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Recognition of Patient Deterioration (Adults) Policy (P83)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording adult patients’ vital signs in their own home, Minor Injuries Units, outpatient podiatric surgery and community hospital wards. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS (NHS Improvement, 2016, Hogan et al, 2012) and poor communication is a leading cause of adverse events in healthcare. The National Early Warning Score (NEWS) offers a common language to describe and communicate a patient’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis (Inada-Kim and Nsutebu, 2018). This policy aims to increase survival among acutely unwell and deteriorating patients

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1 year review Guidelines – 0-19 Children’s Services (G208)

This Best Practice Guideline give clear guidance on the minimum standard expected of Specialist Community Public Health Nurses (Health Visitors) when delivering a 1-year review. It outlines the goal and essential components of the 1-year review offered to all families in Derbyshire when their baby is 9-12 months 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.

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2022 10 06 Board Pack.pdf

October 2022 - Trust Board Meeting Pack

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JUCD Leadership Orientation Managers Checklist (v1).docx

JUCD new managers local orientation checklist (V1) uploaded Mar23. For all new leaders/managers in DCHS to complete

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Clinical Harms Review Additional detail for Service Level SOP - Community Podiatry Service (S113)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed in order to deliver a consistent approach to: • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which consider health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.

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Disclosure Ref 202483 - IT Infrastructure.pdf

FOI disclosure regarding IT Infrastructure for desktop management, data centre, server management, networking and IT security

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Disclosure Ref 202455 - Orthotic Devices.pdf

FOI Disclosure Ref 202455 relating to Orthotic Devices

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Disclosure Ref 202505 - Web Filtering and Security Awareness Training.pdf

Disclosure to freedom of information request regarding web filtering and security awareness Training

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Disclosure Ref 202516 - Nursing Agency Spend 1 of 2 .pdf

Disclosure to freedom of information request regarding Disclosure Ref 202516 - Nursing Agency Spend 1st October 2024 to 31st December 2024

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Clinical Effectiveness Policy (P85)

The purpose of this policy is to set out the rationale for clinical audit and provide a framework for such activity, including standards, guidance and procedures, as well as details of the support available from the Clinical Effectiveness Team: • For registering and approving clinical audit project proposals • For developing and designing clinical audit projects • To ensure clinical audit leads to improvement when a need for improvement is identified This policy aims to support a culture of best practice in the management and delivery of clinical audit, to clarify the roles and responsibilities of all staff involved, and to promote a culture of quality improvement in our services.