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My Download - 18 January 2022

Apologies for missing last week - we are very depleted in numbers in Comms and had to make some difficult decisions about priorities - last week media enquiries, the web, Operational Update and Team Brief made the list! Lots to share this week .... including how to access the new web, details about the mileage consultation, an update on the Belper plans and so much more!

Files

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Adult Enteral Feeding Policy (P48)

The purpose of the policy is to provide best practice guidance for the care of adults fed via with an enteral feeding tube. The aim of the policy is to ensure delivery of safe and effective care for patients who are enterally tube fed within Derbyshire Community Health Services: • Community Hospitals, • Community Services • Care Homes And to ensure continuity of care within Derbyshire Community Health Service Foundation Trust.

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Physical Health Care For People With Mental Health And Learning Disabilities Guidelines (G15)

This guidance aims to set out the standard of physical health monitoring for those patients within both the older person’s mental health and learning disability inpatient units. It provides guidance about physical health care interventions that are provided within the Trust and those requiring advice or intervention from other services. Good physical health underpins the overall well-being of our patients and supports a holistic approach to care delivery, which includes the identification and appropriate management of physical health needs. In relation to those service users attending specialist OPMH day Services or specialist LD outpatients, the responsibility for the patient’s physical, health care will remain with their General Practitioner. Where there are any identified physical health findings or concerns noted whilst the patient is attending the service, their General Practitioner must be notified.

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Procedure for the Disposal of unwanted patient’s medicines in the community setting (patient’s own home) (S7)

Guidance to community staff on the procedure to follow regarding the destruction of a patient’s own medicines that are no longer required and are within the home setting.

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Postural Care Guidelines for people with Complex Physical Disability (G182)

The purpose of this document is to guide good practice and standardise Postural Care for people aged 18 years and over who are registered with a North Derbyshire GP and to; • Deliver safe, person-centred, evidence- based and equitable service to people with complex physical and learning disabilities • Improve the health and well-being of people with learning disability and complex physical disability • Maintain and reduce risk of deterioration in health associated with complex physical disability • Clarify roles and responsibilities

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Safeguarding Children Policy (P31)

Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.

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STAY conversations

DCHS STAY conversations - managers guide. This is a management tool, not a formal process, aimed at supporting staff retention.

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Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

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Standard Operating Procedure for Waiting List Validation (S108)

The purpose of this SOP is to set out the waiting list validation stages and process for staff and managers with services that have waiting lists. Across Planned Care and Specialist Services (PCSS) there are patients on waiting lists. To support the management of these waiting lists it is important to regularly validate those patients who are waiting to be offered an appointment. Services with waiting lists should consider the appropriateness and frequency of undertaking the three stages of waiting list validation, these being: technical, administrative, and clinical.

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Clinical Harms Review Additional detail for Service Level SOP (S133)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed to deliver a consistent approach to. • Risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews that support the Trusts governance and assurance processes and maintains practice in line with national expectations. The intention of the service level document is to provide specific detail on. • The risk stratification process in operation and clinically appropriate to specific service lines and patient cohorts • Waiting time thresholds for the relevant patient pathways

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S146 - Infant Feeding Specialists SOP

This Standard Operating Procedure (SOP) gives an overview of the service provided by Infant Feeding Specialists (IFS). It also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the local commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. This Standard Operating Procedure should be used in conjunction with other DCHS Childrens and DCHS Trust policies along with UNICEF Baby Friendly standards.