Pages
Consultation on mileage rates
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/consultation-mileage-rates
New winter ward opens at Ilkeston Community Hospital
https://dchs.nhs.uk/news/new-winter-ward-opens-ilkeston-community-hospital
Scam police calls reported in Derbyshire
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/scam-police-calls-reported-derbyshire
My Download - 18 January 2022
Apologies for missing last week - we are very depleted in numbers in Comms and had to make some difficult decisions about priorities - last week media enquiries, the web, Operational Update and Team Brief made the list! Lots to share this week .... including how to access the new web, details about the mileage consultation, an update on the Belper plans and so much more!
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-18-january-2022
Belper’s new health centre – a building soon in need of a name!
https://dchs.nhs.uk/news/belpers-new-health-centre-building-soon-need-name
Files
SOP for IV Administration of Diuretics to Heart Failure Patients in DCHS North Community Hospitals and CRH Same Day ECU (S89)
The Aim of this SOP is to provide heart failure patients across Derbyshire access to IV drug treatments without the need for attendance at an acute hospital
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.
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.
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 11 – Investigation Report.docx
HRP24 Appendix 11 – Investigation Report
A2b - Eligibility for NHS Podiatry service (S107)
Eligibility for NHS Podiatry service
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
Annual Leave Calculator for GP's 2026-2027.xlsx
Annual Leave Calculator for GP's 2026-2027
Self Administration of Medicines Procedure (S28)
The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.