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0-19 Children’s Services Standard Operating Procedure (S92)

This Standard Operating Procedure gives an overview of the service provided by the 0-19 Children’s Community Services. It also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the national commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. This Standard Operating Procedure should be used in conjunction with other DCHS Childrens and DCHS Trust policies along with The NMC Code.

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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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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.

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Opportunistic Maggots Guidance (G274)

Every year during the hot weather we experience an increase in patients with opportunistic maggots in the community. This guidance is to aid assessment and management of these patients.

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Patient (or carer) Initiated Follow-up SOP Dementia Palliative Care Service (S132)

Patient initiated follow-up (PIFU) describes when a patient (or their carer) can initiate their follow-up visit as and when required, e.g., when symptoms or circumstances change. This SOP defines the process, roles, and responsibilities for the following: • Identifying which patients PIFU is right for • Moving a patient onto a PIFU pathway • Booking visits which have been initiated by a patient or carer • Managing patients who do not initiate a review/home visit within the PIFU timescale • Discharging or booking reviews at the end of that patient’s PIFU timescale • Monitoring compliance Dementia Palliative Care Service are in the process of piloting a PIFU process for 12 months. The pilot will be reviewed every 3 months with a final review post 12 months.

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S146 - Infant Feeding Specialists SOP

This Standard Operating Procedure (SOP) gives an overview of the service provided by Infant Feeding Specialists (IFS). It also supports a commitment to ensure evidence-based tools and training are embedded within practice, supporting the local commissioning for outcomes recommendations, and offering assurance that the service is focused on personalised and needs based care. This Standard Operating Procedure should be used in conjunction with other DCHS Childrens and DCHS Trust policies along with UNICEF Baby Friendly standards.

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Disclosure Ref 202529 - Car parking management .pdf

Disclosure to freedom of information request regarding Car Parks that are on DCHS owned sites

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Disclosure Ref 202513 - Assaults on Hospital Staff.pdf

Disclosure to freedom of information request regarding Incidents and assaults on hospital staff

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Disclosure Ref 202533 - Use or perform Viscosupplementation injections.pdf

Disclosure to freedom of information request regarding use or perform Viscosupplementation injections