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Patient Group Directions (PGDs)

Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.

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Joint Infant Feeding Policy (P112)

The joint policy aims to ensure that all staff at Derbyshire Community Health Services (DCHS) and Derbyshire County Council (DCC) Children’s Centres understand their roles in supporting expectant and new mothers and families. The policy emphasizes the importance of breastfeeding for both the baby and the mother, highlighting the numerous health benefits. It also addresses the need for care to be mother and family-centered, non-judgemental, and supportive of parents' decisions. The policy outlines the commitment to improving breastfeeding rates by implementing the UNICEF UK Baby Friendly Standards. This includes providing information to parents about the value of breastfeeding, supporting them to breastfeed for as long as they want, and protecting them from unethical marketing practices by formula milk companies. The policy encourages collaboration across professional boundaries to improve infant feeding support for all families. Leaders and clinicians are expected to take responsibility for making the UNICEF UK Baby Friendly Standards a reality and work together to improve mothers' and parents' experiences of care. The policy also includes a note that the term 'woman' or 'mother' should be inclusive of those who do not identify as female.

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Disclosure Ref 2024233 - Payee software incumbent product.pdf

Freedom of information request relating to national fraud initiative and payee software incumbent product & the renewal date of the contract.

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Door Locking Policy (P54)

The Mental Health Act 1983: Code of Practice (2015) states that if hospitals are to manage entry to and exit from wards effectively they will need to have a Policy for doing so. The aim of this Policy is to ensure that appropriate actions and control measures are in place for staff locking ward/building doors across DCHS, to maintain a consistent approach and to provide clinicians with guidance on the locking of doors as recommended by the Mental Health Act 1983, Code of Practice 2015. This will ensure that the safety of staff and the liberty of patients remains protected at all times.

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Negative Pressure Wound Therapy Policy (P11)

The purpose of this policy is to provide evidence based guidance on the use of Negative Pressure Wound Therapy (NPWT), which is an advanced wound care treatment for patients with complex wounds. Clinicians working within Derbyshire Community Health Services NHS Trust should refer to this Policy for; • Recommended best practice guidance for managing a patient with NPWT. • Recommendations to reduce potential risk and harm to patients receiving NPWT. • The role of the Registered Healthcare Professional will be defined in this guideline, outlining their responsibility and accountability for the patient receiving NPWT

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L229 - Sputum Clearance Technique

L229 - Sputum Clearance Technique. Respiratory Service patient information leaflet.

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Management of Under Nutrition in Adults (G43)

The aim of the guidelines is to ensure effective patient centred oral nutrition support in Derbyshire by promoting a fortified diet and appropriate, effective ONS prescribing.

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UTC Acute Wound Care Formulary (G99)

A comprehensive evidence‐based approach to acute wound management is an essential skill set for any Emergency Clinician or Urgent Care Practitioner and this adapted version of the DCHS wound care formulary has been devised to help facilitate this. The Urgent Treatment Centre (UTC) acute wound care formulary is designed to provide Clinicians with a comprehensive guide to wound dressing products and closure within this speciality. These products were originally selected using the Derbyshire Community Dressing Formulary and Wound Care Guidelines 2018 in version 1 and have been updated in conjunction with the updated version of this for 2022 and the East Midlands Tissue Viability Group

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Clinical Record Keeping Policy and Standards (P6)

This policy aims to ensure that the clinical records made by staff are fit for purpose and of a quality that provide for objective, accurate, current and comprehensive information that supports and enables the best clinical care and treatment for the patient/client. This policy has incorporated a range of best practice and related legislative requirements to outline the organisations expectations for clinical record keeping standards, both on paper and electronically. The policy provides support to the organisation in meeting its statutory and legal obligations as laid down by the Records Management: NHS Code of Practice 2016; Data Protection Act 1998 section 7, General Data Protection Regulation 2018 and relevant professional bodies. The policy also identifies the standards expected of all registered and non-registered staff. It sets a minimum standard, which will be applicable to all patient settings, including community clinics and inpatient areas. This policy does not replace standards set by professional organisations, but is complementary to them and should be used in conjunction with them.

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Medical Devices Policy (P27)

The aim of this document is to outline a standardised approach to purchasing, deployment, maintenance, repair and disposal of medical devices within the Trust and the services commissioned by the Trust. The purpose of this policy is to provide the means of ensuring that all acquisitions of items of medical equipment are made only after consideration and approval by the relevant management groups and in accordance with the procedures detailed within this policy and with all related DCHS policies, European Union (EU) public procurement rules, advice from the Medicines and Healthcare Products Regulatory Agency (MHRA) and statutory requirements.

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Recognition of Patient Deterioration (Adults) Policy (P83)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording adult patients’ vital signs in their own home, Minor Injuries Units, outpatient podiatric surgery and community hospital wards. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS (NHS Improvement, 2016, Hogan et al, 2012) and poor communication is a leading cause of adverse events in healthcare. The National Early Warning Score (NEWS) offers a common language to describe and communicate a patient’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 (Inada-Kim and Nsutebu, 2018). This policy aims to increase survival among acutely unwell and deteriorating patients