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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.

Freedom to speak up animations

We have developed a series of animations based on issues staff have raised a concern about in DCHS. We hope they help you make your decision about whether you should raise a concern.

Files

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Disclosure Ref 2024274 - Employees accused of child sexual abuse.pdf

Freedom of information disclosure relating to Employees accused or arrested in charges of child sexual abuse

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Disclosure Ref 2025112 - Print contract.doc

Freedom of Information disclosure relating to Print contract for general office printers or multi-functional devices (MFDs)

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Disclosure Ref 2025232 - Pressure Ulcers incidents and preventions.doc

Freedom of information disclosure relating to pressure ulcers incidents and preventions

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Disclosure Ref 2025270 - Pharmaceutical suppliers, contract and spend.doc

Freedom of information disclosure relating to pharmaceutical suppliers, contract and spend

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Disclosure Ref 2025259 - Utilisation of insourcing for listed specialities.pdf

Freedom of information disclosure relating to the utilisation of insourcing for listed specialities insourcing for the period 01/04/2025-30/06/2025

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Disclosure Ref 2025263 - A & E waits.doc

Freedom of information disclosure relating to patients in A&E waiting times

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Incident Reporting Policy (P80)

Derbyshire Community Health Services (DCHS) NHS Foundation Trust is committed to ensuring the safety of patients, staff, visitors, and contractors alike. DCHS aspires to provide a Zero Harm environment. The policy considers the recommendations of the Department of Health publications: An Organisation with a Memory, Building a Safer NHS, Doing less Harm and the former National Patient Safety Agency (NPSA) publication Building a memory: preventing harm, reducing risks and improving patient safety, Berwick report 2013 and the Health and Safety at Work etc. Act 1974 and subsequent subsidiary reports. The reporting, management and investigation of adverse incidents are fundamental elements of risk management. Sharing the learning from adverse incidents (including near misses) enables the organisation to implement changes to practice, processes, and systems so that the risk of harm is reduced. In addition to the human costs, if incidents are not properly managed, they may result in a loss of public confidence in the organisation and a loss of assets.

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L223 - Managing Breathlessness Leaflet

L223 - Managing Breathlessness. A Respiratory Service patient information leaflet leaflet.

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Guidelines for Pressure Ulcer Risk Assessment - Adapted Waterlow Score (G89)

The purpose of this Standard Operation Procedure is to set out the process to be followed to ensure a consistent approach is followed for the assessment of patient’s risks of developing pressure ulcers.

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Venous Thromboembolism (VTE) Prophylaxis Policy (P8)

Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.