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Finance and Procurement System Changes

The Trust’s current contract for the provision of financial services (i.e. finance and procurement) from NHS Shared Business Services (SBS) is coming to an end on 31 March 2022. 

A message from the Royal Voluntary Service

We are writing to you because you have previously referred people to the NHS Volunteer Responders (NHSVR) programme, to tell you about changes to the support available from our volunteers.

About Airmid

Airmid is a Patient App which allows you to view and cancel appointments at any time (rebooking is coming soon).

DCHS Clinical IT Systems - User Experience Survey 2022

Are you a user of TPP SystmOne or Inform clinical systems? We’d like to know how it’s working for you and how we might be able to improve it.

Files

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Disclosure Ref 2025347 - Vendor management.doc

Freedom of information disclosure relating to vendor management for agency staff such as an MSP/neutral vendor/master vendor

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Disclosure Ref 2025320 - Insourcing for specialties .doc

Freedom of information disclosure relating to details about any insourcing activity at DCHS, including spend, budgets, contract dates, frameworks or awards used, and the type of services involved

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Disclosure Ref 2025310 - Nurse led consent in Endoscopy services.docx

Freedom of information disclosure relating to nurses in endoscopy obtaining patient consent, what band they are, and whether any related competency frameworks, training, or consent form templates are available.

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Management of Under Nutrition in Adults (G43)

The aim of the guidelines is to ensure effective patient centred oral nutrition support in Derbyshire by promoting a fortified diet and appropriate, effective ONS prescribing.

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Administration of Insulin Injection Policy and Standard Operating Procedure (P4)

There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.

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Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) and within the Short Breaks Service SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.

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Inpatient Falls Prevention and Management Policy (P33)

The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’

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Was Not Brought - Did Not Attend - No Access Visit Policy (P88)

The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.

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DCHS PSED Report 2019-2020.pdf

DCHS Public Sector Equality Duty Report 2019-2020

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Financial wellbeing and support - DCHS

Financial wellbeing and support - DCHS v2, includes useful contact details for support and advice agencies