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DCHS QI Tools- 6 thinking hats.pptx

Informal Carers administration of PRN subcutaneous injection in Community Palliative care Guidelines for DCHS staff (G184)

A small number of dying patients’ relatives request permission to administer subcutaneous medication at home to enable symptom control. UK statutory law supports this practice within a safe governance structure. To support this in practice “The Derbyshire policy for Informal Carers Administration of an as required subcutaneous injection in Community Palliative care” has been developed and underpins these guidelines for Derbyshire Community Health Service (DCHS) staff.

Childrens 0-19 Services Was Not Brought No Access and Failed Encounter Policy (P92)

Babies, children and young people are reliant on someone else to take them to appointments or be at home for a visit that relates to their health, development and wellbeing and as a result they are sometimes not taken or in to receive them. Historically this would have been recorded as ‘Did Not Attend’, Failed Encounter and No Access. Many Serious Case Reviews / Safeguarding Adult Reviews/Domestic Homicide Reviews, both nationally and regionally, have identified that not being taken to medical appointments can be a precursor to serious abuse. This policy is to ensure that there is a clear process for all staff working within Childrens 0-19 on how to apply safeguarding principles and procedures to the following situations: • New referrals into the 5-19 service that do not attend their first appointment. • Children and young people known to our services who are not brought to an appointment • No access visits where staff are unable to make contact with, or gain access, to a Child or young person’s place of residence. • Processes are in place to ensure early intervention and prevention when disengagement is a feature as this is the key to safeguarding children • To ensure the recording and collection of timely information to enable analysis of incidents and identification of investigations • The safety and well- being of patients who miss an appointment or home visit is maintained.

DCHS QI Tools- Brainstorming.pptx

Public Sector Equality Duty (PSED) Report 2021-2022

Public Sector Equality Duty (PSED) Report 2021-2022

Remote Consultation (telehealth) – Standard Operating Procedure Planned Care and Specialist Services (S120)

This standard operating procedure sets out the process by which we will determine, for each patient, for each contact, when it is safe and effective to offer a remote consultation, and when a face to face consultation will be needed. This will ensure that all patients who wish to access remote consultation are able to do so equitably, based on clear clinical decision making.

Homely Remedies SOP (S16)

Under normal circumstances, medicines should be administered either on the written prescription of an authorised prescriber, in accordance with the Medicines Code or under the authority of a Patient Group Direction. The Medication Optimisation Safety Team (MOST) has approved a list of non-prescription medicines or “homely remedies” that registered nurses and registered practitioners are authorised to administer at their own discretion, in accordance with the attached standard operating procedure, for a maximum of 48 hours (extended to 72 hours over a bank holiday weekend). The homely remedies approved are treatments commonly available over the counter for minor, short-term conditions without the need for a prescription or Patient Group Direction.

GD41 Managers Guide to Pay and Pay Step Progression.docx

DCHS QI Tools- SWOT.pptx

L226 – “Working Together” Patient and Public Involvement (PPI) Information Leaflet

Patient information leaflet about PPI, Patient and Public Involvement.