This report analyzes health and safety management at Bolton NHS Foundation Trust. It reviews communication systems, policies, and procedures, assesses responsibilities across different management levels, and analyzes health and safety priorities such as slips, falls, nutrition, safe working environments, and infection control. The report examines how risk assessment informs care planning, the impact of health and safety policies, dilemmas in implementing systems and policies, and the effects of non-compliance with legislation. It also details monitoring and reviewing processes, evaluates the effectiveness of promoting a positive health and safety culture, and assesses the author's contribution to individual health and safety needs using the Gibbs Reflective Cycle. The report concludes by summarizing the key findings and emphasizing the importance of adhering to health and safety legislation for effective healthcare service delivery.