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Clinical Effectiveness Policy (P85)

The purpose of this policy is to set out the rationale for clinical audit and provide a framework for such activity, including standards, guidance and procedures, as well as details of the support available from the Clinical Effectiveness Team: • For registering and approving clinical audit project proposals • For developing and designing clinical audit projects • To ensure clinical audit leads to improvement when a need for improvement is identified This policy aims to support a culture of best practice in the management and delivery of clinical audit, to clarify the roles and responsibilities of all staff involved, and to promote a culture of quality improvement in our services.

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.

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.

Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.

Consent Policy (P42)

Consent is a fundamental part of the relationship between NHS staff who deliver care and treatment and the adults, young people and children who access services in the NHS for their care and treatment. “Consent to treatment means a person must give permission before they receive any type of medical treatment, test or examination. Consent from a patient is needed regardless of the procedure, [and the] principle of consent is an important part of medical ethics and international human rights law” (NHS: 2019). “A healthcare professional (or other healthcare staff) who does not respect this principle may be liable both to legal action by the patient and to action by their professional body. Employing bodies may also be liable for the actions of their staff” (DH 2009:5). The aim of this policy is to set out the principles, practice and responsibilities of Trust staff when seeking consent for assessment, examination, intervention (surgical and non-surgical), investigation, treatment and investigative images and recordings.

Snowdrop Ward Assessment & Treatment Unit – Use of Force Leaflet (L156)

Easy read patient information leaflet about reducing restrictive interventions and what these are. Produced by Hillside Assessment & Treatment Unit and Walton Unit - Older Peoples Mental Health services.

Communications Annex V7.pdf

How to communicate with Patients using the communication annexe on SystmOne

Financial wellbeing and support - DCHS

Financial wellbeing and support - DCHS v2, includes useful contact details for support and advice agencies

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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Temporary consolidation of Ripley and Ilkeston Urgent Treatment Centres

Walton Hospital’s diagnostic centre – progress update

NHS England Healthier Futures Action Fund

Storm Babet – service updates/disruption

Bakewell integrated health hub construction update - December 2022

Security Alert / Staff Reminder - Staff Site Security around unauthorised exit and entry routes

Tier 3 Weight Management - Information for Patients

Weather alert: sub-zero temperatures, snow and ice warning

Clay Cross Hospital

Quick-thinking Gina Cherry helps to save life of man in supermarket