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CT scanner delivery at Ilkeston Community Hospital
https://dchs.nhs.uk/news/ct-scanner-delivery-ilkeston-community-hospital
Diabetes services
We provide two services for people with diabetes - Community Diabetes for people with Type 1 & Type 2 diabetes and our Diabetes Education service for people with Type 2 diabetes in Derby and Derbyshire. Each service is designed and selected according to individual requirements.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/diabetes-services
Walton Hospital’s diagnostic centre – progress update
https://dchs.nhs.uk/news/walton-hospitals-diagnostic-centre-progress-update
Files
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.
Wound Assessment SOP (S62)
The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.
Self Administration of Medicines Procedure (S28)
The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.
Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)
The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’
Chaperone Policy (P87)
The purpose of the Chaperone Policy is to set out the principles, practice and responsibilities of Trust staff for using a chaperone. The policy is aimed at DCHS Services and staff who provide care and treatment that requires the patient to have a procedure. The relationship between the person and the health professional should be one of mutual trust, confidence and respect. Over the years there have been incidents where the relationship has been breached, resulting in harm to the person and criminal prosecution of the health professional (HM Government, 2007). Inadequate communication and misunderstandings about the behaviour demonstrated during a procedure by a health professional towards the person, has also resulted in health professionals facing allegations of professional misconduct. Safe and effective communication is crucial, before during and after a procedure. The use of a chaperone can help to protect both the person and the health professional.
How do I access the Derbyshire Shared Care Record.docx
Guide for staff on how to access the Derbyshire Shared Care Record
Policy for the maintenance and management of lifts
Policy for the maintenance and management of lifts, Insurance Inspector, Lift Management, thorough examination, lift servicing.
Conservative Sharp Debridement (CSD) of Wounds Policy (P99)
We know that wound dressings should provide the optimal environment for wound healing after careful clinical assessment of the wound, the patient clinical condition and clinical outcomes. Hard to heal wounds, however, fail to progress, and many can be seen with dead tissue, slough and necrosis which in turn can increase the risk of infection and also increase cost within appropriate dressing use and nursing time. This procedure will only be undertaken by the Tissue Viability team members who have successfully completed a validated programme of care and assessment of competence in practice. A minimum of 10 episodes of observed practice is to be completed until competency can be granted. The purpose of debridement describes any method by which such materials (necrosis, slough and dead de-vascularised tissue) are removed and consequently the potential to achieve wound healing enhanced. It also reduces the bacterial load and minimises the risk of local and systemic infection. It can allow for wound draining and reduce odour overall enhancing patient quality of life.
Research Governance Policy and Research Passport Process
The aim of this policy is to ensure that all research activity which is undertaken by our employees or conducted within our premises conforms to principles of good practice in the management and conduct of health and social care research that take account of legal requirements and other standards as set out in the UK Policy Framework for Health and Social Care Research (November 2017) UK-policy-framework-health-social-care-research
Patient Experience Team leaflet
Patient experience team leaflet, includes information on how to make a complaint and where patients/carers can access support. Updated 2022