Pages
Inequalities research earns second round of grant funding
https://dchs.nhs.uk/news/inequalities-research-earns-second-round-grant-funding
Op COURAGE: The Veterans Mental Health and Wellbeing Service
https://dchs.nhs.uk/news/op-courage-veterans-mental-health-and-wellbeing-service
Breastfeeding events hosted to support families in Derbyshire
https://dchs.nhs.uk/news/breastfeeding-events-hosted-support-families-derbyshire
PAT Testing for remote workers in DCHS
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/pat-testing-remote-workers-dchs
Quality and safe care champions
https://dchs.nhs.uk/about-us/quality-heart-our-care/quality-always/quality-and-safe-care-champions
Files
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.
Domestic Abuse - Childrens 0-19 Services Policy (P14)
This policy gives clear guidance on the standard expected of Specialist Community Public Health Nurses (Health Visitors and School Nurses) and other members of the 0-19 team when undertaking routine enquiry, managing disclosures of domestic abuse, responding to domestic abuse notifications, and supporting families experiencing the impact of domestic abuse. This document supports a commitment to evidence based practice across 0-19 children’s services.
Clinical Harms Review Additional detail for Service Level SOP (S133)
This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed to deliver a consistent approach to. • Risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews that support the Trusts governance and assurance processes and maintains practice in line with national expectations. The intention of the service level document is to provide specific detail on. • The risk stratification process in operation and clinically appropriate to specific service lines and patient cohorts • Waiting time thresholds for the relevant patient pathways
Incident Reporting Policy (P80)
Derbyshire Community Health Services (DCHS) NHS Foundation Trust is committed to ensuring the safety of patients, staff, visitors, and contractors alike. DCHS aspires to provide a Zero Harm environment. The policy considers the recommendations of the Department of Health publications: An Organisation with a Memory, Building a Safer NHS, Doing less Harm and the former National Patient Safety Agency (NPSA) publication Building a memory: preventing harm, reducing risks and improving patient safety, Berwick report 2013 and the Health and Safety at Work etc. Act 1974 and subsequent subsidiary reports. The reporting, management and investigation of adverse incidents are fundamental elements of risk management. Sharing the learning from adverse incidents (including near misses) enables the organisation to implement changes to practice, processes, and systems so that the risk of harm is reduced. In addition to the human costs, if incidents are not properly managed, they may result in a loss of public confidence in the organisation and a loss of assets.
Mental Health Act 1983 Procedure for Associate Hospital Managers Hearings Policy and Procedure (P78)
To provide guidance to Trust staff when considering the use of urgent treatment to patients detained in hospital under the MHA 1983, or subject to a Community Treatment Order.
Physical Health Care For People With Mental Health And Learning Disabilities Guidelines (G15)
This guidance aims to set out the standard of physical health monitoring for those patients within both the older person’s mental health and learning disability inpatient units. It provides guidance about physical health care interventions that are provided within the Trust and those requiring advice or intervention from other services. Good physical health underpins the overall well-being of our patients and supports a holistic approach to care delivery, which includes the identification and appropriate management of physical health needs. In relation to those service users attending specialist OPMH day Services or specialist LD outpatients, the responsibility for the patient’s physical, health care will remain with their General Practitioner. Where there are any identified physical health findings or concerns noted whilst the patient is attending the service, their General Practitioner must be notified.
Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)
The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.
Disconnection of Continuous Infusional Chemotherapy from a Central Venous Access Device (CVAD) in the Community SOP (S65)
The aim of this SOP is to provide guidance for staff in the clinical procedure of the disconnection of continuous infusion chemotherapy from a CVAD within a DCHS setting across adult services. This SOP is intended to reduce the level of risks associated with this procedure.
Prevention and Management Pressure Ulcer Policy (P36)
This policy outlines the Trust’s approach for the prevention of pressure ulcers in people under the care of DCHS clinicians. It encompasses the appropriate management for the prevention of pressure ulcers as well as the management of patients with ulcers already present. This policy and the supporting guidelines place an emphasis on a collaborative integrated multidisciplinary, multiagency approach to identifying risk factors and the implementation of appropriate preventative and/or treatment measures in a timely manner.
Derbyshire Children’s Continence Service Level 2 policy (P91)
The policy will work in conjunction with NICE guidance for constipation and nocturnal enuresis (NICE 2010a 2010b). This guideline is to provide direction and guidance to staff; however, deviation is dependent on professional judgement. This guidance aims to support the Derbyshire Children’s Continence Service Level 2 in delivering a continence service within localities. This guide will ensure standardised practice to support reducing inequalities of service across Derbyshire Community Health Services NHS FT, Chesterfield Royal Hospital FT and Derbyshire Healthcare NHS FT.