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General Discussion

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Files

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Leg Ulcer Assessment and Management Policy (P66)

• Ensure that all patients in DCHS care, presenting with a lower limb wound receive a comprehensive assessment and subsequent diagnosis from a registered nurse who has had additional training and competencies in Leg Ulcer Management. • Support DCHS clinicians and partners in care to know when to refer those patients with complex, atypical or non-healing lower limb ulceration for review by specialist services in primary and secondary care settings. • To provide a framework to ensure that the quality of care for patients in this area can be monitored and improved in line with the quality agenda.

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Belper health and community services hub plans - public presentation for 27 January 2022.pdf

Belper health and community services hub - plans. Public presentation (27 January) prior to submitting planning application.

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2-2½ year review Best Practice Guidelines (G211)

This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when undertaking a 2 – 2½ year review. It outlines the goal and essential components of the 2 – 2½ year review offered to all families in Derbyshire when their child is 2 – 2½ years old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care.

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The Management of Warfarin Therapy for Inpatients Guidelines (G233)

The aim of this guideline is to improve the safety of anticoagulant therapy for inpatients under the care of DCHS by: • Providing an evidence-based algorithm for the initiation of warfarin therapy in atrial fibrillation, including the use of a specific SystmOne template for warfarin management. • Offering an evidence-based algorithm to guide maintenance dosing decisions. • Clarifying the process for communicating follow-up arrangements to primary care teams when a patient is discharged from hospital. • Endorsing the level of competence and training required of clinicians who prescribe warfarin. • Ensuring that the guidance will be built into an audit and review cycle.

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Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)

The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.

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Continence Support in Universal Childrens Services Policy (P96)

This policy is to support Health Visitor, School Nurses and Nursery Nurses to work effectively when supporting children, young people and their families with continence issues. This guidance and the supporting pathway will use evidence based practice to guide clinicians through the processes they need to follow to ensure that effective tier 1 support is offered before a referral is made to specialist services.

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JUCD Leadership Orientation Managers Checklist (v1).docx

JUCD new managers local orientation checklist (V1) uploaded Mar23. For all new leaders/managers in DCHS to complete

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Clinical Harms Review Additional detail for Service Level SOP - Community Podiatry Service (S113)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed in order to deliver a consistent approach to: • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which consider health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.

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Disclosure Ref 202483 - IT Infrastructure.pdf

FOI disclosure regarding IT Infrastructure for desktop management, data centre, server management, networking and IT security

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Disclosure Ref 202455 - Orthotic Devices.pdf

FOI Disclosure Ref 202455 relating to Orthotic Devices