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Accessible information standards
https://dchs.nhs.uk/about-us/equality-diversity-inclusion/accessible-information
Interpreting & translation
https://dchs.nhs.uk/about-us/equality-diversity-inclusion/interpreting-translation
Patient Safety
Patient Safety is the freedom from harm in healthcare and is a process by which an organisation makes patient care safer.
https://dchs.nhs.uk/about-us/quality-heart-our-care/patient-safety
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Derbyshire health and care system remains under pressure; patients continue to be asked to not store up care needs
Update as of 17:00hrs - 22 December 2022
Industrial Action Update - Issued on 16 January 2023
Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/industrial-action-update-16-january
Files
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.
Inpatient Falls Prevention and Management Policy (P33)
The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.
APPENDIX 10 - Investigation meeting notes letter.docx
HRP24 Appendix 10 - Investigation meeting notes
A1 – Documentation on SystmOne TPP (S107)
Documentation on SystmOne TPP
Appendix 1 – Application for Employment Break Form.docx
Appendix 1 – Application for Employment Break Form
Appendix 2 - Application for Work Experience .docx
Appendix 2 - Application for Work Experience
A6 - Foot Dressing Clinic – Requesting ABX via Podiatry Route (S149)
Foot Dressing Clinic – Requesting ABX via Podiatry Route
Procedures for the Secure Transfer of Information v3.5.docx
The purpose of this document is to summarise the procedures that staff should follow when transmitting patient and personal information. Other DCHS NHS Trust policies contain more detailed information on the responsibilities of staff in relation to confidentiality and information security, and therefore all staff should ensure they have read and understood their full responsibilities in these areas.
Delivering Same Sex Accommodation (P64)
Every patient has the right to receive high quality care that is safe, effective and respects their Privacy and Dignity. There are no exemptions from the need to provide high standards of privacy and dignity and this applies to all areas, including when admission is unplanned. This is one of the guiding principles of the NHS Constitution (2009) and at the core of local NHS visions. Derbyshire Community Health Trust ( DCHS) aim is that all patients who are admitted to any of our hospitals will only share the room where they sleep with members of the same sex, and same sex toilets and bathrooms will be close to their bed area. Sharing with members of the opposite sex should only happen by exception based on clinical need (for example where patients need specialist equipment), or when patients choose to share (for instance married couple who have been admitted together may want to share a side room). This Policy contributes to the achievement of CQC Outcome 4 – The patient will receive care, treatment and support in single sex accommodation wherever it is available. The aim is to ensure a clear and consistent approach is adopted across DCHS community hospitals by all ward managers.