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Dr Chris Clayton appointed as Chief Executive Designate JUCD

The appointment of Dr Chris Clayton as Chief Executive Designate of the NHS Integrated Care Board for Derby and Derbyshire.

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SAMA Template 36 Ill Health Retirement Process Flow Chart

Template 36 Ill-Health Retirement Process Flow Chart

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Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.

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Sudbury Prison Patients referred to Outpatient Physiotherapy SOP (S69)

When patients from Sudbury Prison are referred from secondary care to Out Patient Physiotherapy, for example post-operative patients, they occasionally require a chaperone. Sudbury prison is a category D prison. Some prisoners will need one officer to accompany them whilst on probation. Prisoners may be able to attend appointments alone in line with prison risk assessment. Prisoners requiring two officers should not be seen in the department as advised by Head of Security at Sudbury Prison

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Temperature Monitoring of Medicines Storage Rooms SOP (S74)

Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.

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Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.

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Stress Risk Assessment Discussion Template

DCHS Stress Risk Assessment Discussion Template: use this template as a guide for a team discussion and assessment on team areas of stress and solutions.

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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

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0-5 Derbyshire Family Health Service Information and Advice Line Clinical SOP (S112)

The aim of the SOP is to ensure that all staff that work clinically in the Derbyshire Family Health Service Information and Advice Line have consistent process’ and pathways to support consistent care for the population of Derbyshire and partner agencies that access the 0-19 service.

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A5 – Referral back to podiatrist by podiatry assistant (S107)

Referral back to podiatrist by podiatry assistant

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Level 1 Falls Response Specification (S138)

Level 1 Falls Response Specification