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HV Core Contact Was Not Brought Letter 1.doc

Overcoming communication difficulties for staff, patients and visitors during COVID-19

Overcoming communication difficulties for staff, patients and visitors during COVID-19

Exposure to blood and body fluid poster

Exposure to blood and body fluid poster

A7 - Revision History (P10)

Management of Under Nutrition in Adults (G43)

The aim of the guidelines is to ensure effective patient centred oral nutrition support in Derbyshire by promoting a fortified diet and appropriate, effective ONS prescribing.

Administration of Insulin Injection Policy and Standard Operating Procedure (P4)

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 within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.

Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) and within the Short Breaks Service SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.

Inpatient Falls Prevention and Management Policy (P33)

The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’

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