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Health Psychology

The DCHS health psychology service provides specialist psychological care and support to adults with physical health problems.

World Arthritis Day - 12 October 22

The theme this year is - 'It's in your hands, take action'. It aims to encourage people with arthritis, their caregivers, families, and the general public to avail every opportunity to take action to improve their lifestyle.

LGBTQIA+ Staff Network

Find out how to join the LGBTQ+ staff network, support our work through meetings, wearing the rainbow pin badge or rainbow lanyard and more you can do as an LGBTQ+ ally.

Files

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Opportunistic Maggots Guidance (G274)

Every year during the hot weather we experience an increase in patients with opportunistic maggots in the community. This guidance is to aid assessment and management of these patients.

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Admission Discharge and Transfer Policy for DCHS Community Hospitals (P56)

This Policy helps define the purpose of the treatment provided by our Community Hospitals and how to access these services. It does not apply to our Older Peoples Mental Health Wards or Learning Disability Service beds as they are accessed via a separate protocol. The Policy sets clinical standards to improve the admission of appropriate patients. It encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services. The Policy aims to support well-organised, safe and timely admissions, discharges and transfers for all patients through appropriate planning with the patient and their relatives / carers.

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Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.

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L273 - Best Interest Document 1/3: Mental Capacity Act Summary

L273 - Best Interest Document 1/3: Mental Capacity Act Summary. This booklet will tell you some things about: • The Mental Capacity Act • Best interest decisions • What a deputy is • How to challenge a decision if you do not like it

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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

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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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Clinical Record Keeping Policy and Standards (P6)

This policy aims to ensure that the clinical records made by staff are fit for purpose and of a quality that provide for objective, accurate, current and comprehensive information that supports and enables the best clinical care and treatment for the patient/client. This policy has incorporated a range of best practice and related legislative requirements to outline the organisations expectations for clinical record keeping standards, both on paper and electronically. The policy provides support to the organisation in meeting its statutory and legal obligations as laid down by the Records Management: NHS Code of Practice 2016; Data Protection Act 1998 section 7, General Data Protection Regulation 2018 and relevant professional bodies. The policy also identifies the standards expected of all registered and non-registered staff. It sets a minimum standard, which will be applicable to all patient settings, including community clinics and inpatient areas. This policy does not replace standards set by professional organisations, but is complementary to them and should be used in conjunction with them.

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Missing Patient Procedure Including Section 18 Absent without Leave Guidance (S23)

This procedure has been developed to inform hospital staff what action to take when a detained patient is absent without leave from the hospital where they are liable to be detained under the Mental Health Act 1983. Guidance when an informal patient’s whereabouts is unknown and this includes patients that may be missing from other in-patient areas. The procedure aims to provide a consistent and easy to follow approach thus supporting the staff and protecting some of our most at risk and vulnerable patients.

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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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DCHS_Supervision online record system User Guide V2

DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.