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Childrens 0-19 Services Was Not Brought No Access and Failed Encounter Policy (P92)

Babies, children and young people are reliant on someone else to take them to appointments or be at home for a visit that relates to their health, development and wellbeing and as a result they are sometimes not taken or in to receive them. Historically this would have been recorded as ‘Did Not Attend’, Failed Encounter and No Access. Many Serious Case Reviews / Safeguarding Adult Reviews/Domestic Homicide Reviews, both nationally and regionally, have identified that not being taken to medical appointments can be a precursor to serious abuse. This policy is to ensure that there is a clear process for all staff working within Childrens 0-19 on how to apply safeguarding principles and procedures to the following situations: • New referrals into the 5-19 service that do not attend their first appointment. • Children and young people known to our services who are not brought to an appointment • No access visits where staff are unable to make contact with, or gain access, to a Child or young person’s place of residence. • Processes are in place to ensure early intervention and prevention when disengagement is a feature as this is the key to safeguarding children • To ensure the recording and collection of timely information to enable analysis of incidents and identification of investigations • The safety and well- being of patients who miss an appointment or home visit is maintained.

DCHS QI Tools- 6 thinking hats.pptx

Exposure to blood and body fluid poster

Exposure to blood and body fluid poster

A2 - Support and Additional Contacts (P10)

Disclosure Ref 2024247 - Car parking fines and costs.pdf

Freedom of Information disclosure reference 2024247 relating to car parking fines and costs for DCHS sites

Admission Discharge and Transfer Policy for DCHS OPMH and Neurodevelopmental inpatient Service (P84)

Derbyshire Community Health Services FT (DCHS) has both Learning disability (LD) and Older Peoples Mental Health (OPMH) specialist in-patient services located in the North of the county which provides services to meet acute clinical health care needs. The OPMH service covers North Derbyshire; the LD service is the bedded provision for the County of Derbyshire. The policy sets clinical standards to improve the admission of appropriate patients. The policy encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services.

Dysphagia Management of Adults (P20)

DCHS recognises the risk to people who have difficulty with eating, drinking and swallowing and that the management of dysphagia is everyone’s business. This policy promotes a multi-disciplinary approach to identifying and managing dysphagia. It is to ensure that all people with dysphagia receive the highest possible level of assessment, care and support to achieve maximum independence, pleasure and meet their nutritional needs, whilst keeping the risks associated with this potentially life threatening condition to a minimum.

Adult Enteral Feeding Policy (P48)

The purpose of the policy is to provide best practice guidance for the care of adults fed via with an enteral feeding tube. The aim of the policy is to ensure delivery of safe and effective care for patients who are enterally tube fed within Derbyshire Community Health Services: • Community Hospitals, • Community Services • Care Homes And to ensure continuity of care within Derbyshire Community Health Service Foundation Trust.

Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.