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General Discussion
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Message from Julie Houlder and Tracy Allen, on behalf of the DCHS Trust Board: Ongoing social unrest
St. Oswald's Hospital
https://dchs.nhs.uk/our-services-and-locations/our-locations/community-hospitals/st-oswalds-hospital
Files
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
Service Level Clinical Harms Standard Operating Procedure (S139)
This document should be read in conjunction with the overarching DCHS patient access and safe waiting policy which outlines the processes to be followed in order to deliver a consistent approach to. • Utilising a proactive method of 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 for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.
SAMA Template 04 Reporting Recording Monitoring Absence Flow Chart
Template 04 - Reporting, Recording and Monitoring Absence Flowchart
SAMA Template 19 Dismissal letter
Template 19 Dismissal letter - capability
SAMA Template 36 Ill Health Retirement Process Flow Chart
Template 36 Ill-Health Retirement Process Flow Chart
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.
Sudbury Prison Patients referred to Outpatient Physiotherapy SOP (S69)
When patients from Sudbury Prison are referred from secondary care to Out Patient Physiotherapy, for example post-operative patients, they occasionally require a chaperone. Sudbury prison is a category D prison. Some prisoners will need one officer to accompany them whilst on probation. Prisoners may be able to attend appointments alone in line with prison risk assessment. Prisoners requiring two officers should not be seen in the department as advised by Head of Security at Sudbury Prison
Temperature Monitoring of Medicines Storage Rooms SOP (S74)
Aim of SOP; to reduce risk to patient safety by monitoring exposure of medicines to high temperatures. DCHS accepts that the storage of medicines may exceed 25°C in exceptionally hot weather. However, all staff must follow the actions outlined in this SOP to reduce this risk.
Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)
Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.