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Service Level Clinical Harms Standard Operating Procedure (S139)

This document should be read in conjunction with the overarching DCHS patient access and safe waiting policy which outlines the processes to be followed in order to deliver a consistent approach to. • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.

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Disclosure Ref 2024191 - Urgent Treatment Centre ophthalmology (eye care) services.pdf

Disclosure Ref 2024191 relating to Urgent Treatment Centre ophthalmology (eye care) services

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Disclosure Ref 202522 - Deaths recorded in 2023 where vaping was a cause .pdf

Disclosure to freedom of information request regarding the number of deaths recorded at your trust in the year 2023 where vaping was a cause or contributor

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Rapid Tranquilisation Guidelines (G52)

The aim of this guidance is to support practitioner’s decision making, when using medication by the parenteral route, when the use of oral medication is not possible or appropriate and urgent sedation with medication is required. NICE Guidance NG10 (2015)

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Guidelines for the use of bladder scanner in children`s services (G188)

To provide safe research based information in order to assess bladder function using ultrasound on children and young people under the age of 19 years.

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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.

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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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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.

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Clinical Handover Guidelines (G238)

The purpose of a clinical handover is to ensure continuity of information vital to the safety of our patients. The need for effective handover processes has been repeatedly highlighted by NHS improvement. The effective transfer of information ensures the protection of patients and minimises clinical risk. Continuity of information underpins all aspects of a seamless service providing continuity of patient care and patient’s safety These guidelines aim to: • Explain the purpose of clinical handover • Provide a uniform approach to clinical handover • Set out the standards for clinical handover which must be delivered by individual clinicians and clinical teams in DCHS

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Potassium Permanganate SOP (S103)

The aim of this Standard Operating Procedure (SOP) is to provide staff with safety information and clear processes to follow for patients under their care who are prescribed or using potassium permanganate, or where it is required to be stored. This SOP forms part of DCHS’s response to the National Patient Safety Alert.