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Delegation of Insulin Administration to non-DCHS Residential Care Home Support Workers for Specific Adult Residents (P100)

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 supported by Derbyshire Community Health Services (DCHS NHS FT). It underpins the guidance set out by governing bodies and organisations within the Acknowledgement of this policy

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Patient Initiated Follow-Up SOP for Community Therapy (S126)

Patient Initiated Follow-Up SOP for Community Therapy

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A5 – Referral back to podiatrist by podiatry assistant (S107)

Referral back to podiatrist by podiatry assistant

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Nail Surgery Protocol for Podiatrists (S72)

The purpose of this document is to provide an evidence based approach to the diagnosis and podiatric management of ingrown toenails.

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Administration of Medicines in an Emergency Situation for Adults SOP (S30)

S30 - Administration of Medicines in an Emergency Situation for Adults SOP

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A6 – Competency framework for podiatry assistants – wound care (S107)

Competency framework for podiatry assistants – wound care

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Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)

Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.

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Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement .docx

Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement

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Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary

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Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.