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Issue 26 - August 2022.pdf

Medicines Management Newsletter August 2022

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Standard Operating Procedure (SOP) for The T34 and Bodyguard Syringe Drivers (S61)

A subcutaneous infusion pump is an effective method of administering therapeutic drugs via subcutaneous route, which can no longer be tolerated orally or rectally by the patient. The aim of this SOP is to provide guidance for staff in the use of the McKinley T34 pump across adult services. Using a uniform SOP will reduce the level of risks associated with syringe pump management within DCHS.

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Peripheral Arterial Disease (PAD) Protocol for Podiatrists (S22)

The purpose of this document is to provide an evidence based approach to the diagnosis and podiatric management of PAD and in particular to identify monitoring and onward referral triggers thus ensuring high quality care which is appropriate, effective and equitable across the Service.

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Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.

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Issue 22 - January 2022.pdf

Medicines Management Newsletter - January 2022

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Clinical Effectiveness Policy (P85)

The purpose of this policy is to set out the rationale for clinical audit and provide a framework for such activity, including standards, guidance and procedures, as well as details of the support available from the Clinical Effectiveness Team: • For registering and approving clinical audit project proposals • For developing and designing clinical audit projects • To ensure clinical audit leads to improvement when a need for improvement is identified This policy aims to support a culture of best practice in the management and delivery of clinical audit, to clarify the roles and responsibilities of all staff involved, and to promote a culture of quality improvement in our services.

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Child Visiting Policy (P18)

The aim of this policy is to provide a process for staff when facilitating visits by a child/ren to (Derbyshire Community Health Services FT) DCHS inpatient and day case services, including services where patients are detained under the Mental Health Act (1983). Maintaining effective family contact and dynamics has been shown to often be crucial for a full recovery for people with mental health problems. Health professionals must be aware that the needs of the child come first, and they must not be put at significant risk of harm. Working Together to Safeguard Children (2018) sets out how organisations and individuals should work together to safeguard and promote the welfare of children and young people in accordance with Section 11 of the Children Act 2004. All health professionals and organisations have a key role to play in safeguarding and promoting the welfare of children. Many DCHS services do not directly work with children; staff working within these services may indirectly become involved in the welfare of child visitors as part of their daily case management.

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Issue 21 - December 2021.pdf

Medicines Management Newsletter - December 2021

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Recognition of the Deteriorating Child Policy (P93)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis.

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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.