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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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Disclosure Ref 202453 - Spend on Agency staff.pdf

FOI Disclosure Ref 202453 relating to Spend of Agency nursing staff in 2024

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Standard Operating Procedure for Medicines Management in the ISHS Community Setting (Pop up Clinic) (S134)

This SOP sets out the actions taken to facilitate the safe transportation, administration and monitoring of any medications used in the community setting in line with the medicines code.

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Disclosure Ref 202501 - NHS Medical Staffing contracted with other organisations .pdf

Disclosure to freedom of information request regarding NHS Medical Staffing contracted with other organisations

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Disclosure Ref 202553 - Clinical safety of health IT systems.pdf

Freedom of information disclosure Ref 202553 relating to clinical safety of health IT systems

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Disclosure Ref 202582 - Surveying & Geospatial Activities .pdf

Freedom of information final disclosure ref 202582 relating to Surveying & Geospatial Activities

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Disclosure ref 2025101 - Use of meats containing nitrates 1 of 2.pdf

Freedom of Information disclosure ref 2025101 relating to the use of meats containing nitrates

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Disclosure Ref 202530 - Make and model of the bladder scanners (2of 2).pdf

Freedom of Information disclosure ref 202530 relating to the make and model of the bladder scanners