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Final Standard Operating Procedure Safe Staffing Levels and Annual Leave management ISHS October 2025

Disclosure Ref 2024228 - Cost of specialist bariatric equipment.pdf

Freedom of information disclosure relating to spend on specialist bariatric equipment for obese/bariatric patients (patients over 160kg) during the last three financial years and a breakdown of the type of equipment used by the trust and the amounts spent, split between Rental expenditure and Purchased Equipment

Disclosure Ref 2024284 - Medication chain disruptions & incidents.pdf

Freedom of information disclosure relating to medication chain disruptions & incidents due to this

Incident Reporting Policy (P80)

Derbyshire Community Health Services (DCHS) NHS Foundation Trust is committed to ensuring the safety of patients, staff, visitors, and contractors alike. DCHS aspires to provide a Zero Harm environment. The policy considers the recommendations of the Department of Health publications: An Organisation with a Memory, Building a Safer NHS, Doing less Harm and the former National Patient Safety Agency (NPSA) publication Building a memory: preventing harm, reducing risks and improving patient safety, Berwick report 2013 and the Health and Safety at Work etc. Act 1974 and subsequent subsidiary reports. The reporting, management and investigation of adverse incidents are fundamental elements of risk management. Sharing the learning from adverse incidents (including near misses) enables the organisation to implement changes to practice, processes, and systems so that the risk of harm is reduced. In addition to the human costs, if incidents are not properly managed, they may result in a loss of public confidence in the organisation and a loss of assets.

Long Term Segregation Policy (P86)

This policy aims to provide clear guidance on the use of long term segregation, (please note the use of seclusion is covered in DCHS trust policy – (Management, Prevention and reduction of violence and aggression including physical restraint and seclusion). To ensure restrictive interventions remain proportionate, least restrictive, take account of patient preference where possible, and last for no longer than is necessary. The policy sets clinical standards to ensure compliance with the Mental Health Act 1983 and subsequent Code of Practice 2015 alongside NICE guidance NG10. To ensure robust governance arrangements that are transparent in their nature. To support the trusts ambition of reducing the use of restrictive practices. The policy aims to ensure the specific needs of all patients are met in a fair and equitable way.

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

Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)

Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.

Local Decontamination Of Reusable Medical Devices-Dental and Podiatry Services (P16)

The aim of this policy is to detail the practices and principles for the local decontamination of reusable medical devices, with reference to podiatric services.

Adult Nutrition Food and Hydration Policy (P50)

This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix

2021_10_07_public_board_meeting_pack.pdf

DCHS October 2021 Public Board meeting agenda and papers