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Disclosure Ref 2025288 - June 2025 Agency spend.pdf

Freedom of Information disclosure relating to Agency Spend, split between Registered Nurses (all specialities e.g. adult nursing, children’s nursing, community, mental health, midwives, etc), Health Care Support Workers and Doctors for June 2025

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Delivering Same Sex Accommodation (P64)

Every patient has the right to receive high quality care that is safe, effective and respects their Privacy and Dignity. There are no exemptions from the need to provide high standards of privacy and dignity and this applies to all areas, including when admission is unplanned. This is one of the guiding principles of the NHS Constitution (2009) and at the core of local NHS visions. Derbyshire Community Health Trust ( DCHS) aim is that all patients who are admitted to any of our hospitals will only share the room where they sleep with members of the same sex, and same sex toilets and bathrooms will be close to their bed area. Sharing with members of the opposite sex should only happen by exception based on clinical need (for example where patients need specialist equipment), or when patients choose to share (for instance married couple who have been admitted together may want to share a side room). This Policy contributes to the achievement of CQC Outcome 4 – The patient will receive care, treatment and support in single sex accommodation wherever it is available. The aim is to ensure a clear and consistent approach is adopted across DCHS community hospitals by all ward managers.

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The Use of Force, Restraint Reduction and the Management of Violence and Aggression (P58)

The policy provides a framework for support staff who work across Learning Disability Services (LD) and Older Peoples Mental Health Services (OPMH), in responding to situations that they face with regards to Behaviours that Challenge and in particular, violence and aggression (both where they can plan and where an incident in unforeseen).

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Implementation of National Guidance Policy (P44)

All patients should have fair access to high quality care which is based on clear evidence of best practice. There are many examples of documents issued either by the Department of Health or bodies such as the National Institute of Health and Care Excellence (NICE) which set out the requirements for organisations to follow either as mandatory targets or as best practice guidance and professional advice. This policy sets out the process for the dissemination and implementation of national guidance within Derbyshire Community Health Services NHS Foundation Trust (DCHSFT). This policy aims to provide a clear process to ensure that national guidance for example NICE, Care Quality Commission Reviews, or NHS Improvement, are appropriately disseminated implemented and monitored across the organisation.

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A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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Enhanced Observation Policy (P61)

The purpose of this policy is to describe how supportive observations and engagement maximise people’s safety, minimise risk and initiate and build supportive therapeutic relationships. During times of increased distress or risk, a person may require a temporary period of an enhanced level of supportive engagement to maintain safety for him/her or others while the level of distress or risk is reduced. This will be achieved by establishing a good rapport with the person, promoting their coping skills and being aware of their individual needs/reasonable adjustments. This policy sets out evidence-based practice for individual clinicians, teams and services regarding the engagement and observations of patients being cared for in DCHS inpatient Older People Mental Health and Learning Disability Services only. Observation is seen as an integral part of person-centred treatment planning and contributes to the management and reduction of risk. All forms of observation however will have implications for the patients’ privacy and dignity. The level of observation for each person should be justified as reasonable and proportionate to the degree of risk they pose to either themselves or others and to enable their care needs to be safely met. The aim of The Policy is to provides clear evidence-based guidance for the observation of patients within Older People’s Mental Health and the Learning Disability Service. All persons cared for in Older People’s Mental Health and Learning disability clinical areas are observed by the staff.

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ICS Wound Clinic Video Consultation SOP (S82)

This Standard Operating Procedure (SOP) aims to outline the purpose and process for offering a video consultation service to patients referred to the DCHS Wound Clinics. This SOP outlines the patient selection criteria, referral process, follow up process, DNA process and will provide support to staff in delivering care to patients via video consultation.

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Clinical Supervision and Reflection on Clinical Practice Policy (P45)

Clinical Supervision (sometimes known as Reflective Practice or Reflection on Practice) has been defined as a regular protected time for facilitated, in depth reflection on clinical practice. It aims to enable the supervisee to achieve, sustain and creatively develop a high quality of practice through the means of focused support and development (Bond and Holland1998). Clinical Supervision is a structured, formal process through which staff can continually improve their clinical practice, develop professional skills, recognise good practice, maintain and safeguard standards of practice. Clinical Supervision can be conducted in groups or on a one-to-one basis. For group supervision the recommended size of the group is around four. Research suggests that to achieve quality and effective reflection and deep learning Clinical Supervisees should receive supervision from a supervisor who is not their manager (see “What Clinical Supervision is and is Not” DCHS Clinical Supervision Webpage.) The aim of this policy is to provide guidance to support managers wishing to set up or update existing systems of Clinical Supervision /Reflection on Practice and provide staff with information on how they can access clinical supervision/reflection on practice.

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Safeguarding Adults Policy (P28)

The aim of this policy is to support staff to comply with their duties under the Care Act 2014 (sections 42-46) for safeguarding adults and the Derbyshire and Derby Safeguarding Adults Boards Safeguarding Adults Policy and Procedures. The policy sets out the principles and practice of safeguarding adults and the responsibilities of Derbyshire Community Health Services (Trust) staff when caring for an adult (aged 18 years and over) where safeguarding concerns arise. “Safeguarding means protecting an adult’s right to live in safety, free from abuse and neglect…people and organisations working together to prevent and stop both the risks and experience of abuse or neglect, while at the same time making sure that the adult’s wellbeing is promoted including, where appropriate, having regard to their views, wishes, feelings and beliefs in deciding on any action” (Care and Support Statutory Guidance 2017:14.7).

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Guidance for Care of Next Infant (CONI) (G212)

This guidance is to support CONI coordinators, health visitors and clinical leads in their organisation and delivery of the CONI scheme to families in Derbyshire.