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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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Postural Care Guidelines for people with Complex Physical Disability (G182)

The purpose of this document is to guide good practice and standardise Postural Care for people aged 18 years and over who are registered with a North Derbyshire GP and to; • Deliver safe, person-centred, evidence- based and equitable service to people with complex physical and learning disabilities • Improve the health and well-being of people with learning disability and complex physical disability • Maintain and reduce risk of deterioration in health associated with complex physical disability • Clarify roles and responsibilities

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Safeguarding Children Policy (P31)

Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.

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Leg Ulcer Assessment and Management Policy (P66)

• Ensure that all patients in DCHS care, presenting with a lower limb wound receive a comprehensive assessment and subsequent diagnosis from a registered nurse who has had additional training and competencies in Leg Ulcer Management. • Support DCHS clinicians and partners in care to know when to refer those patients with complex, atypical or non-healing lower limb ulceration for review by specialist services in primary and secondary care settings. • To provide a framework to ensure that the quality of care for patients in this area can be monitored and improved in line with the quality agenda.

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STAY conversations

DCHS STAY conversations - managers guide. This is a management tool, not a formal process, aimed at supporting staff retention.

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Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

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Standard Operating Procedure for Waiting List Validation (S108)

The purpose of this SOP is to set out the waiting list validation stages and process for staff and managers with services that have waiting lists. Across Planned Care and Specialist Services (PCSS) there are patients on waiting lists. To support the management of these waiting lists it is important to regularly validate those patients who are waiting to be offered an appointment. Services with waiting lists should consider the appropriateness and frequency of undertaking the three stages of waiting list validation, these being: technical, administrative, and clinical.

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The Urgent Treatment Centre (UTC) Did Not Wait, Left Without Being Seen SOP (S144)

The SOP defines what staff should do when a patient or parents/carers with a child leave the unit after being booked in, but prior to being assessed, or who leave the department before finishing treatment.

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Disclosure Ref 2024201 - Myeloma Service Provision .pdf

FOI Disclosure Ref 2024201 relating to Myeloma Service Provision