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Industrial Action Update - Issued on 16 January 2023

Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.

About Airmid

Airmid is a Patient App which allows you to view and cancel appointments at any time (rebooking is coming soon).

Wound Clinic Service

Our wound clinic service was established in 2019 to provide a 7-day per week wound care service for the people of Derbyshire.

Files

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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.

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L229 - Sputum Clearance Technique

L229 - Sputum Clearance Technique. Respiratory Service patient information leaflet.

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Hyperkalaemia Assessment and Management in Community Settings Guidelines (G102)

These guidelines have been produced to support the safe and timely management of hyperkalaemia in primary and community care (National Patient Safety Alert: NHS/PSA/RE/2018/006).

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Non-Medical Prescribing Policy (P57)

This policy has been developed to support local implementation of non-medical prescribing in Derbyshire Community Health Services NHS Foundation Trust (DCHS) to ensure all qualified Non-medical Prescribers (NMPs) and their managers are aware of their accountability and responsibility in relation to prescribing

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Safeguarding Children Policy (P31)

Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.

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Leg Ulcer Assessment and Management Policy (P66)

• Ensure that all patients in DCHS care, presenting with a lower limb wound receive a comprehensive assessment and subsequent diagnosis from a registered nurse who has had additional training and competencies in Leg Ulcer Management. • Support DCHS clinicians and partners in care to know when to refer those patients with complex, atypical or non-healing lower limb ulceration for review by specialist services in primary and secondary care settings. • To provide a framework to ensure that the quality of care for patients in this area can be monitored and improved in line with the quality agenda.

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Belper health and community services hub plans - public presentation for 27 January 2022.pdf

Belper health and community services hub - plans. Public presentation (27 January) prior to submitting planning application.

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Community Response Team-Derby City Rapid Response SOP - Medication Delegation, Support and Assistance of Medication Administration for Support Workers (S127)

This Standard Operating Procedure (SOP) aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

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Clinical Harms Review Additional detail for Service Level SOP (S130)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed 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 consider 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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Example Policy (docx)

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