Pages
Advice to patients and families during the consultants’ industrial action
https://dchs.nhs.uk/news/advice-patients-and-families-during-consultants-industrial-action
A message from the Royal Voluntary Service
We are writing to you because you have previously referred people to the NHS Volunteer Responders (NHSVR) programme, to tell you about changes to the support available from our volunteers.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/message-royal-voluntary-service
Patient Group Directions (PGDs)
Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.
2023 Multi-Faith Tours in Derby
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/2023-multi-faith-tours-derby
Podiatry - Community Podiatry Service
The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/community-podiatry
Health Psychology - Information and Tools to Help You
A page of health psychology information and resources for the people of Derbyshire.
Files
Physical Health Care For People With Mental Health And Learning Disabilities Guidelines (G15)
This guidance aims to set out the standard of physical health monitoring for those patients within both the older person’s mental health and learning disability inpatient units. It provides guidance about physical health care interventions that are provided within the Trust and those requiring advice or intervention from other services. Good physical health underpins the overall well-being of our patients and supports a holistic approach to care delivery, which includes the identification and appropriate management of physical health needs. In relation to those service users attending specialist OPMH day Services or specialist LD outpatients, the responsibility for the patient’s physical, health care will remain with their General Practitioner. Where there are any identified physical health findings or concerns noted whilst the patient is attending the service, their General Practitioner must be notified.
Guidelines for the Recognition and Management of Infected Wounds (G29)
A framework to enable health care practitioners to deliver best practice in wound care, specifically by providing a tool to be utilised to aid the recognition and management of infected wounds
Standard Operating Procedure (SOP) for The T34 and Bodyguard Syringe Drivers (S61)
A subcutaneous infusion pump is an effective method of administering therapeutic drugs via subcutaneous route, which can no longer be tolerated orally or rectally by the patient. The aim of this SOP is to provide guidance for staff in the use of the McKinley T34 pump across adult services. Using a uniform SOP will reduce the level of risks associated with syringe pump management within DCHS.
Deprivation of Liberty DoLs Policy (P35)
The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.
ReSPECT Policy (P89)
This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.
Urgent Community Response Clinical Lead Role Statement v2
Urgent Community Response Clinical Lead Role Statement - includes how to apply and ask questions
DCHS Blood Glucose Collection Points
Blood glucose monitor drop off points - including xxxx details
Domestic Abuse and Sexual Violence - Guidance for Supporting Patients (G248)
The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when patients disclose that they are either victims or perpetrators of domestic abuse and/or sexual violence. To raise awareness and understanding about the impact of domestic abuse and sexual violence on victims and their families. To provide information about the practical help and support that is available to patients of DCHS who are currently experiencing domestic abuse or are experiencing trauma as a result of their past experiences of abuse.
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.
Domestic Abuse - Childrens 0-19 Services Policy (P14)
This policy gives clear guidance on the standard expected of Specialist Community Public Health Nurses (Health Visitors and School Nurses) and other members of the 0-19 team when undertaking routine enquiry, managing disclosures of domestic abuse, responding to domestic abuse notifications, and supporting families experiencing the impact of domestic abuse. This document supports a commitment to evidence based practice across 0-19 children’s services.