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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.

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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.

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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

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Wound Assessment SOP (S62)

The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.

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Self Administration of Medicines Procedure (S28)

The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.

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Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)

The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’

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Chaperone Policy (P87)

The purpose of the Chaperone Policy is to set out the principles, practice and responsibilities of Trust staff for using a chaperone. The policy is aimed at DCHS Services and staff who provide care and treatment that requires the patient to have a procedure. The relationship between the person and the health professional should be one of mutual trust, confidence and respect. Over the years there have been incidents where the relationship has been breached, resulting in harm to the person and criminal prosecution of the health professional (HM Government, 2007). Inadequate communication and misunderstandings about the behaviour demonstrated during a procedure by a health professional towards the person, has also resulted in health professionals facing allegations of professional misconduct. Safe and effective communication is crucial, before during and after a procedure. The use of a chaperone can help to protect both the person and the health professional.

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How do I access the Derbyshire Shared Care Record.docx

Guide for staff on how to access the Derbyshire Shared Care Record

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Equality Diversity and Inclusion (PSED) Report 2022

Public Sector Equality Equality Duty (PSED) Report 2022

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N365 Policy v1.2.docx

N365 Policy; The purpose of this policy is to provide the organisation’s statement of intent on how it sets-up, secures, uses and monitors data used on the N365 platform. It provides employees with their obligations and expectations when using solutions within N365.