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Prevention and Management Pressure Ulcer Policy (P36)

This policy outlines the Trust’s approach for the prevention of pressure ulcers in people under the care of DCHS clinicians. It encompasses the appropriate management for the prevention of pressure ulcers as well as the management of patients with ulcers already present. This policy and the supporting guidelines place an emphasis on a collaborative integrated multidisciplinary, multiagency approach to identifying risk factors and the implementation of appropriate preventative and/or treatment measures in a timely manner.

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Derbyshire Children’s Continence Service Level 2 policy (P91)

The policy will work in conjunction with NICE guidance for constipation and nocturnal enuresis (NICE 2010a 2010b). This guideline is to provide direction and guidance to staff; however, deviation is dependent on professional judgement. This guidance aims to support the Derbyshire Children’s Continence Service Level 2 in delivering a continence service within localities. This guide will ensure standardised practice to support reducing inequalities of service across Derbyshire Community Health Services NHS FT, Chesterfield Royal Hospital FT and Derbyshire Healthcare NHS FT.

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Compression Hosiery Formulary Guideline (G214)

The aim of this document is to help health care practitioners to make an informed decision with the patient when managing limb conditions

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GD20 Employment References.docx

Peter McCarthy suite wording removed as ER team no longer based there. Dignity at Work wording changed to Bullying and Harrassment as per new policy, any mention of fait treatment at work wording changed to Grievance. Vivup replaced with Cic counselling support.

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Standard Operating Procedure for seated patient lifting device in community settings following a fall (S96)

This standard operating procedure sets out the process by which clinicians working within Integrated Community Services are able to utilise a seated lifting device (e.g. Mangar Elk or Camel) to support patients who have fallen in their home environment. This will prevent long lies and use of emergency ambulance personnel for retrieval only. The aim of this procedure is to support clinicians to: • Understand the purpose and use of the device • Ensure the response using the device is appropriate. • Ensure clinical documentation is properly completed.

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L285 - Using amoxicillin capsules when liquid medication is unavailable

Advice for parents on administering Amoxicillin Capsules to Children when liquid medication is unavailable.

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CNN targeted interventions Menu Guidance (G272)

As part of the Public health Nursing service, the 0-19 teams offer targeted, time limited interventions and support for a range of public health needs. Local teams have a wealth of knowledge and experience which can provide early intervention and first level support in a timely manner, to help families address concerns or problems effectively. This guide gives an overview of the range of support available, including the limitations and exclusion criteria, and also provide details of a range of other services in Derbyshire that support children and families.

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Mental Health Act 1983 Community Treatment Order Policy (P103)

To guide staff on the implementation of a Community Treatment Order (CTO) in accordance with the MHA 1983 and the MHA Code of Practice 2015. To ensure lawful and appropriate use of CTO’s within the Trust and that legal rights of any patient subject to a CTO are upheld at all stages.

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Adult Nutrition, Food and Hydration Guidelines For Community Patients (G319)

The aim of this guidance is to support patients who are unable to maintain their nutritional status by eating and drinking orally. The purpose of these guidelines is to: • Give clear, defined, evidence-based guidelines for all employees within DCHS working in the community setting, to support patients with maintaining adequate nutrition and hydration status. • Ensure that the defined minimum requirements for documentation are clearly laid down to enable clinicians to accurately monitor and assess the nutrition and hydration status of the patient in a timely manner. • Ensure that all relevant employees are given the necessary information, instruction and training to provide them with the knowledge and skills to monitor and maintain the nutrition and hydration status of the patient and to reduce the risk of complications.

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Service Level Clinical Harms Standard Operating Procedure (S139)

This document should be read in conjunction with the overarching DCHS patient access and safe waiting policy 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 take into account 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.