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Patient Group Directions (PGDs)
Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.
Podiatry - Community Podiatry Service
The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.
https://dchs.nhs.uk/our-services-and-locations/a-z-list-of-services/community-podiatry
Files
Information Governance Policy.docx
Information is a vital asset, both in terms of the clinical management of individual patients and the efficient management of services and resources. It plays a key part in clinical governance, service planning and performance management. This document sets out minimum policy standards across the community for confidentiality, integrity and availability of Information. The policy is intended to cover the overlapping areas of Data Protection Compliance, Information Security (BS ISO/IEC 27002:2005 standard), Data Quality and Confidentiality (with regards to ‘common law’).
Searching Patients and their Belongings Policy (P65)
The aim of this policy is to ensure that appropriate actions and control measures are in place for staff undertaking searches across DCHS, to maintain a consistent approach and to provide clinicians with guidance on the searching of patients and their belongings as recommended by the Mental Health Act 1983 code of practice 2015 and NICE guidance NG10. This will ensure that the safety of staff and the privacy of patients remains protected at all times.
Smile4Life enquiry form.pdf
Smile4Life enquiry form, oral health early years supervised toothbrushing programme
North Derbyshire OPAT (Outpatient Parenteral Antimicrobial Therapy) Pathway for Primary Care (Step-Up Pathway/Admission Avoidance) (G198)
OPAT services provide intravenous (IV) antibiotics to patients outside of the acute hospital inpatient setting. Patients who are otherwise medically fit, and who would otherwise require a hospital bed, can avoid admission to hospital, or be discharged sooner by receiving treatment either as an outpatient or within their own homes. In North Derbyshire, this is achieved by Chesterfield Royal Hospital Foundation Trust (CRHFT) working in partnership with Derbyshire Community Health Services (DCHS) Rapid Response Team (RRT).
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
Verification of Adult Death Policy (P51)
When a person dies, a number of steps need to be completed to allow legal registration of the death and for a funeral to take place: 1. Confirmation of the fact of death. 2. Certification of the medical cause of death or referral to the Coroner. 3. Registration of the Death. Obtaining a burial or cremation order. The aim of this policy is to provide a framework for the timely verification of adult deaths by competent registered clinicians. It will enable staff to care appropriately for the deceased and minimise distress for families and carers following a death. Timely verification – within one hour in a hospital setting and within four hours in a community setting – is an important stage in the grieving process for relatives and carers and also a key time for support (Wilson et al, 2017).
Section 117 (after-care policy): Joint Policy and Practice Guidance for After-care under S.117 Mental Health Act 1983 (P13)
The purpose of this document is to outline the key information required to provide effective after-care services that reduce the risk of further admissions to inpatient, neurodivergence, or mental health settings, and to ensure that service providers from health, social care, and often the Voluntary, Community, Faith, and Social Enterprise sectors are aware of their legal and ethical responsibilities. This policy exists to ensure that local interpretation of s.117 is lawful, and in line with the practice identified in the associated Mental Health Act Code of Practice (“CoP”) and any legislative amendments.
Controlled Drugs SOP for Community Hospitals (S47)
This series of Standard Operating Procedures ensures that all processes involving Controlled Drugs (CDs) carried out in Wards and Departments of Community Hospitals are conducted in strict accordance with current statutory requirements that adequate records are maintained and a robust audit trail exists. This includes security, ordering, receipt, administration, issue, balance checking, and return or destruction.
Deprivation of Liberty DoLs Policy (P35)
The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.
ReSPECT Policy (P89)
This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.