Pages
Wellbeing support across Joined Up Care Derbyshire - New Spring activity timetable for 2023 is here!
Prem Singh – reflections from a career in public service
https://dchs.nhs.uk/news/prem-singh-reflections-career-public-service
Files
The Use of Force, Restraint Reduction and the Management of Violence and Aggression (P58)
The policy provides a framework for support staff who work across Learning Disability Services (LD) and Older Peoples Mental Health Services (OPMH), in responding to situations that they face with regards to Behaviours that Challenge and in particular, violence and aggression (both where they can plan and where an incident in unforeseen).
L223 - Managing Breathlessness Leaflet
L223 - Managing Breathlessness. A Respiratory Service patient information leaflet leaflet.
Guidelines for Pressure Ulcer Risk Assessment - Adapted Waterlow Score (G89)
The purpose of this Standard Operation Procedure is to set out the process to be followed to ensure a consistent approach is followed for the assessment of patient’s risks of developing pressure ulcers.
Identification and Treatment of Different Types of Moisture Lesions (G179)
A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.
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
Local Decontamination Of Reusable Medical Devices-Dental and Podiatry Services (P16)
The aim of this policy is to detail the practices and principles for the local decontamination of reusable medical devices, with reference to podiatric services.
Adult Nutrition Food and Hydration Policy (P50)
This policy aims to improve the nutrition and hydration of all adult patients cared for by staff working throughout Derbyshire Community Health Services NHS Foundation Trust (DCHSNHSFT) including those with special/therapeutic dietary requirements. It explains how patients who are at nutritional risk can be identified, how nutritional status may be improved, what support there is from members of the multidisciplinary team and how support and training can be accessed. The major challenge for community hospitals and staff working within the community will be meeting the nutritional requirements of patients who are nutritionally vulnerable; hence much of this policy is based around nutrition support. By achieving the care in the Policy, it will allow the Trust to meet a number of voluntary and mandatory standards including the Care Quality Commission (CQC) Regulation 14: Meeting nutrition and hydration needs (2015), The Hospital Food Standards Panel’s report on standards for food and drink in NHS Hospitals (2014), NICE - Nutrition support in adults. Quality standard 24 (2012) and the British Association of UK Dieticians (BDA) – The Nutrition and Hydration Digest: Improving Outcomes through Food and Beverages Services 2nd Edition (2017) Whilst this Policy focuses primarily on nutrition, as an important nutrient, water cannot be overlooked. Detailed information on assessing and maintaining patients hydration needs can be found in the Appendix
2021_10_07_public_board_meeting_pack.pdf
DCHS October 2021 Public Board meeting agenda and papers
Managers Informal Conversation Guide (DCHS) V2_.pdf
Managers Informal Conversation Guide Mandatory staff Covid-19 vaccinations (DCHS) V2 (with updated links)
Advance Decisions Policy
It is a general principle of law and medical practice that adults have a right to consent to or refuse treatment. The courts have recognised that adults have the right to say in advance that they want to refuse treatment if they lose capacity in the future, even if this results in their death. A valid and applicable advance decision to refuse treatment has the same force as a contemporaneous decision. This has been a fundamental principle of the common law for many years and is now set out in the Mental Capacity Act 2005, which came into force in 2007 supported by the Code of Practice to the Act. Derbyshire Community Health Services NHS Foundation Trust aims to achieve a more balanced partnership between patients and healthcare professionals and acknowledges that it is the right of every adult patient with capacity to determine whether or not to accept medical treatment. In addition, it is the right of every adult patient to express views about their future care and treatment. The primary responsibility lies with the patient (the maker) to write an Advance Decision to Refuse Treatment (ADRT). The Trust endorses the good practice of staff, set out in national guidance and professional standards to provide information to and general support for patients who wish to write an ADRT. The Trust always encourages patients who wish to discuss their plans for future care and will provide advice to patients and support to advance care planning by helping to coordinate care and communicate plans. In addition, it is supportive of those patients who present with an advance decision and where this is valid and applicable, comply with that specific decision. This policy should be read in conjunction with the Trust’s Consent Policy and aims to raise awareness and give guidance to staff about advance decisions.