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Clinical Record Keeping Policy and Standards (P6)

This policy aims to ensure that the clinical records made by staff are fit for purpose and of a quality that provide for objective, accurate, current and comprehensive information that supports and enables the best clinical care and treatment for the patient/client. This policy has incorporated a range of best practice and related legislative requirements to outline the organisations expectations for clinical record keeping standards, both on paper and electronically. The policy provides support to the organisation in meeting its statutory and legal obligations as laid down by the Records Management: NHS Code of Practice 2016; Data Protection Act 1998 section 7, General Data Protection Regulation 2018 and relevant professional bodies. The policy also identifies the standards expected of all registered and non-registered staff. It sets a minimum standard, which will be applicable to all patient settings, including community clinics and inpatient areas. This policy does not replace standards set by professional organisations, but is complementary to them and should be used in conjunction with them.

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Medical Devices Policy (P27)

The aim of this document is to outline a standardised approach to purchasing, deployment, maintenance, repair and disposal of medical devices within the Trust and the services commissioned by the Trust. The purpose of this policy is to provide the means of ensuring that all acquisitions of items of medical equipment are made only after consideration and approval by the relevant management groups and in accordance with the procedures detailed within this policy and with all related DCHS policies, European Union (EU) public procurement rules, advice from the Medicines and Healthcare Products Regulatory Agency (MHRA) and statutory requirements.

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Recognition of Patient Deterioration (Adults) Policy (P83)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording adult patients’ vital signs in their own home, Minor Injuries Units, outpatient podiatric surgery and community hospital wards. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS (NHS Improvement, 2016, Hogan et al, 2012) and poor communication is a leading cause of adverse events in healthcare. The National Early Warning Score (NEWS) offers a common language to describe and communicate a patient’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis (Inada-Kim and Nsutebu, 2018). This policy aims to increase survival among acutely unwell and deteriorating patients

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The Management of Warfarin Therapy for Inpatients Guidelines (G233)

The aim of this guideline is to improve the safety of anticoagulant therapy for inpatients under the care of DCHS by: • Providing an evidence-based algorithm for the initiation of warfarin therapy in atrial fibrillation, including the use of a specific SystmOne template for warfarin management. • Offering an evidence-based algorithm to guide maintenance dosing decisions. • Clarifying the process for communicating follow-up arrangements to primary care teams when a patient is discharged from hospital. • Endorsing the level of competence and training required of clinicians who prescribe warfarin. • Ensuring that the guidance will be built into an audit and review cycle.

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Section 5.28 COVID-19 (IP&C Policy)

Section 5.28 COVID-19 (IP& C Policy) v2 (September 2022). With links. The aim of this document is to provide operational guidance to staff in particular in relation to COVID-19.

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Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)

Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.

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Disclosure Ref 202529 - Car parking management .pdf

Disclosure to freedom of information request regarding Car Parks that are on DCHS owned sites

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Disclosure Ref 202513 - Assaults on Hospital Staff.pdf

Disclosure to freedom of information request regarding Incidents and assaults on hospital staff

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Disclosure Ref 202533 - Use or perform Viscosupplementation injections.pdf

Disclosure to freedom of information request regarding use or perform Viscosupplementation injections

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Disclosure Ref 202504 - Vials used & patients treated 2024 .pdf

Freedom of Information disclosure ref 202504 relating to vials used and number of patients treated