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Freedom to speak up animations

We have developed a series of animations based on issues staff have raised a concern about in DCHS. We hope they help you make your decision about whether you should raise a concern.

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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.

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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.

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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.

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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.

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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

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Appendix 7 - Flexible Working Pattern Confirmation Letter.docx

Appendix 7 - Flexible Working Pattern Confirmation Letter

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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.

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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.

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Facial_hair_and_FFP3_respirators_220320.pdf

Facial hair and FFP3 respirators