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Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)

The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’

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Chaperone Policy (P87)

The purpose of the Chaperone Policy is to set out the principles, practice and responsibilities of Trust staff for using a chaperone. The policy is aimed at DCHS Services and staff who provide care and treatment that requires the patient to have a procedure. The relationship between the person and the health professional should be one of mutual trust, confidence and respect. Over the years there have been incidents where the relationship has been breached, resulting in harm to the person and criminal prosecution of the health professional (HM Government, 2007). Inadequate communication and misunderstandings about the behaviour demonstrated during a procedure by a health professional towards the person, has also resulted in health professionals facing allegations of professional misconduct. Safe and effective communication is crucial, before during and after a procedure. The use of a chaperone can help to protect both the person and the health professional.

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How do I access the Derbyshire Shared Care Record.docx

Guide for staff on how to access the Derbyshire Shared Care Record

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Policy for the maintenance and management of lifts

Policy for the maintenance and management of lifts, Insurance Inspector, Lift Management, thorough examination, lift servicing.

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School Readiness Review Guidelines (G210)

This Best Practice Guidance gives clear guidance on the minimum standard expected of Community Nursery Nurses (CNNs) when delivering the school readiness review. It outlines the goal and essential components of the school readiness review offered to all families in Derbyshire when their child is around 3.5 years old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. It is expected that Nursery Nurses employed by DCHS exercise professional judgement and have clear, documented evidence of the rationale for their decision making when working with children and families, including making the decision to seek advice or support from a health visitor in the team when needed.

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L288 - Using phenoxymethylpenicillin tablets when liquid medication is unavailable

Advice for parents on administering phenoxymethylpenicillin Tablets to Children when liquid medication is unavailable.

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Leadership - Useful links (v1).docx

Links to various support and information available to new/existing leaders from a variety of sources.

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Cardiac Rehab Service SOP (S109)

This SOP was drawn up to confirm and clarify the operating procedure for the community cardiac rehabilitation service (CR) This document sets out the standards which, in the view of the patient and professional organisations involved, are required of services to deliver a high-quality community cardiac rehabilitation service for people with cardiovascular disease (CVD) Cardiac rehabilitation is a comprehensive secondary prevention programme of exercise and education aimed at people who have had a cardiac event, cardiac surgery, and heart failure. Research has demonstrated that it helps reduce mortality and morbidity “The evidence base that supports the merits of comprehensive CR is robust and consistently demonstrates a favourable impact on cardiovascular mortality and hospital re-admissions in patients with coronary heart disease” (Anderson et al 2016). The community cardiac rehabilitation service was developed in response to a growing need for more cardiac rehabilitation programmes for a wider range of cardiac conditions which were unable to be accommodated in the acute hospital programmes and to offer a menu of options for delivery of programmes closer to the patient’s own home.

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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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Uniform and Dress Code Policy (P3)

Staff working within Derbyshire Community Health Services (DCHS) NHS Foundation Trust are required to adhere to a safe, hygienic and appropriate uniform and dress code policy. Therefore the purpose of this policy is to clarify the standards that staff are required to comply with. DCHS recognises the importance of appearance and attire in providing a professional image when working with clients and representing the Trust. All staff working clinically or visiting a clinical area have a responsibility for safeguarding patients in respect of reducing hospital acquired infections, therefore all clinical staff should adhere to the best practice guidelines as set by the Department of Health’s Best Practice Guidelines found in Uniforms and Work Wear DOH March 2010, An Evidence Base for Developing a Local Policy (DH)