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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.

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.

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

The Management of Warfarin Therapy for Inpatients Guidelines (G233)

The aim of this guideline is to improve the safety of anticoagulant therapy for inpatients under the care of DCHS by: • Providing an evidence-based algorithm for the initiation of warfarin therapy in atrial fibrillation, including the use of a specific SystmOne template for warfarin management. • Offering an evidence-based algorithm to guide maintenance dosing decisions. • Clarifying the process for communicating follow-up arrangements to primary care teams when a patient is discharged from hospital. • Endorsing the level of competence and training required of clinicians who prescribe warfarin. • Ensuring that the guidance will be built into an audit and review cycle.

Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)

The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.

Leadership - Useful links (v1).docx

Links to various support and information available to new/existing leaders from a variety of sources.

Disclosure Ref 202429 - Energy Management System (EMS).pdf

FOI Disclosure Ref 202429 relating to Energy Management System (EMS) contract

Disclosure Ref 202489 - IT & HIMSS Systems and Spend.pdf

FOI Disclosure Ref 202489 relating to IT & HIMSS Systems and Spend

Short Break Service SOP (S137)

This SOP aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.

Disclosure Ref 202505 - Web Filtering and Security Awareness Training.pdf

Disclosure to freedom of information request regarding web filtering and security awareness Training

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Reminder: coming soon to NHSmail – NHS Care Identity (Smartcard) Sign In

Baby Loss Awareness Week

Restrictive Practises - Locking ward doors

Warm Spaces opening at two Derbyshire community hospitals

Health Psychology Appointment Information

The DCHS Admin People’s Charter 2024

Op COURAGE: The Veterans Mental Health and Wellbeing Service

Breastfeeding events hosted to support families in Derbyshire

Armed Forces Community Staff Network

Industrial action – public information