Pages
Clay Cross book group - looking for new members
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/clay-cross-book
Health Psychology for Professionals
The information here is for professionals in Derbyshire seeking more information on the Health Psychology service.
Public invited to online NHS health meeting
https://dchs.nhs.uk/news/public-invited-online-nhs-health-meeting
Files
Information Governance Policy.docx
Information is a vital asset, both in terms of the clinical management of individual patients and the efficient management of services and resources. It plays a key part in clinical governance, service planning and performance management. This document sets out minimum policy standards across the community for confidentiality, integrity and availability of Information. The policy is intended to cover the overlapping areas of Data Protection Compliance, Information Security (BS ISO/IEC 27002:2005 standard), Data Quality and Confidentiality (with regards to ‘common law’).
Covert Administration of Medicines Policy (P59)
The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.
FINAL Chief Executive Designate - Stakeholder Briefing - 11 November 2021.pdf
Dr Chris Clayton appointment; Chief Executive JUCD
Standard Operating Procedure for the Issue of Procaine Penicillin outside of ISHS services (S83)
This SOP sets out the actions which should be taken to facilitate the administration of the procaine penicillin outside of ISHS opening hours.
Witness Destruction of Controlled Drugs (S34)
This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.
Medicine Code (S2)
This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.
Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)
Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.
Learning from Death’s Policy (P72)
This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.
DCHS_Supervision online record system User Guide V2
DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.
Recognition of the Deteriorating Child Policy (P93)
The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis.