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Records management

Clinical, staff and corporate records management at Derbyshire Community Health Services NHS FT

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Disclosure Ref 2025345 - Postal usage in hospitals specifically the volume & type of franked mail & the franking tariffs.doc

Freedom of information disclosure relating to postal usage in hospitals specifically the volume & type of franked mail & the franking tariffs

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Disclosure Ref 2025177 - Translation services.doc

Freedom of information request relating to information about the organisation’s use of language and interpreting services. This includes which national procurement frameworks the organisation uses, how services are accessed, contract expiry dates, current providers, and spending over the past two financial years.

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Disclosure Ref 2025321 - NHS spending and expenditure.doc

Freedom of information disclosure relating to breakdown of all NHS spending for the most recent full financial year, covering every category of expenditure across the entire NHS.

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Disclosure Ref 2025371.doc

Freedom of information disclosure relating to Framework Agency Spend for specialties NHS 111 Health Advisors, NHS 111 Clinical Advisors & Nurse Assessors

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L229 - Sputum Clearance Technique

L229 - Sputum Clearance Technique. Respiratory Service patient information leaflet.

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Oral Suction Guidelines for Adults (G186)

Many people require oral suctioning to help with clearance of difficult secretions. This document is to support those using the equipment and administering the suctioning.

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Venous Thromboembolism (VTE) Prophylaxis Policy (P8)

Venous Thromboembolism (VTE) is a leading cause of avoidable death in the UK. It is estimated that VTE causes in excess of 25,000 potentially preventable deaths per annum in UK hospitals – five times the estimated number of deaths each year from hospital-acquired infection. In the UK as a whole this figure is approximately 60,000 preventable deaths each year (DH, 2007). The implementation of evidence based guidelines first published by the National Institute of Clinical Excellence (NICE) in 2010 focussing on the prevention of VTE in hospitalised patients has been afforded a high priority by the Department of Health and commissioners. VTE risk assessment is a former national CQUIN indicator and is a National Quality Requirement in the NHS Standard Contract for 2019/20 (NHSE, 2019). It sets a threshold rate of 95% of adult inpatients being risk assessed for VTE on admission each month. This policy and the accompanying clinical documentation will enable clinicians to reduce mortality and morbidity associated with this VTE through screening patients admitted for day surgery or inpatient care and those attending Minor Injury Unit / Urgent Treatment Centres, educating patients and carers about preventative measures, initiating prophylactic treatment and recognising signs of VTE development.

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Controlled Drugs SOP for Community Hospitals (S47)

This series of Standard Operating Procedures ensures that all processes involving Controlled Drugs (CDs) carried out in Wards and Departments of Community Hospitals are conducted in strict accordance with current statutory requirements that adequate records are maintained and a robust audit trail exists. This includes security, ordering, receipt, administration, issue, balance checking, and return or destruction.

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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.

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ReSPECT Policy (P89)

This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.