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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.

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HRP53 eRostering Policy

HRP 53 eRostering policy. purpose of the Rostering Policy is to ensure that service users’ safety is the primary objective of all Trust rosters. The purpose of this policy is to ensure all rosters have the staffing level and skill mix required for the safe and appropriate care of service users, which is available at all times. v1 May 2022

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DCHS Blood Glucose Collection Points

Blood glucose monitor drop off points - including xxxx details

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Disclosure Ref 2022123 - SIM cards & mobile networks.pdf

Response to FOI regarding Sims and Mobile phones used and providers

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Band 3 Children’s Speech and Language Therapy Assistant Speech and Language Therapy Service SOP – Children’s Community Service (S121)

The aim of this SOP is to outline the processes involved in identifying and managing children referred to the Children’s Speech and Language Therapy Assistant (SLTA).

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Disclosure Ref 202424 - Clinical Waste Contracts (1 of 2).pdf

FOI Disclosure Ref 202424 relating to Clinical Waste Contracts

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Disclosure Ref 202521 - Health records & Electronic Document Management System (eDMS).pdf

Disclosure to freedom of information request regarding Electronic Document Management System (eDMS) for digitised patient Health Records

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Disclosure Ref 202507 - Policies regarding mental health 2 of 3.pdf

Disclosure to freedom of information request regarding adaptations of restraint-related policies, or procedures, for people with learning disabilities, e.g. easy read guidance. We are particularly interested in sourcing good practice in how people with learning disabilities are supported when they come into NHS mental health units.

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Disclosure Ref 202552 - Clinical Waste Contract.pdf

Freedom of information disclosure ref 202552 relating to Clinical Waste Contract and how much was spent on this

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Disclosure Ref 202592 - Mechanical Ventilation & MRIs.pdf

Freedom of information disclosure reference 202592 relating to Mechanical Ventilation & MRIs