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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.

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.

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.

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HRP03 Personal Leave (Special Leave) Policy

HRP03 Personal Leave Policy - formerly DCHS Special Leave Policy. Updated May 2022 Name changed to Personal Leave Policy, includes Compassionate leave scenarios, including loss of baby during pregnancy; Reserve/Cadet Forces Leave; Spouses and Long-Term Partners of Armed Forces Personnel and Military Spousal Leave and Leave for volunteering purposes.

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1195 - Blood Transfusion Pathway – Stepping Hill Hospital

1195 BLOOD TRANSFUSION PROCEDURE WITH STEPPING HILL HOSPITAL (SHH) BLOOD BANK

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L223 - Managing Breathlessness Leaflet

L223 - Managing Breathlessness. A Respiratory Service patient information leaflet leaflet.

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Guidelines for Using the Abbey Pain Scale (G204)

The Pain Scale is an instrument designed to assist in the assessment of pain in patients who are unable to clearly articulate their needs.

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Electronic Clinical Record Keeping Guidelines (G333)

All record keeping, using whatever medium should take account of the need to maintain communication between the multi-professional health care team providing care/treatment for the patient/client. All staff should ensure the correct record is opening by checking three patient identifiers: • The patients name; • Date of birth • And, NHS number/unique patient ID prior to opening the electronic record The following applies to electronic record keeping: The principle of confidentiality is equally important when electronic clinical records are being used, including those sent by email, and should comply with the Trust’s code of confidentiality, e-mail policy and information governance policy. Registered clinical staff are professionally responsible for making sure that whatever system they use it is fully secured and managed in such a way that confidentiality is maintained.

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SOP Titration of Heart Failure Medication by Designated Nurses (S8)

This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients

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Learning from Death’s Policy (P72)

This policy confirms the process to ensure a multi-disciplinary, consistent and coordinated approach for the review of deaths that occur in all DCHS in-patient and community team caseloads. The aim of the learning from deaths process is to identify any areas of practice both specific to the individual case and beyond that could potentially be improved, based upon peer group review. Areas of good practice are also identified and supported. To describe in detail the three-stage mortality review process within the Trust, detailing how reviews should be completed, by whom and when to ensure that learning from deaths is made a Trust priority and leads to developments and improvements in patient care.

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DCHS_Supervision online record system User Guide V2

DCHS Clinical supervision (reflection on practice) online system guide; includes information on how to access the site, navigate, and record supervision sessions.

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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.