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How quality makes a difference to you in DCHS
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/how-quality-makes-difference-you-dchs
Baby loss Awareness Week 9 – 15 October
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/baby-loss-awareness-week-9-15-october
Industrial action – junior doctors strike (11-15 April)
https://dchs.nhs.uk/news/industrial-action-junior-doctors-strike-11-15-april
Open event spotlights Walton Hospital’s upcoming diagnostic service
https://dchs.nhs.uk/news/open-event-spotlights-walton-hospitals-upcoming-diagnostic-service
Podiatry - Community Podiatry Service
The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/community-podiatry
Pandemic poems penned by Derbyshire NHS’ Heather Longbottom go into print!
https://dchs.nhs.uk/news/pandemic-poems-penned-derbyshire-nhs-heather-longbottom-go-print
Changes to the NHS Pension Scheme April 2022
As you may be aware there are some important changes to the NHS Pension Scheme which could affect members from April 2022.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/changes-nhs-pension-scheme-april-2022
Files
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.
Enhanced Observation Policy (P61)
The purpose of this policy is to describe how supportive observations and engagement maximise people’s safety, minimise risk and initiate and build supportive therapeutic relationships. During times of increased distress or risk, a person may require a temporary period of an enhanced level of supportive engagement to maintain safety for him/her or others while the level of distress or risk is reduced. This will be achieved by establishing a good rapport with the person, promoting their coping skills and being aware of their individual needs/reasonable adjustments. This policy sets out evidence-based practice for individual clinicians, teams and services regarding the engagement and observations of patients being cared for in DCHS inpatient Older People Mental Health and Learning Disability Services only. Observation is seen as an integral part of person-centred treatment planning and contributes to the management and reduction of risk. All forms of observation however will have implications for the patients’ privacy and dignity. The level of observation for each person should be justified as reasonable and proportionate to the degree of risk they pose to either themselves or others and to enable their care needs to be safely met. The aim of The Policy is to provides clear evidence-based guidance for the observation of patients within Older People’s Mental Health and the Learning Disability Service. All persons cared for in Older People’s Mental Health and Learning disability clinical areas are observed by the staff.
ICS Wound Clinic Video Consultation SOP (S82)
This Standard Operating Procedure (SOP) aims to outline the purpose and process for offering a video consultation service to patients referred to the DCHS Wound Clinics. This SOP outlines the patient selection criteria, referral process, follow up process, DNA process and will provide support to staff in delivering care to patients via video consultation.
Clinical Supervision and Reflection on Clinical Practice Policy (P45)
Clinical Supervision (sometimes known as Reflective Practice or Reflection on Practice) has been defined as a regular protected time for facilitated, in depth reflection on clinical practice. It aims to enable the supervisee to achieve, sustain and creatively develop a high quality of practice through the means of focused support and development (Bond and Holland1998). Clinical Supervision is a structured, formal process through which staff can continually improve their clinical practice, develop professional skills, recognise good practice, maintain and safeguard standards of practice. Clinical Supervision can be conducted in groups or on a one-to-one basis. For group supervision the recommended size of the group is around four. Research suggests that to achieve quality and effective reflection and deep learning Clinical Supervisees should receive supervision from a supervisor who is not their manager (see “What Clinical Supervision is and is Not” DCHS Clinical Supervision Webpage.) The aim of this policy is to provide guidance to support managers wishing to set up or update existing systems of Clinical Supervision /Reflection on Practice and provide staff with information on how they can access clinical supervision/reflection on practice.
Standard Operating Procedures for The Community Diabetes Specialist Nursing Team (S86)
Recommended practices that were evidence based and would provide guidance to all members of staff treating patients with Diabetes. This SOP should help to streamline care for patients with Diabetes and allow further integration with the acute team.
2-2½ year review Best Practice Guidelines (G211)
This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when undertaking a 2 – 2½ year review. It outlines the goal and essential components of the 2 – 2½ year review offered to all families in Derbyshire when their child is 2 – 2½ years old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care.
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.
Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)
The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.
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.
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