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Urgent treatment centres

Our four Derbyshire UTCs, Ilkeston Hospital, Ripley Hospital, Buxton Hospital and Whitworth Hospital

Patient Group Directions (PGDs)

Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.

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Disclosure Ref 2025345 - Postal usage in hospitals specifically the volume & type of franked mail & the franking tariffs.doc

Freedom of information disclosure relating to postal usage in hospitals specifically the volume & type of franked mail & the franking tariffs

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Disclosure Ref 2025177 - Translation services.doc

Freedom of information request relating to information about the organisation’s use of language and interpreting services. This includes which national procurement frameworks the organisation uses, how services are accessed, contract expiry dates, current providers, and spending over the past two financial years.

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Disclosure Ref 2025321 - NHS spending and expenditure.doc

Freedom of information disclosure relating to breakdown of all NHS spending for the most recent full financial year, covering every category of expenditure across the entire NHS.

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Disclosure Ref 2025371.doc

Freedom of information disclosure relating to Framework Agency Spend for specialties NHS 111 Health Advisors, NHS 111 Clinical Advisors & Nurse Assessors

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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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Controlled Drugs SOP for Community Hospitals (S47)

This series of Standard Operating Procedures ensures that all processes involving Controlled Drugs (CDs) carried out in Wards and Departments of Community Hospitals are conducted in strict accordance with current statutory requirements that adequate records are maintained and a robust audit trail exists. This includes security, ordering, receipt, administration, issue, balance checking, and return or destruction.

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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.

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Urgent Community Response Clinical Lead Role Statement v2

Urgent Community Response Clinical Lead Role Statement - includes how to apply and ask questions