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Waiting Well Standard Operating Procedure (S115)

This Standard Operating Procedure (SOP) has been developed to set out the expected clinical standards for DCHS and DHCFT by which we manage our access to services for people who are either not yet receiving a service from a specific team or who are awaiting this intervention. There will continue to be a DCHS and DHCFT policy and procedure due to systems and governance and to refer to the relevant one as appropriate. This SOP is to support the safety and well-being of service users (and those around them) who are waiting to access our services.

Requesting and Managing Pathology Results within DCHS Community Hospital Wards SOP (S98)

The purpose of this Standard Operating Procedure (SOP) is to outline the steps required to effectively manage the requesting, receiving, filing and actioning of all pathology results by either an electronic process or by a relevant paper-based system. Utilising an electronic system (such as ICE) enables pathology requests to be requested, reviewed and actioned electronically via the electronic patient record within TPP SystmOne. There are an estimated 1.12 billion pathology tests undertaken each year in England (NHS England, 2020) It is imperative a record of all pathology samples is accurately maintained to avoid patient harm and improve patient outcomes (WHO, 2021). The Care Quality Commission (2021) inspects the management of test results to ensure processes are robust, practice is safe and care is effective.

Long Term Segregation Policy (P86)

This policy aims to provide clear guidance on the use of long term segregation, (please note the use of seclusion is covered in DCHS trust policy – (Management, Prevention and reduction of violence and aggression including physical restraint and seclusion). To ensure restrictive interventions remain proportionate, least restrictive, take account of patient preference where possible, and last for no longer than is necessary. The policy sets clinical standards to ensure compliance with the Mental Health Act 1983 and subsequent Code of Practice 2015 alongside NICE guidance NG10. To ensure robust governance arrangements that are transparent in their nature. To support the trusts ambition of reducing the use of restrictive practices. The policy aims to ensure the specific needs of all patients are met in a fair and equitable way.

A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

Administration of Medicines in an Emergency Situation for Children SOP (S31)

S31 - Administration of Medicines in an Emergency Situation for Children SOP

Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)

The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’

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

Disclosure Ref 2025316 - Admissions where exposure to air pollution exposure.doc

Freedom of Information relating to patients that were admitted where exposure to air pollution (ICD‑10 code Z581) was recorded as a contributing factor, including the primary diagnoses for those admissions, and how many of those patients later died in hospital.

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

Nova Xpress 2 Blood Glucose Meters Standard Operating Procedure

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