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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
Lovely 'shout-out' for Katrina Roberts
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/lovely-shout-out-katrina-roberts
Files
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.
Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)
This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.
Clinical Harms Review Additional detail for Service Level SOP (S130)
This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed 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 consider 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.
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.
Dressing Formulary and Wound Care Guidelines (G68)
The Derbyshire Wound Care and dressing formulary has been revised in collaboration with the East Midlands Wound Care Formulary Group. Work has been undertaken to provide a clinically effective, appropriate and cost effective choices of products to manage the vast majority of wounds. The formulary is available for all practitioners working for Derbyshire Community Health Services and Primary Care Services. It is expected that prescribers will preferentially use the products listed in the guide for routine use and be able to provide robust rationale where they have prescribed outside the formulary.
L229 - Sputum Clearance Technique
L229 - Sputum Clearance Technique. Respiratory Service patient information leaflet.
Hyperkalaemia Assessment and Management in Community Settings Guidelines (G102)
These guidelines have been produced to support the safe and timely management of hyperkalaemia in primary and community care (National Patient Safety Alert: NHS/PSA/RE/2018/006).
Non-Medical Prescribing Policy (P57)
This policy has been developed to support local implementation of non-medical prescribing in Derbyshire Community Health Services NHS Foundation Trust (DCHS) to ensure all qualified Non-medical Prescribers (NMPs) and their managers are aware of their accountability and responsibility in relation to prescribing
Safeguarding Children Policy (P31)
Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.