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Finance and Procurement System Changes

The Trust’s current contract for the provision of financial services (i.e. finance and procurement) from NHS Shared Business Services (SBS) is coming to an end on 31 March 2022. 

A message from the Royal Voluntary Service

We are writing to you because you have previously referred people to the NHS Volunteer Responders (NHSVR) programme, to tell you about changes to the support available from our volunteers.

DCHS Clinical IT Systems - User Experience Survey 2022

Are you a user of TPP SystmOne or Inform clinical systems? We’d like to know how it’s working for you and how we might be able to improve it.

Files

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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

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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.

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Section 5.28 COVID-19 (IP&C Policy)

Section 5.28 COVID-19 (IP& C Policy) v2 (September 2022). With links. The aim of this document is to provide operational guidance to staff in particular in relation to COVID-19.

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Continence Support in Universal Childrens Services Policy (P96)

This policy is to support Health Visitor, School Nurses and Nursery Nurses to work effectively when supporting children, young people and their families with continence issues. This guidance and the supporting pathway will use evidence based practice to guide clinicians through the processes they need to follow to ensure that effective tier 1 support is offered before a referral is made to specialist services.

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JUCD Leadership Orientation Managers Checklist (v1).docx

JUCD new managers local orientation checklist (V1) uploaded Mar23. For all new leaders/managers in DCHS to complete

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Cardiac Rehab Service SOP (S109)

This SOP was drawn up to confirm and clarify the operating procedure for the community cardiac rehabilitation service (CR) This document sets out the standards which, in the view of the patient and professional organisations involved, are required of services to deliver a high-quality community cardiac rehabilitation service for people with cardiovascular disease (CVD) Cardiac rehabilitation is a comprehensive secondary prevention programme of exercise and education aimed at people who have had a cardiac event, cardiac surgery, and heart failure. Research has demonstrated that it helps reduce mortality and morbidity “The evidence base that supports the merits of comprehensive CR is robust and consistently demonstrates a favourable impact on cardiovascular mortality and hospital re-admissions in patients with coronary heart disease” (Anderson et al 2016). The community cardiac rehabilitation service was developed in response to a growing need for more cardiac rehabilitation programmes for a wider range of cardiac conditions which were unable to be accommodated in the acute hospital programmes and to offer a menu of options for delivery of programmes closer to the patient’s own home.

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Waiting Well Standard Operating Procedure (S115)

This Standard Operating Procedure (SOP) has been developed to set out the expected clinical standards for DCHS and DHCFT by which we manage our access to services for people who are either not yet receiving a service from a specific team or who are awaiting this intervention. There will continue to be a DCHS and DHCFT policy and procedure due to systems and governance and to refer to the relevant one as appropriate. This SOP is to support the safety and well-being of service users (and those around them) who are waiting to access our services.

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Disclosure Ref 202485 - Waste Management Contract & Spend.pdf

FOI Disclosure Ref 202485 relating to Waste Management Contract & Spend

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Disclosure Ref 2024162 - Commitee Meeting Software.pdf

FOI disclosure relating to Committee Meeting Software contract

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Disclosure Ref 202509 - Staff employed in A&E & colour of scrubs .pdf

Disclosure to freedom of information request regarding Staff employed in A&E & colour of scrubs