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Adult Nutrition Food and Hydration Policy (P50)

This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix

Manual Handling Operating Standards January 2022

Manual Handling Operating Standards January 2022, includes TILEO

Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)

This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

Standard Operating Procedure for Medicines Management in the ISHS Community Setting (Pop up Clinic) (S134)

This SOP sets out the actions taken to facilitate the safe transportation, administration and monitoring of any medications used in the community setting in line with the medicines code.

Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary

SAMA Template 15 Review outcome extension

Template 15 Review outcome extension letter

SAMA Template 31 DNA Letter2

Template 31 DNA OH Appointment Letter2

Clinical Strategy.pdf

DCHS Clinical Strategy

SOP Titration of Heart Failure Medication by Designated Nurses (S8)

This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients

Vaccination programme (flexible staffing and bank) - Employee Online user guide.pdf