Pages
Introducing Hollieguard for lone workers
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/introducing-hollieguard-lone-workers
Temporary Annual Leave Measures 2022
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/temporary-annual-leave-measures-2022
Plans approved for the development of Belper health services
https://dchs.nhs.uk/news/plans-approved-development-belper-health-services
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Files
Administration of Insulin Injection Policy and Standard Operating Procedure (P4)
There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.
Wound Assessment SOP (S62)
The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.
Self Administration of Medicines Procedure (S28)
The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.
Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)
The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’
Was Not Brought - Did Not Attend - No Access Visit Policy (P88)
The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.
DCHS PSED Report 2019-2020.pdf
DCHS Public Sector Equality Duty Report 2019-2020
Financial wellbeing and support - DCHS
Financial wellbeing and support - DCHS v2, includes useful contact details for support and advice agencies
2022 10 06 Board Pack.pdf
October 2022 - Trust Board Meeting Pack
Leadership - Useful links (v1).docx
Links to various support and information available to new/existing leaders from a variety of sources.
Cardiac Rehab Service SOP (S109)
This SOP was drawn up to confirm and clarify the operating procedure for the community cardiac rehabilitation service (CR) This document sets out the standards which, in the view of the patient and professional organisations involved, are required of services to deliver a high-quality community cardiac rehabilitation service for people with cardiovascular disease (CVD) Cardiac rehabilitation is a comprehensive secondary prevention programme of exercise and education aimed at people who have had a cardiac event, cardiac surgery, and heart failure. Research has demonstrated that it helps reduce mortality and morbidity “The evidence base that supports the merits of comprehensive CR is robust and consistently demonstrates a favourable impact on cardiovascular mortality and hospital re-admissions in patients with coronary heart disease” (Anderson et al 2016). The community cardiac rehabilitation service was developed in response to a growing need for more cardiac rehabilitation programmes for a wider range of cardiac conditions which were unable to be accommodated in the acute hospital programmes and to offer a menu of options for delivery of programmes closer to the patient’s own home.