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Disclosure Ref 2025379 Paper and Electronic notes .doc

Freedom of information disclosure relating to patient notes and drug charts and whether the Trust use paper or electronic, when and how the trust transitioned to electronic systems, which platforms are used, whether any departments still use paper records, and whether fax machines are still in use.

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Disclosure Ref 2025396 .doc

Freedom of information disclosure relating to how the Trust manages, secures, and handles vacant properties

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Disclosure Ref 2025420 - MRI Diagnostic capacity data.doc

Freedom of information disclosure relating to MRI diagnostic capacity data

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Promotion and Management of Continence for Adult Services Policy (P10)

This policy aims to identify a framework for the standards of care and best practice for bladder, bowel and continence promotion. The range of multidisciplinary professionals involved in continence care is diverse, and it is therefore essential that a continence service delivers integrated working practices across organisational and professional boundaries in order to provide effective care and efficient use of resource. The information detailed within this document will assist healthcare professionals who are undertaking a continence assessment and sets the standards of care for patients who present with a bladder or bowel problem. The continence advisory service aims to provide a quality service to all adults registered with a Derbyshire or Derby City GP. People with continence needs should be seen at the most appropriate time by the most appropriate professional. Excellence in continence care (2018) suggests that the initial assessment is best undertaken by staff trained in continence care within in a community setting, the provision of a high-quality assessment is the foundation of high-quality continence care.

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Implementation of National Guidance Policy (P44)

All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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Dual Diagnosis Guideline (G1)

This guidance describes the objectives that need to be in place to ensure that; DCHS staff have the appropriate skills for working with service users who have a dual diagnosis of mental illness and substance misuse; and that there is an agreed way forward for working with this service user group.

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Enhanced Observation Policy (P61)

The purpose of this policy is to describe how supportive observations and engagement maximise people’s safety, minimise risk and initiate and build supportive therapeutic relationships. During times of increased distress or risk, a person may require a temporary period of an enhanced level of supportive engagement to maintain safety for him/her or others while the level of distress or risk is reduced. This will be achieved by establishing a good rapport with the person, promoting their coping skills and being aware of their individual needs/reasonable adjustments. This policy sets out evidence-based practice for individual clinicians, teams and services regarding the engagement and observations of patients being cared for in DCHS inpatient Older People Mental Health and Learning Disability Services only. Observation is seen as an integral part of person-centred treatment planning and contributes to the management and reduction of risk. All forms of observation however will have implications for the patients’ privacy and dignity. The level of observation for each person should be justified as reasonable and proportionate to the degree of risk they pose to either themselves or others and to enable their care needs to be safely met. The aim of The Policy is to provides clear evidence-based guidance for the observation of patients within Older People’s Mental Health and the Learning Disability Service. All persons cared for in Older People’s Mental Health and Learning disability clinical areas are observed by the staff.

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Guidelines for the use of bladder scanner in children`s services (G188)

To provide safe research based information in order to assess bladder function using ultrasound on children and young people under the age of 19 years.

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Prevent Policy (P46)

The overall aim of the policy is to make clear the duties, responsibilities, and arrangements in place to enable DCHS staff to safeguard and support individuals (children, young people, adults or staff); where it is suspected that the individual(s) is at risk of being drawn into terrorism or other forms of extremist activity. Safeguarding and promoting the welfare of children, young people and adults is everyone’s responsibility and this Policy sits alongside the DCHS Safeguarding Adults Policy and the DCHS Safeguarding Children’s Policy. The Counterterrorism and Security Act 2015 places a duty on certain bodies, including NHS Trusts, to have “due regard to the need to prevent people from being drawn into terrorism”; including a statutory responsibility to appoint a Prevent Lead and provide training for all staff. Healthcare staff have a key role in Prevent. Prevent focuses on working with individuals (patient’s and/or staff) who may be at risk of being exploited by radicalisers and subsequently drawn into terrorist related activity. Prevent does not require staff to do anything in addition to normal duties. Staff are expected to raise concerns about individuals who are being exploited in this way (DOH 2011).