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Have your say on plan to improve city’s health and care support services
https://dchs.nhs.uk/news/have-your-say-plan-improve-citys-health-and-care-support-services
A peek into the future for Walton Hospital’s development
https://dchs.nhs.uk/news/peak-future-walton-hospitals-development
Infection prevention & control
https://dchs.nhs.uk/about-us/quality-heart-our-care/infection-prevention-and-control
Files
Guidelines for assessing pain in patients with Cognitive Impairment and or communication problems (G203)
Within DCHS 4 pain assessment tools have been provided to help meet patient’s individual needs: PAIN ASSESSMENT TOOL FOR PATIENTS WHO ARE ABLE TO COMMUNICATE – PAIN ASSESSMENT TOOL FOR PATIENTS WITH COGNITIVE IMPAIRMENT (Abbey Pain Scale) PAIN ASSESSMENT TOOL FOR USE WITH FAMILY AND CARERS OF PATIENTS WITH COGNITIVE IMPAIRMENT DISABILITY DISTRESS ASSESSMENT TOOL (DisDAT)
Oral Suction Guidelines for Carers (G185)
These guidelines are aimed at providing Carers who are undertaking Oral suction with the information to undertake this safely.
Verification of Adult Death Policy (P51)
When a person dies, a number of steps need to be completed to allow legal registration of the death and for a funeral to take place: 1. Confirmation of the fact of death. 2. Certification of the medical cause of death or referral to the Coroner. 3. Registration of the Death. Obtaining a burial or cremation order. The aim of this policy is to provide a framework for the timely verification of adult deaths by competent registered clinicians. It will enable staff to care appropriately for the deceased and minimise distress for families and carers following a death. Timely verification – within one hour in a hospital setting and within four hours in a community setting – is an important stage in the grieving process for relatives and carers and also a key time for support (Wilson et al, 2017).
Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)
The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.
Standard Operating Procedure for DCHS Wound Clinics (S68)
Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.
Consent Policy (P42)
Consent is a fundamental part of the relationship between NHS staff who deliver care and treatment and the adults, young people and children who access services in the NHS for their care and treatment. “Consent to treatment means a person must give permission before they receive any type of medical treatment, test or examination. Consent from a patient is needed regardless of the procedure, [and the] principle of consent is an important part of medical ethics and international human rights law” (NHS: 2019). “A healthcare professional (or other healthcare staff) who does not respect this principle may be liable both to legal action by the patient and to action by their professional body. Employing bodies may also be liable for the actions of their staff” (DH 2009:5). The aim of this policy is to set out the principles, practice and responsibilities of Trust staff when seeking consent for assessment, examination, intervention (surgical and non-surgical), investigation, treatment and investigative images and recordings.
Snowdrop Ward Assessment & Treatment Unit – Use of Force Leaflet (L156)
Easy read patient information leaflet about reducing restrictive interventions and what these are. Produced by Hillside Assessment & Treatment Unit and Walton Unit - Older Peoples Mental Health services.
Communications Annex V7.pdf
How to communicate with Patients using the communication annexe on SystmOne
Conservative Sharp Debridement (CSD) of Wounds Policy (P99)
We know that wound dressings should provide the optimal environment for wound healing after careful clinical assessment of the wound, the patient clinical condition and clinical outcomes. Hard to heal wounds, however, fail to progress, and many can be seen with dead tissue, slough and necrosis which in turn can increase the risk of infection and also increase cost within appropriate dressing use and nursing time. This procedure will only be undertaken by the Tissue Viability team members who have successfully completed a validated programme of care and assessment of competence in practice. A minimum of 10 episodes of observed practice is to be completed until competency can be granted. The purpose of debridement describes any method by which such materials (necrosis, slough and dead de-vascularised tissue) are removed and consequently the potential to achieve wound healing enhanced. It also reduces the bacterial load and minimises the risk of local and systemic infection. It can allow for wound draining and reduce odour overall enhancing patient quality of life.
Patient Experience Team leaflet
Patient experience team leaflet, includes information on how to make a complaint and where patients/carers can access support. Updated 2022