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Patient Group Directions (PGDs)

Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.

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Disclosure Ref 2025234 - Equality impact assessment for vegans .doc

Freedom of information disclosure relating to equality impact assessment for vegans

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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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L157 - Pulmonary Exercise Programme Warm Up

L157 - Pulmonary Exercise Programme Warm Up. A Respiratory Service patient information leaflet.

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Electronic Clinical Record Keeping Guidelines (G333)

All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.

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SOP Titration of Heart Failure Medication by Designated Nurses (S8)

This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients

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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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DCHS_Supervision online record system User Guide V2

DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.

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Recognition of the Deteriorating Child Policy (P93)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’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.

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Requesting and Managing Pathology Results within DCHS Community Hospital Wards SOP (S98)

The purpose of this Standard Operating Procedure (SOP) is to outline the steps required to effectively manage the requesting, receiving, filing and actioning of all pathology results by either an electronic process or by a relevant paper-based system. Utilising an electronic system (such as ICE) enables pathology requests to be requested, reviewed and actioned electronically via the electronic patient record within TPP SystmOne. There are an estimated 1.12 billion pathology tests undertaken each year in England (NHS England, 2020) It is imperative a record of all pathology samples is accurately maintained to avoid patient harm and improve patient outcomes (WHO, 2021). The Care Quality Commission (2021) inspects the management of test results to ensure processes are robust, practice is safe and care is effective.

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Completion of agency checks within the 0-19 Children’s Service Guidelines (G249)

The purpose of this guidance is to ensure that health visitors and school nurses clearly understand their roles and responsibilities when they are asked to complete an agency check. This includes ensuring that the relevant consent to share information has been obtained from parents/ those with parental responsibility for the child/ young person ( this should be obtained by social care). The guidance also clearly outlines the process for admin staff to follow to ensure that any requests are sent to the clinical teams and that in turn the clinical teams can respond in a timely manner.