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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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DCHS_Supervision online record system User Guide V2

DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.

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RipleyButterleyWardMovingBack Press Release FINAL11.3.22

Ripley Butterley Ward Moving Back Press Release - plans have been announced to bring Butterley Ward back to Ripley Hospital from its temporary base at Ilkeston Community Hospital after Easter, during the final week of April.

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Guidance for Care of Next Infant (CONI) (G212)

This guidance is to support CONI coordinators, health visitors and clinical leads in their organisation and delivery of the CONI scheme to families in Derbyshire.

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The Management of Warfarin Therapy for Inpatients Guidelines (G233)

The aim of this guideline is to improve the safety of anticoagulant therapy for inpatients under the care of DCHS by: • Providing an evidence-based algorithm for the initiation of warfarin therapy in atrial fibrillation, including the use of a specific SystmOne template for warfarin management. • Offering an evidence-based algorithm to guide maintenance dosing decisions. • Clarifying the process for communicating follow-up arrangements to primary care teams when a patient is discharged from hospital. • Endorsing the level of competence and training required of clinicians who prescribe warfarin. • Ensuring that the guidance will be built into an audit and review cycle.

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Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)

The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.

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Continence Support in Universal Childrens Services Policy (P96)

This policy is to support Health Visitor, School Nurses and Nursery Nurses to work effectively when supporting children, young people and their families with continence issues. This guidance and the supporting pathway will use evidence based practice to guide clinicians through the processes they need to follow to ensure that effective tier 1 support is offered before a referral is made to specialist services.

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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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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.

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L274 - Best Interest Document 3/3: What decision has been made?

L274 - Best Interest Document 3/3: What decision has been made? This booklet covers: • Some things about the Mental Capacity Act (2005) • What a best interest decision means • What decision needed to be made about you • What was thought about to make the decision • What was decided