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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.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/industrial-action-update-16-january
Research and Innovation
Our vision is to increase capacity, capability and participation in research and innovation as we embed a culture of continuous improvement across the organisation.
Derbyshire health and care system remains under pressure; patients continue to be asked to not store up care needs
Update as of 17:00hrs - 22 December 2022
Message from Michelle Bateman - Registered Nursing Associates
An update from Michelle about how DCHS has supported the Nursing Associate role since 2019.
Wellbeing support across Joined Up Care Derbyshire - New Spring activity timetable for 2023 is here!
Community nursing practitioners network
New national network for community nursing practitioners. The network has been set up for sharing of information and connecting community practitioners.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/community-nursing-practitioners-network
Files
Implementation of National Guidance Policy (P44)
All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.
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
Manual Handling Operating Standards January 2022
Manual Handling Operating Standards January 2022, includes TILEO
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.
A4 - Hoverjack And Hovermatt User Log (S78)
Hoverjack And Hovermatt User Log (S78)
Patient Initiated Follow-up SOP (S125)
Patient Initiated Follow-up SOP
A2 - Advice for manual handling when working at low level (S96)
Advice for manual handling when working at low level
APPENDIX 11a - Issues which require further investigation (unrelated to this case).docx
HRP APPENDIX 11a - Issues which require further investigation (unrelated to this case)
A4 - Patient next appointment information slip (S107)
Patient next appointment information slip
SAMA Template 09 Checklist for WellBeing
Template 09 Checklist for Conducting an Employee Wellbeing Meeting