confidentiality, independent review, non-retaliation and documented closure of integrity concerns.
Draft · controlled reviewComplaints & Grievances Policy
Provides accessible intake, triage, ownership, response, review, non-retaliation and closure of complaints and grievances.
Draft · controlled reviewIncident Management Policy
Defines reporting, severity triage, immediate safety action, investigation, corrective and preventive action, escalation and de-identified trend review.
Draft · controlled reviewPartnership Due Diligence Policy
Requires due diligence, defined scope, approvals, risk review, monitoring and renewal for institutional, healthcare, CSR and other partnerships.
Draft · controlled reviewReferral & No-Commission Policy
Requires patient-need and informed-choice based referral, non-exclusive care linkage and prohibition of referral commission or improper benefit.
Draft · controlled reviewClinical Governance & Professional Boundaries Policy
Separates SCF community and navigation roles from diagnosis and treatment responsibility of qualified clinicians and treating healthcare units.
Draft · controlled reviewCommunications & Media Policy
Controls public claims, patient stories, photography, media consent, programme naming, approvals, corrections and evidence-linked publication.
Draft · controlled reviewFundraising, CSR & Donor Stewardship Policy
Defines transparent fundraising, restricted-purpose use, donor and CSR records, acknowledgements, utilization reporting and separation from clinical referral decisions.
Draft · controlled reviewRecords & Retention Policy
Defines record classes, owners, version control, retention, archive, secure disposal, access and Evidence Lock requirements.
Draft · controlled reviewRisk Management Policy
Defines risk identification, ownership, scoring, mitigation, escalation, acceptance and Board review for institutional and programme risks.
Draft · controlled reviewPeople & Volunteers Policy
Defines onboarding, roles, conduct, safeguarding, confidentiality, training, access, supervision and exit controls for staff and volunteers.
Draft · controlled reviewPolicy Exceptions & Change Control Policy
Controls policy deviations, temporary exceptions, approval, expiry, version change, supersession, archival and communication.
Draft · controlled reviewDocumentation & Record Management Policy
Standardizes document creation, coding, versioning, ownership, storage, status flow and archival across governance, operations, programmes, patient records and impact reporting.
Draft · controlled reviewPrevention of Sexual Harassment (POSH) Policy
Provides prevention, complaint handling, confidentiality, non-victimization, record keeping and appropriate action for workplace sexual-harassment concerns, subject to legal review and applicable statutory requirements.
Draft · controlled reviewLinked institutional records
Registers are evidence, not duplicate policies.
Board & statutory
Board composition, meeting/minutes, resolutions, statutory calendar, policy approval and delegation records.
Interests & relationships
Conflict declarations, related-party review, associated healthcare relationships, due diligence, MoUs, recusals and approvals.
Protection & information
Consent, privacy, safeguarding, complaints, incidents, breaches, corrective actions and access records.
Finance & support
Budget, authorization, receipts, expenditure, patient assistance, subsidy, in-kind support, procurement, assets and reconciliation.
Clinical governance
Credential evidence, professional boundaries, referral integrity, associated-care review, escalation and clinical-verification records.
Evidence Lock
Claim register, source references, reconciliation, reviewer decisions, publication authorization and final locked reporting history.
One controlled document identity → linked SOP → linked register → linked evidence → authorized decision → version history