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My Download - 18 January 2022

Apologies for missing last week - we are very depleted in numbers in Comms and had to make some difficult decisions about priorities - last week media enquiries, the web, Operational Update and Team Brief made the list! Lots to share this week .... including how to access the new web, details about the mileage consultation, an update on the Belper plans and so much more!

Files

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L159 - Coping with Cancer

L159 - Coping with Cancer, is a patient information leaflet to help patients make sense of some of the changes and the feelings that they may experience.

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Postural Care Guidelines for people with Complex Physical Disability (G182)

The purpose of this document is to guide good practice and standardise Postural Care for people aged 18 years and over who are registered with a North Derbyshire GP and to; • Deliver safe, person-centred, evidence- based and equitable service to people with complex physical and learning disabilities • Improve the health and well-being of people with learning disability and complex physical disability • Maintain and reduce risk of deterioration in health associated with complex physical disability • Clarify roles and responsibilities

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Safeguarding Children Policy (P31)

Section 11 of The Children Act 2004 places a duty on people in the organisation to make arrangements to ensure that organisational functions are discharged with regard to the need to safeguard and promote the welfare of children. The Children Act 1989 and Working Together to Safeguard Children 2018 state that ‘The actions we take to promote the welfare of children and protect them from harm are everyone’s responsibility’. Children are defined as those having not yet reached their 18th birthday (Children Act 1989). Young people who are vulnerable e.g. Looked After Children (LAC) or children with disabilities are however entitled to services beyond their 18th birthday. The overall aim of the Policy is to make clear the duties, responsibilities and arrangements in place to safeguard and promote the welfare of children and young people in the defined geographical area covered by Derbyshire Community Health Services NHS Foundation Trust.

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Leg Ulcer Assessment and Management Policy (P66)

• Ensure that all patients in DCHS care, presenting with a lower limb wound receive a comprehensive assessment and subsequent diagnosis from a registered nurse who has had additional training and competencies in Leg Ulcer Management. • Support DCHS clinicians and partners in care to know when to refer those patients with complex, atypical or non-healing lower limb ulceration for review by specialist services in primary and secondary care settings. • To provide a framework to ensure that the quality of care for patients in this area can be monitored and improved in line with the quality agenda.

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Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

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Children’s Services Immunisation Policy 0-19 Years (P2)

The current immunisation schedule has been designed to provide early protection against infections that are most dangerous for the very young. This is particularly important for diseases such as whooping cough, pneumococcal, Hib and meningococcal serogroup C infection. Providing subsequent immunisations and booster doses ensures continued protection against these diseases. Additional vaccinations are offered at specific points throughout the child, young person, and adult’s life to provide protection against infections before they reach an age at which they become at increased risk from certain vaccine-preventable diseases. Recommendations for the age at which vaccines should be administered are therefore informed by the age-specific risk for a disease, the risk of disease complications and the ability to respond to the vaccine. The recommended immunisation schedule should therefore be followed as closely as possible. Health Care professionals employed by Derbyshire Community Services Foundation Trust (DCHSFT) have a responsibility to promote the benefits of immunisation in a consistent, clear and evidence based way to parents, carers, and young people. The overarching aim of the policy is to therefore support practitioners to fulfil the requirements of their commissioned role in delivering the national universal childhood immunisation programme, alongside any targeted immunisation schedules safely and competently.

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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.

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Disclosure Ref 2024191 - Urgent Treatment Centre ophthalmology (eye care) services.pdf

Disclosure Ref 2024191 relating to Urgent Treatment Centre ophthalmology (eye care) services