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Tier 3 Weight Management Service Derbyshire

The Tier 3 Weight Management Service offers a weight management programme to support adults with severe and complex obesity to lose weight across Derby City and Derbyshire County.

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S158 - SOP for the treatment of CHRONIC HEART FAILURE IN THE COMMUNITY – FOR ADULTS

This document outlines the standards and core operational processes for delivering high-quality community care to people with heart failure, specifically guiding Heart Failure Nurses and Specialist Nurses within Derbyshire Community Health Services Foundation Trust. It aims to provide evidence-based recommended practices to streamline patient care and should be used alongside the HFSN Service Competency Framework and approved patient resources.

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Disclosure Ref 2025307 - Cyber Security & patient engagement portal.docx

Freedom of information disclosure relating to cyber Security & patient engagement portal

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Example Policy (pdf)

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Information Governance Policy.docx

Information is a vital asset, both in terms of the clinical management of individual patients and the efficient management of services and resources. It plays a key part in clinical governance, service planning and performance management. This document sets out minimum policy standards across the community for confidentiality, integrity and availability of Information. The policy is intended to cover the overlapping areas of Data Protection Compliance, Information Security (BS ISO/IEC 27002:2005 standard), Data Quality and Confidentiality (with regards to ‘common law’).

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Covert Administration of Medicines Policy (P59)

The policy applies to patients who are being treated by Derbyshire Community Health Services Foundation Trust (DCHSFT) inpatient wards, units and pathway 2 care home beds where DCHS employed staff have medical accountability for residents. DCHSFT recognises and respects the autonomy of individuals who receive treatment. However there are times when severely incapacitated individuals in our care can neither consent nor refuse treatment and the use of covert medications may need to be considered. This policy applies to the administration of medicines for a physical disorder or a mental disorder under the Mental Capacity Act 2005 and to medication for a mental disorder administered under Part 4 and Part 4A of the Mental Health Act 1983. Treatment of a physical condition can only be given under the Mental Health Act Part 4 if the condition is a symptom or manifestation of the mental disorder.

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FINAL Chief Executive Designate - Stakeholder Briefing - 11 November 2021.pdf

Dr Chris Clayton appointment; Chief Executive JUCD

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Standard Operating Procedure for the Issue of Procaine Penicillin outside of ISHS services (S83)

This SOP sets out the actions which should be taken to facilitate the administration of the procaine penicillin outside of ISHS opening hours.

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Witness Destruction of Controlled Drugs (S34)

This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.

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Medicine Code (S2)

This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.

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Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)

Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.