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My Download - 13 December 2021
Your weekly new update from DCHS
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/my-download-13-december-2021
Sandon Literature Festival
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/sandon-literature-festival
Inpatient Bedded Care
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/inpatient-bedded-care
Files
The Use of Force, Restraint Reduction and the Management of Violence and Aggression (P58)
The policy provides a framework for support staff who work across Learning Disability Services (LD) and Older Peoples Mental Health Services (OPMH), in responding to situations that they face with regards to Behaviours that Challenge and in particular, violence and aggression (both where they can plan and where an incident in unforeseen).
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.
Dressing Formulary and Wound Care Guidelines (G68)
The Derbyshire Wound Care and dressing formulary has been revised in collaboration with the East Midlands Wound Care Formulary Group. Work has been undertaken to provide a clinically effective, appropriate and cost effective choices of products to manage the vast majority of wounds. The formulary is available for all practitioners working for Derbyshire Community Health Services and Primary Care Services. It is expected that prescribers will preferentially use the products listed in the guide for routine use and be able to provide robust rationale where they have prescribed outside the formulary.
Post Registration Transition Programme for Newly Qualified Specialist Practice District Nurses Procedure (S53)
The aim of this document is to set out the processes that DCHS uses to support and develop Newly Qualified Specialist Practice District Nurses (NQDN) in their first year of employment. This is a process of support and guidance offered, on completion of the 1 year post reg. MSc/BSC SPQ during the first 12 months of employment as a band 6 Community Nursing caseload holder.
Venous Thromboembolism (VTE) Prophylaxis Policy (P8)
Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.
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’
Was Not Brought - Did Not Attend - No Access Visit Policy (P88)
The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.
DCHS PSED Report 2019-2020.pdf
DCHS Public Sector Equality Duty Report 2019-2020
Financial wellbeing and support - DCHS
Financial wellbeing and support - DCHS v2, includes useful contact details for support and advice agencies