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Final Standard Operating Procedure Safe Staffing Levels and Annual Leave management ISHS October 2025

Disclosure Ref 2024228 - Cost of specialist bariatric equipment.pdf

Freedom of information disclosure relating to spend on specialist bariatric equipment for obese/bariatric patients (patients over 160kg) during the last three financial years and a breakdown of the type of equipment used by the trust and the amounts spent, split between Rental expenditure and Purchased Equipment

Disclosure Ref 2024284 - Medication chain disruptions & incidents.pdf

Freedom of information disclosure relating to medication chain disruptions & incidents due to this

Example Policy (pdf)

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Information Governance Policy.docx

Information is a vital asset, both in terms of the clinical management of individual patients and the efficient management of services and resources. It plays a key part in clinical governance, service planning and performance management. This document sets out minimum policy standards across the community for confidentiality, integrity and availability of Information. The policy is intended to cover the overlapping areas of Data Protection Compliance, Information Security (BS ISO/IEC 27002:2005 standard), Data Quality and Confidentiality (with regards to ‘common law’).

Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.

L274 - Best Interest Document 3/3: What decision has been made?

L274 - Best Interest Document 3/3: What decision has been made? This booklet covers: • Some things about the Mental Capacity Act (2005) • What a best interest decision means • What decision needed to be made about you • What was thought about to make the decision • What was decided

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.

Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.