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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.

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

Vaccination programme (flexible staffing and bank) - Employee Online user guide.pdf

Delegation of Administration of Insulin to Adults in Residential Care Policy (P100)

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 supported by Derbyshire Community Health Services (DCHS NHS FT). It underpins the guidance set out by governing bodies and organisations within the Acknowledgement of this policy

APPENDIX 13 - Outcome of disciplinary investigation – Minor Misconduct – Informal Resolution.docx

HRP24 Appendix 13 - Outcome of disciplinary investigation – Minor Misconduct – Informal Resolution/ proceedings

A3 – Criteria for Suitability for care by Podiatry Assistant (S107)

Criteria for Suitability for care by Podiatry Assistant

DCHS AAR Template v2

After Action Review Template

Appendix 7 Secondment Evaluation Form.docx

Appendix 7 – Secondment Evaluation Form

HRP14 Appendix 4 Wellbeing conversation template.docx

HRP14 Wellbeing Conversations Template

SOP Titration of Heart Failure Medication by Designated Nurses (S8)

This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients