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Industrial Action Update - Issued on 16 January 2023
Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/industrial-action-update-16-january
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.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/weight-management-service
Top tips for saving on energy bills
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/top-tips-saving-energy-bills
Open event spotlights Walton Hospital’s upcoming diagnostic service
https://dchs.nhs.uk/news/open-event-spotlights-walton-hospitals-upcoming-diagnostic-service
Derbyshire NHS Trust’s annual public accountability meeting - Open to all online
https://dchs.nhs.uk/news/derbyshire-nhs-trusts-annual-public-accountability-meeting-open-all-online
Wound Clinic Service
Our wound clinic service was established in 2019 to provide a 7-day per week wound care service for the people of Derbyshire.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/wound-clinic-service
Files
L223 - Managing Breathlessness Leaflet
L223 - Managing Breathlessness. A Respiratory Service patient information leaflet leaflet.
Guidelines for Using the Abbey Pain Scale (G204)
The Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs.
Electronic Clinical Record Keeping Guidelines (G333)
All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.
SOP Titration of Heart Failure Medication by Designated Nurses (S8)
This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients
Learning from Death’s Policy (P72)
This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.
DCHS_Supervision online record system User Guide V2
DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.
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.
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.
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.
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.