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Short Break Service SOP (S137)

This 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.

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Community Treatment Order Policy (P62)

This policy sets out the legal framework for the operation of an order made under section 17A of the Mental Health Act (‘the Act’) which is known as a ‘Community Treatment Order’ (‘CTO’). The purpose of a CTO is to allow suitable patients to be safely treated in the community rather than under detention in hospital, and to provide a way to help prevent relapse and any harm – to the patient or to others – that this might cause. It is intended to help patients to maintain stable mental health outside hospital and to promote recovery. The term ‘patient’ is used throughout to reflect the language of the Mental Health Act Code of Practice (MHA CoP or ‘the code’) but terms such as ‘CTO patient’ or ‘service user’ may be preferred locally. This policy should be read in conjunction with chapter 29 of the MHA CoP which offers guidance on the operation of the Act. The principles set out in Chapter 1 of the Code in particular, treating patients using the least restrictive option and maximising their independence; and purpose and effectiveness should always be considered when considering CTOs (MHA CoP – 29.5)

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P11 Negative Pressure Wound Therapy Policy

The purpose of this policy is to provide evidence based guidance on the use of Negative Pressure Wound Therapy (NPWT), which is an advanced wound care treatment for patients with complex wounds. Clinicians working within Derbyshire Community Health Services NHS Trust should refer to this Policy for; • Recommended best practice guidance for managing a patient with NPWT. • Recommendations to reduce potential risk and harm to patients receiving NPWT. • The role of the Registered Healthcare Professional will be defined in this guideline, outlining their responsibility and accountability for the patient receiving NPWT

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L206 - Air Pollution

L206 - Air Pollution - a Respiratory Service patient information leaflet.

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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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Patient Supervision and Observation Policy (P82)

This policy aims to provide a framework for staff working in Derbyshire Community Health Services Foundation Trust (DCHS) to enable them to follow a consistent approach in the planning and implementation of patient supervision and observation for patients who pose a potential or actual risk to themselves or others. The policy provides clear instructions on how patient supervision should be implemented. Guidelines are also provided for the assessment of risk, to identify the level of supervision required and effective care planning.

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HRP53 eRostering Policy

HRP 53 eRostering policy. purpose of the Rostering Policy is to ensure that service users’ safety is the primary objective of all Trust rosters. The purpose of this policy is to ensure all rosters have the staffing level and skill mix required for the safe and appropriate care of service users, which is available at all times. v1 May 2022