Pages
Wound Clinic Service
Our wound clinic service was established in 2019 to provide a 7-day per week wound care service for the people of Derbyshire.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/wound-clinic-service
Health Psychology
The DCHS health psychology service provides specialist psychological care and support to adults with physical health problems.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/health-psychology
Dr Chris Clayton appointed as Chief Executive Designate JUCD
The appointment of Dr Chris Clayton as Chief Executive Designate of the NHS Integrated Care Board for Derby and Derbyshire.
How quality makes a difference to you in DCHS
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/how-quality-makes-difference-you-dchs
Files
Guidelines for Using the Abbey Pain Scale (G204)
The Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs.
Medicine Code (S2)
This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.
Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)
Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.
Identification Policy for Patients (P70)
Derbyshire Community Health Services NHS Foundation Trust (DCHS) aims to take all reasonable steps to ensure the safety of patients by having robust systems in place to confirm a patient’s identify. This policy provides guidance for staff to reduce the risk of misidentification of patients using the guidance issued in the National Patient Safety Agency (NPSA) Safer Practice Notice (2007) “Standardising wristbands improves patient safety”. This policy aims to: • Reduce the potential of harm to patients caused by misidentification; • Ensure compliance with National Patient Safety Agency (NPSA) advice.
Neck.png
Picture of neck anatomy
New Birth Review Guidelines - 0-19 Children’s Services (G207)
This Best Practice Guidance gives clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when delivering the New Birth Review. It outlines the goal and essential components of the New Birth Review offered to all families in Derbyshire when their baby is 10-14 days old. This document also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care.
Standard Operating Procedure for Stay Steady Strength And Balance Programme (S102)
To outline the clinical and quality standards of DCHS strength and balance improvement programmes for secondary falls prevention (known as Stay Steady Strength and Balance). In addition, the SOP will provide an audit framework for the continual improvement of programmes being delivered.
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.
Domestic Abuse - Childrens 0-19 Services Policy (P14)
This policy gives clear guidance on the standard expected of Specialist Community Public Health Nurses (Health Visitors and School Nurses) and other members of the 0-19 team when undertaking routine enquiry, managing disclosures of domestic abuse, responding to domestic abuse notifications, and supporting families experiencing the impact of domestic abuse. This document supports a commitment to evidence based practice across 0-19 children’s services.
Disclosure Ref 202429 - Energy Management System (EMS).pdf
FOI Disclosure Ref 202429 relating to Energy Management System (EMS) contract