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APPENDIX 24 - Invite to appeal hearing.docx

Disclosure Ref 2025129 - Admissions involving the insertion of objects.pdf

FOI disclosure ref 2025129 relating to hospital admissions involving the insertion of objects into the anus or vagina

Disclosure Ref 2025135 - Number of blood trests at Ripley Hospital.pdf

FOI Disclosure ref 2025135 regarding the total number of individual patient blood tests conducted by Ripley hospital per year for the 10-year period of 2015 to 2024

Hybrid Working and Mobile Devices Policy

DCHS Hybrid Working and Mobile Devices Policy The aim of this policy is to protect DCHS information that is processed remotely or is stored on mobile devices from loss or unwanted exposure, and to minimise the risk of theft of mobile working devices.

Uniform and Dress Code Policy (P3)

Staff working within Derbyshire Community Health Services (DCHS) NHS Foundation Trust are required to adhere to a safe, hygienic and appropriate uniform and dress code policy. Therefore the purpose of this policy is to clarify the standards that staff are required to comply with. DCHS recognises the importance of appearance and attire in providing a professional image when working with clients and representing the Trust. All staff working clinically or visiting a clinical area have a responsibility for safeguarding patients in respect of reducing hospital acquired infections, therefore all clinical staff should adhere to the best practice guidelines as set by the Department of Health’s Best Practice Guidelines found in Uniforms and Work Wear DOH March 2010, An Evidence Base for Developing a Local Policy (DH)

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

Medicine Code (S2)

This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.

Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.

Identification Policy for Patients (P70)

Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.

Neck.png

Picture of neck anatomy