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Urgent treatment centres

Our four Derbyshire UTCs, Ilkeston Hospital, Ripley Hospital, Buxton Hospital and Whitworth Hospital

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SAMA Template 29 OH Referral Questions

Template 29 OH Referral Questions

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Administration of Insulin Injection Policy and Standard Operating Procedure (P4)

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 within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.

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Adult Nutrition Food and Hydration Policy (P50)

This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix

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Manual Handling Operating Standards January 2022

Manual Handling Operating Standards January 2022, includes TILEO

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Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)

This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

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Standard Operating Procedure for Medicines Management in the ISHS Community Setting (Pop up Clinic) (S134)

This SOP sets out the actions taken to facilitate the safe transportation, administration and monitoring of any medications used in the community setting in line with the medicines code.

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Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary

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SAMA Template 14 Review outcome no action

Template 14 Review outcome no action letter

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SAMA Template 30 DNA letter1

Template 30 DNA OH Appointment letter

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Delivering Same Sex Accommodation (P64)

Every patient has the right to receive high quality care that is safe, effective and respects their Privacy and Dignity. There are no exemptions from the need to provide high standards of privacy and dignity and this applies to all areas, including when admission is unplanned. This is one of the guiding principles of the NHS Constitution (2009) and at the core of local NHS visions. Derbyshire Community Health Trust ( DCHS) aim is that all patients who are admitted to any of our hospitals will only share the room where they sleep with members of the same sex, and same sex toilets and bathrooms will be close to their bed area. Sharing with members of the opposite sex should only happen by exception based on clinical need (for example where patients need specialist equipment), or when patients choose to share (for instance married couple who have been admitted together may want to share a side room). This Policy contributes to the achievement of CQC Outcome 4 – The patient will receive care, treatment and support in single sex accommodation wherever it is available. The aim is to ensure a clear and consistent approach is adopted across DCHS community hospitals by all ward managers.