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Using this APPP Resource

November 2017

Welcome to the revised edition of the Bedford Adult Services Adult Policies, Procedures and Practice (APPP) resource.

This page provides a summary of how to use this site and its main features. It also provides a summary of the latest changes (see Amendments).


Structure of this Site

This site is structured into different sections.

There are two large tabs at the top of the site on the right: a blue ‘Hub’ tab and a purple ‘APPP’ tab. Click on the Hub tab and it takes you to an information portal which contains links to key sites that staff in Bedford Adult Services most regularly use.Click on the APPP tab and it takes you to the home page of the Bedford APPP site.

When in the APPP site, the smaller tabs along the top are key areas:

  • ‘Home’  provides information about the site, space to include a message from the local director / chair; Using this APPP Site is this page, which provides information about how to use it and Register with Us (see below).
  • ‘Contents’ contains the different sections and chapters in the main body of the site, which can be amended and re-ordered as you wish.
  • ‘Resources’ provides a range of relevant supporting information; from briefings to Safeguarding Adults Review reports.
  • ‘Contact’ contains local contact details for teams, services and partner organisations. It also has a contact form, for you to send a message to the named single point of contact in your organisation who oversees the coordination of this site, should you have a comment or suggestion you wish to make.


It is easy to find your way around this site. There are four tabs along the top. Hover your cursor over one, and a drop down list will appear with each named section / page. Click on the one you want and it will take you to the specific information you require.

When you are on a section / page, the remaining contents list for that tab is accessible via the buttons below. You can either click on one of these, to go to the next section you want, or you can use the back / forward arrows in the top left next to your address bar or the page up / page down buttons on your key board.

Accessibility Options

This site has a number of different options to aid online reading. When you are on the home page, choose ‘Accessibility’ drop down menu on the right side of the screen. There is large text, green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting. You can use large text with any of the other options.

In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed though screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.

Using it on Mobile Phones and Tablets

This APPP resource works well on internet-enabled mobile phones and tablets via the web address When used on a mobile phone, the website will immediately convert into a phone friendly version, where the tabs sit behind a main Menu button. If it does not work straightaway, tap on the refresh circle in the address bar.

If your phone or tablet has a reader option (it may be an ‘R’ or say ‘Reader’ in the address bar; you may have to install it), tap on it and it will convert the text into a more easy to read version for phones or tablets.


The Resources section contains a number of links and documents to supplement the information in the main chapters. It includes

  • Case Law – contains information about significant case law;
  • Case Studies – currently populated by case studies from the Care and Support Statutory Guidance, but can be supplemented or replaced by local examples;
  • CQC Standards and KLOEs – links to the Care Quality Commission’s Fundamental Standards and Key Lines of Enquiry information;
  • Glossary – provides definitions and key terms used;
  • Integrated Care – organisations and key documents supporting the health and social care integration agenda;
  • Legislation – links to relevant legislation;
  • Local Forms, Leaflets and Letters – this section hosts information and templates used by staff in Bedford;
  • National Guidance and Inquiries – links to national guidance, particularly from ADASS, LGA and SCIE, and inquiry reports;
  • Organisations – links to websites for relevant national organisations;
  • Provider Resources – links to guidance and other information and national organisations who provide services and support to provider services;
  • Research and Report Briefings – written by the Policy Partners Project to reflect current issues or recently released research reports;
  • Safeguarding Adults Review Reports – links to significant SARs.

For ease of use, if you can open this site in two tabs next to each other you can click on the Resources section to consult related information without leaving the chapter you are reading.

If there are any documents or links you would added to this section, please let us know by contacting George Hunt, your local contact for this resource.


With each revised edition of your APPP site, we indicate in the table below which chapters are new or have been updated. This information is also available at the top of each chapter.

November 2017

Chapter name Detail
Amended chapters
End of Life Care This chapter was revised to include a new Section 2, Addressing Inequalities in End of Life Care with associated documents published by the Care Quality Commission. A leaflet published by Bedford Clinical Commissioning Group was also added above, Planning for Dying an give You Peace of Mind for Living.
Registers of Sight Impaired Adults and Disabled Adults This chapter has been amended due to changes in the Care and Support Statutory Guidance. More detail has also been added in relation to Section 3, The Certificate of Vision Impairment.
Working with Adults Affected by Child Sexual Exploitation and Organised Sexual Abuse A link to the Safeguarding Children from Sexual Exploitation procedures, published by Bedford Safeguarding Children Board has been added.
Work Planning and Appraisal The revised edition of Bedford Borough Council’s Guide to PDRs. as above, replaces the previous version.
New chapters 
Dementia: Practice Guidance This chapter outlines the different types of dementia and issues related to providing care and support to adults with dementia.
Making Advance Decisions This chapter outlines some of the main factors including advance decisions to refuse treatment, lasting power of attorney and deputies and the related bodies and abuse by LPAs or deputies.
Joint Protocol Mental Health Act 1983: Section 117 This protocol was published by Bedford Borough Council and Bedfordshire Clinical Commissioning Group in November 2017.
Care and Support Guidance Annexes Links have been added to all of the annexes in the Care and Support Statutory Guidance.
Research and Report Briefings Click on the link to view short briefings regularly produced by Policy Partners Project, on topical issues.
Case Law Click on the link to view a new section which is being developed to contain relevant case law.

Date of the Next Revision

This is the first revised version of the Bedford APPP resource. It is usually updated every six months. The next version will therefore be available by 15th May 2018.

If you want to make any changes to chapters, please first read Making Changes to Chapters for information about how to make the changes in the way we require. Before making any changes or writing new chapters however, please first contact Gillian Abbott, Commissioning Project Officer, who is the Bedford coordinator for this APPP.


On the home screen, type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter.

If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.

Register with Us

We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.


This APPP site has been designed to be used as an online facility. It is easier to update a web based facility, and version control is very effectively managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.

If you print a chapter, to take to a meeting for example, please note it will have a water mark stating it is valid for 72 hours only and the date it was printed. Whilst this site is usually updated every six months, there may be occasions when it is updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. That is why we recommend that if you have to print a chapter, you no longer refer to it after that time.


The chapter content in this APPP site can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Policy Partners Project Ltd.