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Pages

800,000 people, 1.8 million jabs

One year of the Covid-19 vaccination programme in Derbyshire.

Files

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Appendix 6b- Communication Agreement for Formal Investigations.docx

HRP24 Disciplinary Policy Communication Agreement for Formal Investigations

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Appendix 8 - Flexible Working Pattern.docx

Appendix 8 - Flexible Working Pattern

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Process Map 1 – Terminating Fixed Term Contracts Under Two Years’ Service and Over Six Month’s Probationary Service.docx

Process Map 1 – Terminating Fixed Term Contracts Under Two Years’ Service and Over Six Month’s Probationary Service

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DCHS Draft Operational Plan BOARD Jun21 AccessStd (003).pdf

Operational Plan 2021-2022

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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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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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A2 - Advice for manual handling when working at low level (S96)

Advice for manual handling when working at low level

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APPENDIX 11a - Issues which require further investigation (unrelated to this case).docx

HRP APPENDIX 11a - Issues which require further investigation (unrelated to this case)

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A4 - Patient next appointment information slip (S107)

Patient next appointment information slip

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Level 1 Falls Response Specification (S138)

Level 1 Falls Response Specification