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Guidelines for Using the Abbey Pain Scale (G204)

The Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs.

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Guidance for using the Fast Track Pathway for NHS Continuing Healthcare (G181)

Individuals with a rapidly deteriorating condition that may be entering a terminal phase, may require ‘fast tracking’ for immediate provision of NHS Continuing Healthcare. The intention of the Fast Track Pathway is that it should identify individuals who need to access NHS Continuing Healthcare quickly, with minimum delay, and with no requirement to complete the Checklist or the Decision Support Tool (DST). Therefore, the completed Fast Track Pathway Tool, which clearly evidences that an individual is both rapidly deteriorating and may be entering terminal phase, is in itself sufficient to establish eligibility.

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Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)

Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.

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Prevent Policy (P46)

The overall aim of the policy is to make clear the duties, responsibilities, and arrangements in place to enable DCHS staff to safeguard and support individuals (children, young people, adults or staff); where it is suspected that the individual(s) is at risk of being drawn into terrorism or other forms of extremist activity. Safeguarding and promoting the welfare of children, young people and adults is everyone’s responsibility and this Policy sits alongside the DCHS Safeguarding Adults Policy and the DCHS Safeguarding Children’s Policy. The Counterterrorism and Security Act 2015 places a duty on certain bodies, including NHS Trusts, to have “due regard to the need to prevent people from being drawn into terrorism”; including a statutory responsibility to appoint a Prevent Lead and provide training for all staff. Healthcare staff have a key role in Prevent. Prevent focuses on working with individuals (patient’s and/or staff) who may be at risk of being exploited by radicalisers and subsequently drawn into terrorist related activity. Prevent does not require staff to do anything in addition to normal duties. Staff are expected to raise concerns about individuals who are being exploited in this way (DOH 2011).

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Safeguarding Adults Policy (P28)

The aim of this policy is to support staff to comply with their duties under the Care Act 2014 (sections 42-46) for safeguarding adults and the Derbyshire and Derby Safeguarding Adults Boards Safeguarding Adults Policy and Procedures. The policy sets out the principles and practice of safeguarding adults and the responsibilities of Derbyshire Community Health Services (Trust) staff when caring for an adult (aged 18 years and over) where safeguarding concerns arise. “Safeguarding means protecting an adult’s right to live in safety, free from abuse and neglect…people and organisations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the adult’s wellbeing is promoted including, where appropriate, having regard to their views, wishes, feelings and beliefs in deciding on any action” (Care and Support Statutory Guidance 2017:14.7).

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Living with COVID (June 2022)

Living with COVID June 22 - v 3 Updated guidance on IP&C, mask wearing and general behaviours expected of staff, patients and visitors .

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Standard Operating Procedure for seated patient lifting device in community settings following a fall (S96)

This standard operating procedure sets out the process by which clinicians working within Integrated Community Services are able to utilise a seated lifting device (e.g. Mangar Elk or Camel) to support patients who have fallen in their home environment. This will prevent long lies and use of emergency ambulance personnel for retrieval only. The aim of this procedure is to support clinicians to: • Understand the purpose and use of the device • Ensure the response using the device is appropriate. • Ensure clinical documentation is properly completed.

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L285 - Using amoxicillin capsules when liquid medication is unavailable

Advice for parents on administering Amoxicillin Capsules to Children when liquid medication is unavailable.

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0-5 Derbyshire Family Health Service Information and Advice Line Clinical SOP (S112)

The aim of the SOP is to ensure that all staff that work clinically in the Derbyshire Family Health Service Information and Advice Line have consistent process’ and pathways to support consistent care for the population of Derbyshire and partner agencies that access the 0-19 service.

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Infant Feeding Practitioner Standard Operating Procedure (S123)

This SOP gives an overview of the service provided by Infant Feeding Specialists. It also supports a commitment to ensure evidence based tools and training are embedded within practice, supporting the local commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. This SOP should be used in conjunction with other DCHS Childrens and DCHS Trust policies along with UNICEF Baby Friendly standards.