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Disclosure Ref 2025325 - Myeloma patients & specific drugs used.doc

Freedom of information disclosure relating to myeloma patients and the use of specific drugs used for treatment

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Door Locking Policy (P54)

The Mental Health Act 1983: Code of Practice (2015) states that if hospitals are to manage entry to and exit from wards effectively they will need to have a Policy for doing so. The aim of this Policy is to ensure that appropriate actions and control measures are in place for staff locking ward/building doors across DCHS, to maintain a consistent approach and to provide clinicians with guidance on the locking of doors as recommended by the Mental Health Act 1983, Code of Practice 2015. This will ensure that the safety of staff and the liberty of patients remains protected at all times.

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Negative Pressure Wound Therapy Policy (P11)

The purpose of this policy is to provide evidence based guidance on the use of Negative Pressure Wound Therapy (NPWT), which is an advanced wound care treatment for patients with complex wounds. Clinicians working within Derbyshire Community Health Services NHS Trust should refer to this Policy for; • Recommended best practice guidance for managing a patient with NPWT. • Recommendations to reduce potential risk and harm to patients receiving NPWT. • The role of the Registered Healthcare Professional will be defined in this guideline, outlining their responsibility and accountability for the patient receiving NPWT

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Oral Suction Guidelines for Carers (G185)

These guidelines are aimed at providing Carers who are undertaking Oral suction with the information to undertake this safely.

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Verification of Adult Death Policy (P51)

When a person dies, a number of steps need to be completed to allow legal registration of the death and for a funeral to take place: 1. Confirmation of the fact of death. 2. Certification of the medical cause of death or referral to the Coroner. 3. Registration of the Death. Obtaining a burial or cremation order. The aim of this policy is to provide a framework for the timely verification of adult deaths by competent registered clinicians. It will enable staff to care appropriately for the deceased and minimise distress for families and carers following a death. Timely verification – within one hour in a hospital setting and within four hours in a community setting – is an important stage in the grieving process for relatives and carers and also a key time for support (Wilson et al, 2017).

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Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

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Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.

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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.

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Safeguarding Adults Policy (P28)

The aim of this policy is to support staff to comply with their duties under the Care Act 2014 (sections 42-46) for safeguarding adults and the Derbyshire and Derby Safeguarding Adults Boards Safeguarding Adults Policy and Procedures. The policy sets out the principles and practice of safeguarding adults and the responsibilities of Derbyshire Community Health Services (Trust) staff when caring for an adult (aged 18 years and over) where safeguarding concerns arise. “Safeguarding means protecting an adult’s right to live in safety, free from abuse and neglect…people and organisations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the adult’s wellbeing is promoted including, where appropriate, having regard to their views, wishes, feelings and beliefs in deciding on any action” (Care and Support Statutory Guidance 2017:14.7).

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Guidance for Care of Next Infant (CONI) (G212)

This guidance is to support CONI coordinators, health visitors and clinical leads in their organisation and delivery of the CONI scheme to families in Derbyshire.