Pages
End of Life - Directory of Services
Information hub for all clinicians, carers and family members, signposting to end of life support and resources available throughout Derbyshire.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/eol-directory-services
Wellbeing support across Joined Up Care Derbyshire - New Spring activity timetable for 2023 is here!
Improvement, Innovation and Effectiveness
Supporting colleagues to keep DCHS an outstanding place to work and recive care.
https://dchs.nhs.uk/about-us/quality-heart-our-care/improvement-innovation-effectiveness
Podiatry - Community Podiatry Service
The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/community-podiatry
Patient Group Directions (PGDs)
Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.
Files
Clinical Strategy.pdf
DCHS Clinical Strategy
Administration of Medicines in an Emergency Situation for Children SOP (S31)
S31 - Administration of Medicines in an Emergency Situation for Children SOP
Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)
The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’
Delegation of Administration of Insulin to Adults in Residential Care Policy (P100)
There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration supported by Derbyshire Community Health Services (DCHS NHS FT). It underpins the guidance set out by governing bodies and organisations within the Acknowledgement of this policy
A6 – Competency framework for podiatry assistants – wound care (S107)
Competency framework for podiatry assistants – wound care
Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)
Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.
Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement .docx
Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement
Long Term Segregation Policy (P86)
This policy aims to provide clear guidance on the use of long term segregation, (please note the use of seclusion is covered in DCHS trust policy – (Management, Prevention and reduction of violence and aggression including physical restraint and seclusion). To ensure restrictive interventions remain proportionate, least restrictive, take account of patient preference where possible, and last for no longer than is necessary. The policy sets clinical standards to ensure compliance with the Mental Health Act 1983 and subsequent Code of Practice 2015 alongside NICE guidance NG10. To ensure robust governance arrangements that are transparent in their nature. To support the trusts ambition of reducing the use of restrictive practices. The policy aims to ensure the specific needs of all patients are met in a fair and equitable way.
A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)
Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes
Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)
The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.