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Recognition of the Deteriorating Child Policy (P93)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’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.

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Requesting and Managing Pathology Results within DCHS Community Hospital Wards SOP (S98)

The purpose of this Standard Operating Procedure (SOP) is to outline the steps required to effectively manage the requesting, receiving, filing and actioning of all pathology results by either an electronic process or by a relevant paper-based system. Utilising an electronic system (such as ICE) enables pathology requests to be requested, reviewed and actioned electronically via the electronic patient record within TPP SystmOne. There are an estimated 1.12 billion pathology tests undertaken each year in England (NHS England, 2020) It is imperative a record of all pathology samples is accurately maintained to avoid patient harm and improve patient outcomes (WHO, 2021). The Care Quality Commission (2021) inspects the management of test results to ensure processes are robust, practice is safe and care is effective.

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Completion of agency checks within the 0-19 Children’s Service Guidelines (G249)

The purpose of this guidance is to ensure that health visitors and school nurses clearly understand their roles and responsibilities when they are asked to complete an agency check. This includes ensuring that the relevant consent to share information has been obtained from parents/ those with parental responsibility for the child/ young person ( this should be obtained by social care). The guidance also clearly outlines the process for admin staff to follow to ensure that any requests are sent to the clinical teams and that in turn the clinical teams can respond in a timely manner.

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Guidelines for the management of patients who Did Not Attend (DNA) an appointment (G265)

To standardise the process for managing patients who DNA initial and follow-up appointments.

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Opportunistic Maggots Guidance (G274)

Every year during the hot weather we experience an increase in patients with opportunistic maggots in the community. This guidance is to aid assessment and management of these patients.

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Disclosure Ref 202526 - Primary Hernia repairs.pdf

Disclosure to freedom of information request regarding total number of NHS referrals for primary inguinal, femoral,umbilical and epigastric hernia repairs at your trust in the last 3 years

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Disclosure Ref 202543 - Clinical Coding Details for 2024.pdf

Disclosure to freedom of information request regarding Clinical Coding Details for 2024

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Disclosure Ref 202563 - ERostering & Self Rostering used.pdf

Freedom of information disclosure Ref 202563 relating to E-Rostering & Self Rostering used by the Trust

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Disclosure Ref 202594 - Number of beds and patient Medically fit for discharge (MFFD) .pdf

Freedom of information final disclosure Ref 202594 relating to number of beds and patient Medically fit for discharge (MFFD)

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Joint Infant Feeding Policy (P112)

The joint policy aims to ensure that all staff at Derbyshire Community Health Services (DCHS) and Derbyshire County Council (DCC) Children’s Centres understand their roles in supporting expectant and new mothers and families. The policy emphasizes the importance of breastfeeding for both the baby and the mother, highlighting the numerous health benefits. It also addresses the need for care to be mother and family-centered, non-judgemental, and supportive of parents' decisions. The policy outlines the commitment to improving breastfeeding rates by implementing the UNICEF UK Baby Friendly Standards. This includes providing information to parents about the value of breastfeeding, supporting them to breastfeed for as long as they want, and protecting them from unethical marketing practices by formula milk companies. The policy encourages collaboration across professional boundaries to improve infant feeding support for all families. Leaders and clinicians are expected to take responsibility for making the UNICEF UK Baby Friendly Standards a reality and work together to improve mothers' and parents' experiences of care. The policy also includes a note that the term 'woman' or 'mother' should be inclusive of those who do not identify as female.