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Industrial Action Update - Issued on 16 January 2023

Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.

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Disclosure Ref 2025288 - June 2025 Agency spend.pdf

Freedom of Information disclosure relating to Agency Spend, split between Registered Nurses (all specialities e.g. adult nursing, children’s nursing, community, mental health, midwives, etc), Health Care Support Workers and Doctors for June 2025

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Disclosure Ref 2025278 - ADHD & Autism assessments and post diagnostic services.doc

Freedom of information request relating to the annual spend and patient numbers for ADHD and Autism assessments over the last three years, split by age groups.

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Disclosure Ref 2025294 - Cloud usage, including spend & providers used.docx

Freedom of information disclosure relating to Cloud usage, including spend & providers used.

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Disclosure Ref 2025351 - Expenditure on workplace legal cases.docx

Freedom of information disclosure relating to the expenditure on workplace legal cases

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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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Implementation of National Guidance Policy (P44)

All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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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.