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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.

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Disclosure Ref 2024191 - Urgent Treatment Centre ophthalmology (eye care) services.pdf

Disclosure Ref 2024191 relating to Urgent Treatment Centre ophthalmology (eye care) services

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Disclosure Ref 202522 - Deaths recorded in 2023 where vaping was a cause .pdf

Disclosure to freedom of information request regarding the number of deaths recorded at your trust in the year 2023 where vaping was a cause or contributor

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Disclosure Ref 202550 - Expenditure on transcription services.pdf

Freedom of information disclosure reference 202550 relating to expenditure on transcription services

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Disclosure Ref 202584 - Compliance with Deaths guidance .pdf

Freedom of information final disclosure reference 202584 relating to compliance with learning from deaths guidance

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Disclosure ref 2025101 - Use of meats containing nitrates 1 of 2.pdf

Freedom of Information disclosure ref 2025101 relating to the use of meats containing nitrates

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Disclosure Ref 2024221- SARs and FOIs .pdf

Freedom of Information disclosure reference 2024221 relating to Subject Access Requests & Freedom of Information requests received during Nov 2022 to Oct 2023

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Missing from Known Address Policy (P71)

The purpose of the Missing Children and family Alert (MCFA) process is to locate pregnant women and children who have disappeared from view following an undisclosed change of address and for whom there may be concerns about child welfare in respect of unmet need, vulnerability or abuse. Working Together to Safeguard Children (HM Government 2018) identifies that all children should be safeguarded and have their welfare promoted. This Policy is aimed at DCHS Services that hold a child caseload.

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Implementation of National Guidance Policy (P44)

All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.

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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.