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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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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’

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Administration of Methylprednisolone Acetate Injection SOP for Podiatrists (Depo-Medrone +- Lidocaine) (S93)

Guidance on the appropriate and safe administration of the corticosteroid injections exempted under podiatry POM-A

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Smallpox Vaccine for Mpox– Receiving Delivery, Unpacking of Frozen Vaccine and Transfer to Fridges to Thaw Standard Operating Procedure (S97)

As part of the national response to the monkeypox incident, DCHS will be receiving frozen smallpox vaccine (currently Imvanex and Jynneos, may be alternative brand in future) the modified vaccinia Ankara (MVA-BN) to be able to vaccinate appropriate people in line with national guidance. This SOP describes the process of receiving a delivery of the smallpox vaccine, unpacking frozen smallpox vaccine and transfer into a fridge to thaw.

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A6 – Competency framework for podiatry assistants – wound care (S107)

Competency framework for podiatry assistants – wound care

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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.

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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

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Staff in Mental Health Crisis - Support Pathway - Managers Guide.pdf

Staff in Mental Health Crisis - Support Pathway - Managers Guide

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Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure (S27)

Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure

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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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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.