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My Download - 18 January 2022
Apologies for missing last week - we are very depleted in numbers in Comms and had to make some difficult decisions about priorities - last week media enquiries, the web, Operational Update and Team Brief made the list! Lots to share this week .... including how to access the new web, details about the mileage consultation, an update on the Belper plans and so much more!
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-18-january-2022
Nursing services
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/nursing-services
Living well with dementia
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/living-well-dementia
Forum
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My Download - 29 November 2021
DCHS weekly staff news and update
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-29-november-2021
Files
Venous Thromboembolism (VTE) Prophylaxis Policy (P8)
Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.
Wound Assessment SOP (S62)
The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.
Being Open and Duty of Candour Policy (P81)
The purpose of this policy is to set out the arrangements for open and honest communication following an event/incident, complaint or claim in compliance with the Being Open principles and Duty of Candour requirements
DCHS Clinical Supervisor details for database form
DCHS Clinical Supervisor details for database form - for adding or updating details to the supervisors database
Risk Management Policy
The aim of this document is to provide clear and accurate direction & guidance to risk management for all staff within Derbyshire Community Health Service NHS Foundation Trust (DCHS). Risk management is the recognition and effective administration of all threats that may negatively impact upon values, standards & reputation of DCHS thus preventing planned objectives that in turn may preclude the Trust in its delivery of high quality statutory responsibilities. Risk management also includes positive exploitation of any opportunity that may present during threat analysis or mitigation. The purpose of this policy is to evidence the importance of risk management to DCHS, maintain a consistent approach to effective risk management, ensure accurate & effective systems and processes are firmly in place to support all staff in the management of corporate and operational risks across the organisation. Provide a single point of reference for information pertaining to all contributing facets, platforms, staff & agencies involved in the management of risk throughout all areas of service provision. DCHS’ risk Management policy seeks to mitigate risks that may threaten delivery of planned strategic objectives and put in place measured controls to manage such risks to as low as reasonably practicable.
New Birth Review Guidelines - 0-19 Children’s Services (G207)
This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when delivering the New Birth Review. It outlines the goal and essential components of the New Birth Review offered to all families in Derbyshire when their baby is 10-14 days 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.
Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)
The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.
Continence Support in Universal Childrens Services Policy (P96)
This policy is to support Health Visitor, School Nurses and Nursery Nurses to work effectively when supporting children, young people and their families with continence issues. This guidance and the supporting pathway will use evidence based practice to guide clinicians through the processes they need to follow to ensure that effective tier 1 support is offered before a referral is made to specialist services.
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.
Clinical Effectiveness Policy (P85)
The purpose of this policy is to set out the rationale for clinical audit and provide a framework for such activity, including standards, guidance and procedures, as well as details of the support available from the Clinical Effectiveness Team: • For registering and approving clinical audit project proposals • For developing and designing clinical audit projects • To ensure clinical audit leads to improvement when a need for improvement is identified This policy aims to support a culture of best practice in the management and delivery of clinical audit, to clarify the roles and responsibilities of all staff involved, and to promote a culture of quality improvement in our services.