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UTC Acute Wound Care Formulary (G99)

A comprehensive evidence‐based approach to acute wound management is an essential skill set for any Emergency Clinician or Urgent Care Practitioner and this adapted version of the DCHS wound care formulary has been devised to help facilitate this. The Urgent Treatment Centre (UTC) acute wound care formulary is designed to provide Clinicians with a comprehensive guide to wound dressing products and closure within this speciality. These products were originally selected using the Derbyshire Community Dressing Formulary and Wound Care Guidelines 2018 in version 1 and have been updated in conjunction with the updated version of this for 2022 and the East Midlands Tissue Viability Group

Clinical Record Keeping Policy and Standards (P6)

This policy aims to ensure that the clinical records made by staff are fit for purpose and of a quality that provide for objective, accurate, current and comprehensive information that supports and enables the best clinical care and treatment for the patient/client. This policy has incorporated a range of best practice and related legislative requirements to outline the organisations expectations for clinical record keeping standards, both on paper and electronically. The policy provides support to the organisation in meeting its statutory and legal obligations as laid down by the Records Management: NHS Code of Practice 2016; Data Protection Act 1998 section 7, General Data Protection Regulation 2018 and relevant professional bodies. The policy also identifies the standards expected of all registered and non-registered staff. It sets a minimum standard, which will be applicable to all patient settings, including community clinics and inpatient areas. This policy does not replace standards set by professional organisations, but is complementary to them and should be used in conjunction with them.

Medical Devices Policy (P27)

The aim of this document is to outline a standardised approach to purchasing, deployment, maintenance, repair and disposal of medical devices within the Trust and the services commissioned by the Trust. The purpose of this policy is to provide the means of ensuring that all acquisitions of items of medical equipment are made only after consideration and approval by the relevant management groups and in accordance with the procedures detailed within this policy and with all related DCHS policies, European Union (EU) public procurement rules, advice from the Medicines and Healthcare Products Regulatory Agency (MHRA) and statutory requirements.

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

GD20 Employment References.docx

Peter McCarthy suite wording removed as ER team no longer based there. Dignity at Work wording changed to Bullying and Harrassment as per new policy, any mention of fait treatment at work wording changed to Grievance. Vivup replaced with Cic counselling support.

Standard Operating Procedure for seated patient lifting device in community settings following a fall (S96)

This standard operating procedure sets out the process by which clinicians working within Integrated Community Services are able to utilise a seated lifting device (e.g. Mangar Elk or Camel) to support patients who have fallen in their home environment. This will prevent long lies and use of emergency ambulance personnel for retrieval only. The aim of this procedure is to support clinicians to: • Understand the purpose and use of the device • Ensure the response using the device is appropriate. • Ensure clinical documentation is properly completed.

L285 - Using amoxicillin capsules when liquid medication is unavailable

Advice for parents on administering Amoxicillin Capsules to Children when liquid medication is unavailable.

CNN targeted interventions Menu Guidance (G272)

As part of the Public health Nursing service, the 0-19 teams offer targeted, time limited interventions and support for a range of public health needs. Local teams have a wealth of knowledge and experience which can provide early intervention and first level support in a timely manner, to help families address concerns or problems effectively. This guide gives an overview of the range of support available, including the limitations and exclusion criteria, and also provide details of a range of other services in Derbyshire that support children and families.

Mental Health Act 1983 Community Treatment Order Policy (P103)

To guide staff on the implementation of a Community Treatment Order (CTO) in accordance with the MHA 1983 and the MHA Code of Practice 2015. To ensure lawful and appropriate use of CTO’s within the Trust and that legal rights of any patient subject to a CTO are upheld at all stages.

Adult Nutrition, Food and Hydration Guidelines For Community Patients (G319)

The aim of this guidance is to support patients who are unable to maintain their nutritional status by eating and drinking orally. The purpose of these guidelines is to: • Give clear, defined, evidence-based guidelines for all employees within DCHS working in the community setting, to support patients with maintaining adequate nutrition and hydration status. • Ensure that the defined minimum requirements for documentation are clearly laid down to enable clinicians to accurately monitor and assess the nutrition and hydration status of the patient in a timely manner. • Ensure that all relevant employees are given the necessary information, instruction and training to provide them with the knowledge and skills to monitor and maintain the nutrition and hydration status of the patient and to reduce the risk of complications.

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SAVE THE DATE! - Supporting neurodivergent team members and Access to Work

Single Point of Contact (SPOC) and Emergency Carer Support Service (ECSS) pilots launched

How quality makes a difference to you in DCHS

Virtual Schwartz Round - Men’s Mental Health ‘We need to talk about it’ (12 November)

Baby loss Awareness Week 9 – 15 October

Industrial action – junior doctors strike (11-15 April)

Friends of Buxton Hospitals

Research and Innovation

Let’s Chat 2023 campaign launch – don’t miss your chance to get involved

Derbyshire health and care system remains under pressure; patients continue to be asked to not store up care needs