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Derbyshire health and care system remains under sustained pressure; patients asked to not store up care needs
https://dchs.nhs.uk/news/derbyshire-health-and-care-system-remains-under-sustained-pressure
Pandemic poems penned by Derbyshire NHS’ Heather Longbottom go into print!
https://dchs.nhs.uk/news/pandemic-poems-penned-derbyshire-nhs-heather-longbottom-go-print
Changes to the NHS Pension Scheme April 2022
As you may be aware there are some important changes to the NHS Pension Scheme which could affect members from April 2022.
https://dchs.nhs.uk/my_dchs/show-me/staff-news-my-download/changes-nhs-pension-scheme-april-2022
Public invited to NHS health meeting in Derby
https://dchs.nhs.uk/news/public-invited-nhs-health-meeting-derby
Research and Innovation
Our vision is to increase capacity, capability and participation in research and innovation as we embed a culture of continuous improvement across the organisation.
Files
Disclosure Ref 2025295 - Agency spend for CPNs, RMNs, RGNs, OTs & Pharmacists for the financial year.doc
Freedom of information disclosure relating to agency spend for CPNs, RMNs, RGNs, OTs & Pharmacists for the financial year
Disclosure Reference 2025297 - Number of A&E attendances by patients of No Fixed Abode.docx
Freedom of information disclosure relating to A & E attendances by patients of no fixed abode
Admission Discharge and Transfer Policy for DCHS Community Hospitals (P56)
This Policy helps define the purpose of the treatment provided by our Community Hospitals and how to access these services. It does not apply to our Older Peoples Mental Health Wards or Learning Disability Service beds as they are accessed via a separate protocol. The Policy sets clinical standards to improve the admission of appropriate patients. It encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services. The Policy aims to support well-organised, safe and timely admissions, discharges and transfers for all patients through appropriate planning with the patient and their relatives / carers.
Internet Use Policy
The Internet is a valuable tool that many DCHS staff use as part of their work. It is essential that all staff understand their responsibilities when using the internet. It is the purpose of this policy to enable the effective and legal use of DCHS internet systems.
Admission Discharge and Transfer Policy for DCHS OPMH and Neurodevelopmental inpatient Service (P84)
Derbyshire Community Health Services FT (DCHS) has both Learning disability (LD) and Older Peoples Mental Health (OPMH) specialist in-patient services located in the North of the county which provides services to meet acute clinical health care needs. The OPMH service covers North Derbyshire; the LD service is the bedded provision for the County of Derbyshire. The policy sets clinical standards to improve the admission of appropriate patients. The policy encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services.
SOP for the supply or issue of Steroid Emergency Cards (S87)
Identify / supply to patients who require a Steroid Emergency card in the Community Hospitals setting, Urgent Treatment Centres, Podiatric Surgery, Integrated Community teams and specialist services such as Respiratory teams and Physiotherapy if a new Steroid Emergency card is needed or a Steroid Emergency Card has been lost
Identification and Treatment of Different Types of Moisture Lesions (G179)
A moisture lesion is most commonly associated with either incontinence or sweating between skin folds. If left untreated then skin is more at risk of pressure ulcer development. It is important to establish the cause of the moisture lesion in order to treat it correctly.
Witness Destruction of Controlled Drugs (S34)
This Procedure is to formally record the process to be undertaken in order for the Trust Accountable Officer for Controlled Drugs to authorise named people to witness the destruction of stock controlled drugs.
Medicine Code (S2)
This Code defines the roles and responsibilities of all health care professionals and ancillary staff involved in the ordering, storage, distribution, prescribing, dispensing and administration of medicines within DCHS. This Medicines Code extends the previous Medicines Codes and reviews them in light of current legislation and guidelines.
Safe Use of Bed Rails and Bed Area Equipment Within Inpatient Areas Policy (P22)
Some people in hospital may be at risk of falling from bed for many reasons including poor mobility, cognitive impairment, e.g. dementia, brain damage, visual impairment, and the effects of their treatment or medication. The National Audit of Inpatient Falls 2015 reported that twenty two per cent of patients who fall in hospital do so from their bed. The use of bed rails can be challenging. This is because bed rails are not appropriate for all patients and can create a barrier to independence that can create a greater risk of falls to mobile but confused patients who may attempt to climb over the rails. However a review of literature indicates that falls from beds with bed rails are usually associated with lower rates of injury (NRSL 2015). Bed rails and other pieces of bed equipment are not appropriate for all people, and using bedrails, bed levers etc. involves risks. National data suggests around 1,250 people injure themselves on bed rails each year. This is usually scrapes and bruises to their lower legs. Based on reports to the MHRA and the HSE, deaths from bed rail entrapment could probably have been avoided if MHRA advice had been followed. Staff should continue to take great care to avoid bed rail entrapment, but need to be aware that in hospital settings there is a greater risk of harm to people falling from beds.