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CWE-CWR-17 Compassion, Welfare & Environment Community Welfare & Relief CORE Excellence v2.9.7

Links to hospital, prison, university chaplaincies

Assesses whether the organization has established and maintains active links with institutional chaplaincies (NHS hospitals and hospices, HMPPS prisons and Young Offender Institutions, and universities) to support pastoral needs, with measurable outcomes, compliance to institutional protocols, and evidence of impact. An 'Active Link' is defined as having named institutional contact(s), an agreed scope of support/referral route, a documented protocol or MoU, and at least quarterly touchpoints. A minimum viable partnership includes agreed pathways for Muslim pastoral referrals, volunteer access requirements, safeguarding escalation routes, and data-sharing positions. This work advances Maqasid al-Shari'ah (preservation of life and intellect) and upholds human dignity (Karamah) for all service users.

Assessment Questions
  1. How does the organization identify and respond to pastoral care needs from local hospitals, prisons, and universities?
  2. Describe the nature of the relationships with institutional chaplaincies. Are they formal (e.g., MOUs) or informal?
  3. What specific services, resources, or volunteers does the organization provide to support institutional chaplaincies?
  4. How does the organization ensure its volunteers are suitable and prepared for working in sensitive environments like hospitals or prisons?
  5. Describe your safeguarding escalation route when a concern arises during a visit (adult/child) and how you record and report it.
  6. How do you manage and document Prevent-related concerns and training, while maintaining pastoral trust and lawful information sharing?
  7. How do you ensure equality of access and non-discrimination (including sect, ethnicity, gender, disability) while providing faith-appropriate care?
  8. Explain your lone-working procedure for visits (check-in/out, dynamic risk assessment, cancellation thresholds).
  9. How is the effectiveness and impact of the chaplaincy support program measured and reviewed?
Evidence Requirements
  • Contact list of key personnel in hospital, prison, and university chaplaincies.
  • Memoranda of Understanding (MOUs) or formal agreements with institutions.
  • DPIA + Record of Processing Activities (ROPA) entry for chaplaincy support.
  • Data Sharing Agreement(s) or documented data-sharing decision record.
  • Setting-specific risk assessments (NHS, HMPPS, HE) + lone-working SOP.
  • Safeguarding policy addendum for institutional work + incident log (anonymised).
  • Volunteer competence matrix + DBS eligibility rationale + training completion report.
  • Supervision/reflective practice schedule + debrief records (anonymised).
  • Annual KPI dashboard + action plan (PDCA).
  • Feedback forms, surveys, or testimonials from chaplains or individuals who received support.
Scoring Guidelines
LevelRatingDescription
5 5/5 Strategic partnerships and continuous improvement: Co-produced pathways, shared governance (advisory group), and documented annual improvement plan based on outcomes.
4 4/5 Measured effectiveness: Routine compliance monitoring (audit of logs, training currency), documented links with regular engagement, and feedback loops established.
3 3/5 Defined processes and formal links: Deployment only after completion of vetting/induction; formal program with designated personnel and clear communication channels.
2 2/5 Informal links established: Identified points of contact and occasional support upon request.
1 1/5 No links to institutional chaplaincies.

Discussion (1)

Administrator 2026-03-07 12:06:24.681412

📋 **Version updated: 1.0.0 → 2.9.7** **Changes:** Full import from mizan-297.json

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