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Admission Discharge and Transfer Policy for DCHS OPMH and Neurodevelopmental inpatient Service (P84)

Derbyshire Community Health Services FT (DCHS) has both Learning disability (LD) and Older Peoples Mental Health (OPMH) specialist in-patient services located in the North of the county which provides services to meet acute clinical health care needs. The OPMH service covers North Derbyshire; the LD service is the bedded provision for the County of Derbyshire. The policy sets clinical standards to improve the admission of appropriate patients. The policy encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services.

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Dysphagia Management of Adults (P20)

DCHS recognises the risk to people who have difficulty with eating, drinking and swallowing and that the management of dysphagia is everyone’s business. This policy promotes a multi-disciplinary approach to identifying and managing dysphagia. It is to ensure that all people with dysphagia receive the highest possible level of assessment, care and support to achieve maximum independence, pleasure and meet their nutritional needs, whilst keeping the risks associated with this potentially life threatening condition to a minimum.

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Adult Enteral Feeding Policy (P48)

The purpose of the policy is to provide best practice guidance for the care of adults fed via with an enteral feeding tube. The aim of the policy is to ensure delivery of safe and effective care for patients who are enterally tube fed within Derbyshire Community Health Services: • Community Hospitals, • Community Services • Care Homes And to ensure continuity of care within Derbyshire Community Health Service Foundation Trust.

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Physical Health Care For People With Mental Health And Learning Disabilities Guidelines (G15)

This guidance aims to set out the standard of physical health monitoring for those patients within both the older person’s mental health and learning disability inpatient units. It provides guidance about physical health care interventions that are provided within the Trust and those requiring advice or intervention from other services. Good physical health underpins the overall well-being of our patients and supports a holistic approach to care delivery, which includes the identification and appropriate management of physical health needs. In relation to those service users attending specialist OPMH day Services or specialist LD outpatients, the responsibility for the patient’s physical, health care will remain with their General Practitioner. Where there are any identified physical health findings or concerns noted whilst the patient is attending the service, their General Practitioner must be notified.

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Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)

Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.

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Postural Care Guidelines for people with Complex Physical Disability (G182)

The purpose of this document is to guide good practice and standardise Postural Care for people aged 18 years and over who are registered with a North Derbyshire GP and to; • Deliver safe, person-centred, evidence- based and equitable service to people with complex physical and learning disabilities • Improve the health and well-being of people with learning disability and complex physical disability • Maintain and reduce risk of deterioration in health associated with complex physical disability • Clarify roles and responsibilities

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Safeguarding Children Policy (P31)

Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.

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STAY conversations

DCHS STAY conversations - managers guide. This is a management tool, not a formal process, aimed at supporting staff retention.

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Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

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Standard Operating Procedure for Waiting List Validation (S108)

The purpose of this SOP is to set out the waiting list validation stages and process for staff and managers with services that have waiting lists. Across Planned Care and Specialist Services (PCSS) there are patients on waiting lists. To support the management of these waiting lists it is important to regularly validate those patients who are waiting to be offered an appointment. Services with waiting lists should consider the appropriateness and frequency of undertaking the three stages of waiting list validation, these being: technical, administrative, and clinical.