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Improvement, Innovation and Effectiveness
Supporting colleagues to keep DCHS an outstanding place to work and recive care.
https://dchs.nhs.uk/about-us/quality-heart-our-care/improvement-innovation-effectiveness
Podiatry - Community Podiatry Service
The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/community-podiatry
Tier 3 Weight Management for Professionals
The information here is for professionals in Derbyshire seeking more information on the Tier 3 Weight Management service.
Patient Group Directions (PGDs)
Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.
Files
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’
AGP inpatient Respiratory action card physiotherapy 01.05.2020.docx
AGP inpatient respiratory physiotherapy action card
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
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
HRP02 Secondary Employment Policy Appendix B Working Time Regulation Opt Out Form.docx
HRP02 Secondary Employment Policy - Appendix B Working Time Regulation Opt Out Form
Appendix 7 - Flexible Working Pattern Confirmation Letter.docx
Appendix 7 - Flexible Working Pattern Confirmation Letter
Standard Operating Procedure for the Issue of Procaine Penicillin outside of ISHS services (S83)
This SOP sets out the actions which should be taken to facilitate the administration of the procaine penicillin outside of ISHS opening hours.
Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)
Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.
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.
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.