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Diabetes Education FAQs

Frequently Asked Questions about Diabetes and Diabetes Education for the people of Derby and Derbyshire

Updated plans for Belper’s proposed new base for community health services to be shared on 27 January

Revised plans for a new base for Belper’s community health services, situated on the site of the former Belper Clinic, will be shared during a virtual meeting on Thursday 27 January at 6pm.

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Disclosure Ref 2025259 - Utilisation of insourcing for listed specialities.pdf

Freedom of information disclosure relating to the utilisation of insourcing for listed specialities insourcing for the period 01/04/2025-30/06/2025

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Disclosure Ref 2025263 - A & E waits.doc

Freedom of information disclosure relating to patients in A&E waiting times

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Disclosure Ref 2025347 - Vendor management.doc

Freedom of information disclosure relating to vendor management for agency staff such as an MSP/neutral vendor/master vendor

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Disclosure Ref 2025320 - Insourcing for specialties .doc

Freedom of information disclosure relating to details about any insourcing activity at DCHS, including spend, budgets, contract dates, frameworks or awards used, and the type of services involved

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Disclosure Ref 2025310 - Nurse led consent in Endoscopy services.docx

Freedom of information disclosure relating to nurses in endoscopy obtaining patient consent, what band they are, and whether any related competency frameworks, training, or consent form templates are available.

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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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Administration of Insulin Injection Policy and Standard Operating Procedure (P4)

There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.

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Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) and within the Short Breaks Service SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.

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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.

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ReSPECT Policy (P89)

This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.