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Freedom to speak up animations

We have developed a series of animations based on issues staff have raised a concern about in DCHS. We hope they help you make your decision about whether you should raise a concern.

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Child Visiting Policy (P18)

The aim of this policy is to provide a process for staff when facilitating visits by a child/ren to (Derbyshire Community Health Services FT) DCHS inpatient and day case services, including services where patients are detained under the Mental Health Act (1983). Maintaining effective family contact and dynamics has been shown to often be crucial for a full recovery for people with mental health problems. Health professionals must be aware that the needs of the child come first, and they must not be put at significant risk of harm. Working Together to Safeguard Children (2018) sets out how organisations and individuals should work together to safeguard and promote the welfare of children and young people in accordance with Section 11 of the Children Act 2004. All health professionals and organisations have a key role to play in safeguarding and promoting the welfare of children. Many DCHS services do not directly work with children; staff working within these services may indirectly become involved in the welfare of child visitors as part of their daily case management.

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Quality Business Committee ToR November 2022

QBC Terms of Reference November 2022

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£25K Spend October 2022

DCHS £25K Spend October 2022

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Disclosure Ref 2025160 - mes and contact details of the senior ICT managers.pdf

FOI Disclosure Ref 2025160 regarding contact details of the senior ICT / IT manager

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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

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Identification and Treatment of Different Types of Moisture Lesions (G179)

A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.

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Witness Destruction of Controlled Drugs (S34)

This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.

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Medicine Code (S2)

This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.

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Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.

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Identification Policy for Patients (P70)

Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.