Pages
Derbyshire health and care system remains under pressure; patients continue to be asked to not store up care needs
Update as of 17:00hrs - 22 December 2022
Pension Automatic Re-Enrolment July 2022
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/pension-automatic-re-enrolment-july-2022
Baby loss Awareness Week 9 – 15 October
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/baby-loss-awareness-week-9-15-october
Friends of Buxton Hospitals
Contact the Friends of Buxton Hospitals
https://dchs.nhs.uk/join-us/volunteer-with-us/friends-buxton-hospitals
Want to build positive and sustainable physical habits? Join our ‘Step up to the challenge'!
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/step-challenge-frequently-asked-questions
Freedom to speak up animations
We have developed a series of animations based on issues staff have raised a concern about in DCHS. We hope they help you make your decision about whether you should raise a concern.
https://dchs.nhs.uk/my_dchs/how-do-i/freedom-to-speak-up/freedom-speak-animations
DCHS payroll provider is changing!
From 1 April 2022 we're moving from our current payroll provider Shared Business Services (SBS) to a new payroll provider University Hospitals of Derby & Burton NHS FT (UHDB).
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/dchs-payroll-provider-changing
Files
Management of Under Nutrition in Adults (G43)
The aim of the guidelines is to ensure effective patient centred oral nutrition support in Derbyshire by promoting a fortified diet and appropriate, effective ONS prescribing.
Administration of Insulin Injection Policy and Standard Operating Procedure (P4)
There are a growing number of people who, because of disability, increasing age or infirmity, are unable to administer their own insulin and will need support. This guideline aims to promote standardisation and safety of insulin administration within Derbyshire Community Health Services (DCHS NHS FT). This document aligns with the Professional Guidance on the Administration of Medicines in Healthcare Settings (Royal Pharmaceutical Society 2019). Patient centred care based upon different ways of working underpins this policy and procedure as identified within the NHS Plan (DH 2000), the NSF for Older People (DH 2001), Making a Difference (DH 2001) and the NSF for Diabetes (DH 2002). UK Injection technique Recommendations have been considered alongside the need to consider safer sharps for staff (Forum for Injection Technique 2016). Underpinning the guidance are the most recent NICE and Derbyshire guidance for the management of diabetes (Joint Area Prescribing Committee 2018 NICE 2015) and National Patient Safety Alert (NPSA), ‘Risk of severe harm and death due to withdrawing insulin from pen devices,’ 16 November 2016.
Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) and within the Short Breaks Service SOP (S29)
This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.
Inpatient Falls Prevention and Management Policy (P33)
The Trust’s aim is to prevent harm resulting from in-patient falls by assessing each patient individually and identifying their risk in order to develop a care plan to reduce these risks. There is an expectation that clinicians will use the policy framework within everyday practice within DCHS. DCHS Inpatient services are part of the DCHS Falls and Fracture Prevention framework which contributes towards the wider Derbyshire and Derby City Falls and Fracture Prevention Pathway in identifying and managing patients who are at risk of falls in hospital and onwards as part of discharge plans and communication. This policy incorporates guidance from the: - • NICE CG161(2013) “Falls: the assessment and prevention of falls in older people • National Patient Safety Agency (2011) on “Essential care after an inpatient fall” • NICE (2015) on “Head Injury: assessment and early management” The purpose of this policy is to support staff to identify patients who are at risk of falling and to identify the interventions required to reduce the risk of falls and minimise harm to each individual. This policy also provides guidance on how to implement the NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’
Was Not Brought - Did Not Attend - No Access Visit Policy (P88)
The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.
DCHS PSED Report 2019-2020.pdf
DCHS Public Sector Equality Duty Report 2019-2020
Financial wellbeing and support - DCHS
Financial wellbeing and support - DCHS v2, includes useful contact details for support and advice agencies
Online record access tasks.pdf
What to do if a patient is downloading the Airmid App and cannot view their records
Standard Operating Procedure for Stay Steady Strength And Balance Programme (S102)
To outline the clinical and quality standards of DCHS strength and balance improvement programmes for secondary falls prevention (known as Stay Steady Strength and Balance). In addition, the SOP will provide an audit framework for the continual improvement of programmes being delivered.
Interim Standard Operating procedure for delivering intravenous (IV) diuretics within a patient’s home (S106)
An Ambulatory Heart Failure (AHF) service has been delivered by DCHS, in partnership with UHDB, on a day case basis at the Royal Derby Hospital site since 2016. Treatment is given using Intravenous (IV) diuretics which can be given daily either following discharge from the acute hospital or referral from the community setting. The development of a Cardiology Virtual Ward has been discussed during 2022 which once implemented will see intravenous diuretics being administered to patients in their own home in addition to the existing AHF service. As an interim step and to support the transition away from hospital and to home delivery along with assisting University Hospitals Derby and Burton (UHDB) with current bed pressures; it has been proposed that one of 3 rooms currently used for AHF on CCU be converted back to a bedroom and a small number of patients receive their treatment at home instead. This will also help assess the process prior to commencing the virtual ward on a larger scale.