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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

Disclosure Ref 202552 - Clinical Waste Contract.doc

Freedom of information disclosure relating to clinical waste contracts and leads for various services

Disclosure Ref 2025213 - Cyber security incidents, data breaches following cyber incidents & measures in place.doc

Freedom of Information disclosure relating to cyber security incidents, data breaches following cyber incidents & measures in place

Disclosure Ref 2025222 - Thoracoscopy services.doc

Freedom of information relating to thoracoscopy services

Disclosure Ref 2025269 - IT software, supplier and spend.xlsx

Freedom of information disclosure relating to IT software, supplier and spend

Promotion and Management of Continence for Adult Services Policy (P10)

This policy aims to identify a framework for the standards of care and best practice for bladder, bowel and continence promotion. The range of multidisciplinary professionals involved in continence care is diverse, and it is therefore essential that a continence service delivers integrated working practices across organisational and professional boundaries in order to provide effective care and efficient use of resource. The information detailed within this document will assist healthcare professionals who are undertaking a continence assessment and sets the standards of care for patients who present with a bladder or bowel problem. The continence advisory service aims to provide a quality service to all adults registered with a Derbyshire or Derby City GP. People with continence needs should be seen at the most appropriate time by the most appropriate professional. Excellence in continence care (2018) suggests that the initial assessment is best undertaken by staff trained in continence care within in a community setting, the provision of a high-quality assessment is the foundation of high-quality continence care.

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.

Venous Thromboembolism (VTE) Prophylaxis Policy (P8)

Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.