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Dysphagia Management Guidelines for Adults with Learning Disabilities Document History (G14)

These guidelines set out the process of Dysphagia management used by the Speech and Language Therapy Department in North Derbyshire. The overall aim of our Dysphagia Service is to ensure that individuals are identified and enabled to eat / drink / take medication safely and comfortably. The policy aims to provide a highly specialised and holistic service to individuals with complex forms of Dysphagia using the latest evidence based assessments, treatments and Dysphagia management policies. We aim to improve dysphagia related health outcomes and individuals quality of life, and employ effective risk management strategies for preventing harm and improving individual’s health outcomes.

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Homely Remedies SOP (S16)

Under normal circumstances, medicines should be administered either on the written prescription of an authorised prescriber, in accordance with the Medicines Code or under the authority of a Patient Group Direction. The Medication Optimisation Safety Team (MOST) has approved a list of non-prescription medicines or “homely remedies” that registered nurses and registered practitioners are authorised to administer at their own discretion, in accordance with the attached standard operating procedure, for a maximum of 48 hours (extended to 72 hours over a bank holiday weekend). The homely remedies approved are treatments commonly available over the counter for minor, short-term conditions without the need for a prescription or Patient Group Direction.

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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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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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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.

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Disclosure Ref 202503 - Patient waiting lists.pdf

Disclosure to freedom of information request regarding the number of patients who died while on your NHS waiting list

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Disclosure Ref 202533 - Use or perform Viscosupplementation injections.pdf

Disclosure to freedom of information request regarding use or perform Viscosupplementation injections

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Disclosure Ref 202566 - IT systems & applications .pdf

Freedom of Information Disclosure Ref 202566 relating to IT systems & applications