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Disability and Long Term Conditions staff network

A staff network for DCHS colleagues who have, colleagues who live with someone with or colleagues who support other colleagues with a disability or a long term condition. Also known as the DLTC staff network.

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Clinical Harms Review Additional detail for Service Level SOP (S133)

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. • 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 that support the Trusts governance and assurance processes and maintains practice in line with national expectations. The intention of the service level document is to provide specific detail on. • The risk stratification process in operation and clinically appropriate to specific service lines and patient cohorts • Waiting time thresholds for the relevant patient pathways

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FINAL Chief Executive Designate - Stakeholder Briefing - 11 November 2021.pdf

Dr Chris Clayton appointment; Chief Executive JUCD

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SOP for the supply or issue of Steroid Emergency Cards (S87)

Identify / supply to patients who require a Steroid Emergency card in the Community Hospitals setting, Urgent Treatment Centres, Podiatric Surgery, Integrated Community teams and specialist services such as Respiratory teams and Physiotherapy if a new Steroid Emergency card is needed or a Steroid Emergency Card has been lost

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Enhanced Observation Policy (P61)

The purpose of this policy is to describe how supportive observations and engagement maximise people’s safety, minimise risk and initiate and build supportive therapeutic relationships. During times of increased distress or risk, a person may require a temporary period of an enhanced level of supportive engagement to maintain safety for him/her or others while the level of distress or risk is reduced. This will be achieved by establishing a good rapport with the person, promoting their coping skills and being aware of their individual needs/reasonable adjustments. This policy sets out evidence-based practice for individual clinicians, teams and services regarding the engagement and observations of patients being cared for in DCHS inpatient Older People Mental Health and Learning Disability Services only. Observation is seen as an integral part of person-centred treatment planning and contributes to the management and reduction of risk. All forms of observation however will have implications for the patients’ privacy and dignity. The level of observation for each person should be justified as reasonable and proportionate to the degree of risk they pose to either themselves or others and to enable their care needs to be safely met. The aim of The Policy is to provides clear evidence-based guidance for the observation of patients within Older People’s Mental Health and the Learning Disability Service. All persons cared for in Older People’s Mental Health and Learning disability clinical areas are observed by the staff.

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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.

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Disconnection of Continuous Infusional Chemotherapy from a Central Venous Access Device (CVAD) in the Community SOP (S65)

The aim of this SOP is to provide guidance for staff in the clinical procedure of the disconnection of continuous infusion chemotherapy from a CVAD within a DCHS setting across adult services. This SOP is intended to reduce the level of risks associated with this procedure.

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Prevention and Management Pressure Ulcer Policy (P36)

This policy outlines the Trust’s approach for the prevention of pressure ulcers in people under the care of DCHS clinicians. It encompasses the appropriate management for the prevention of pressure ulcers as well as the management of patients with ulcers already present. This policy and the supporting guidelines place an emphasis on a collaborative integrated multidisciplinary, multiagency approach to identifying risk factors and the implementation of appropriate preventative and/or treatment measures in a timely manner.

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Derbyshire Children’s Continence Service Level 2 policy (P91)

The policy will work in conjunction with NICE guidance for constipation and nocturnal enuresis (NICE 2010a 2010b). This guideline is to provide direction and guidance to staff; however, deviation is dependent on professional judgement. This guidance aims to support the Derbyshire Children’s Continence Service Level 2 in delivering a continence service within localities. This guide will ensure standardised practice to support reducing inequalities of service across Derbyshire Community Health Services NHS FT, Chesterfield Royal Hospital FT and Derbyshire Healthcare NHS FT.

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Compression Hosiery Formulary Guideline (G214)

The aim of this document is to help health care practitioners to make an informed decision with the patient when managing limb conditions

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Payslip guide

DCHS payslip guide October 2022