Pages
My Download - 1 November 2021
Weekly all DCHS staff e-newsletter
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-1-november-2021
New ultrasound service at North Derbyshire’s Community Diagnostic Centre
https://dchs.nhs.uk/news/new-ultrasound-service-north-derbyshires-community-diagnostic-centre
DCHS Chair Julie visits Okeover Ward
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/dchs-chair-julie-visits-okeover-ward
Are you interested in a career in community nursing?
https://dchs.nhs.uk/news/are-you-interested-career-community-nursing
Files
2021_10_07_public_board_meeting_pack.pdf
DCHS October 2021 Public Board meeting agenda and papers
Managers Informal Conversation Guide (DCHS) V2_.pdf
Managers Informal Conversation Guide Mandatory staff Covid-19 vaccinations (DCHS) V2 (with updated links)
Advance Decisions Policy
It is a general principle of law and medical practice that adults have a right to consent to or refuse treatment. The courts have recognised that adults have the right to say in advance that they want to refuse treatment if they lose capacity in the future, even if this results in their death. A valid and applicable advance decision to refuse treatment has the same force as a contemporaneous decision. This has been a fundamental principle of the common law for many years and is now set out in the Mental Capacity Act 2005, which came into force in 2007 supported by the Code of Practice to the Act. Derbyshire Community Health Services NHS Foundation Trust aims to achieve a more balanced partnership between patients and healthcare professionals and acknowledges that it is the right of every adult patient with capacity to determine whether or not to accept medical treatment. In addition, it is the right of every adult patient to express views about their future care and treatment. The primary responsibility lies with the patient (the maker) to write an Advance Decision to Refuse Treatment (ADRT). The Trust endorses the good practice of staff, set out in national guidance and professional standards to provide information to and general support for patients who wish to write an ADRT. The Trust always encourages patients who wish to discuss their plans for future care and will provide advice to patients and support to advance care planning by helping to coordinate care and communicate plans. In addition, it is supportive of those patients who present with an advance decision and where this is valid and applicable, comply with that specific decision. This policy should be read in conjunction with the Trust’s Consent Policy and aims to raise awareness and give guidance to staff about advance decisions.
Recognition of the Deteriorating Child Policy (P93)
The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis.
Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)
DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.
Children’s Services Immunisation Policy 0-19 Years (P2)
The current immunisation schedule has been designed to provide early protection against infections that are most dangerous for the very young. This is particularly important for diseases such as whooping cough, pneumococcal, Hib and meningococcal serogroup C infection. Providing subsequent immunisations and booster doses ensures continued protection against these diseases. Additional vaccinations are offered at specific points throughout the child, young person, and adult’s life to provide protection against infections before they reach an age at which they become at increased risk from certain vaccine-preventable diseases. Recommendations for the age at which vaccines should be administered are therefore informed by the age-specific risk for a disease, the risk of disease complications and the ability to respond to the vaccine. The recommended immunisation schedule should therefore be followed as closely as possible. Health Care professionals employed by Derbyshire Community Services Foundation Trust (DCHSFT) have a responsibility to promote the benefits of immunisation in a consistent, clear and evidence based way to parents, carers, and young people. The overarching aim of the policy is to therefore support practitioners to fulfil the requirements of their commissioned role in delivering the national universal childhood immunisation programme, alongside any targeted immunisation schedules safely and competently.
L296 - My Bronchiectasis Action Plan.pdf
Patient leaflet for self management of Bronchiectasis. 'This action plan may help me to manage my respiratory condition/s by separating my symptoms into green, amber and red sections,
6-8 week Review 0-19 Children’s Services Guidelines (G273)
This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when delivering the 6-8 week review. It outlines the goal and essential components of the 6-8 week review offered to all families in Derbyshire. 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.
Mental Health Act 1983 - Urgent Treatment Policy and Procedure (P102)
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.
Domestic Abuse and Sexual Violence Policy (P90)
To provide information about the practical help and support that is available to employees of DCHSFT who are currently experiencing domestic abuse, or are experiencing trauma as a result of their past experiences of abuse. This Policy also covers the approach to be taken where an employee’s behaviour towards their family may constitute domestic abuse. Providing this information empowers Managers to take effective, supportive action and reinforces the message that domestic abuse and sexual violence cannot be ignored.