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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.

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.

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.

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.

Clinical Harms Review Additional detail for Service Level SOP (S133)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed to deliver a consistent approach to. • Risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which take into account health inequalities. • Monitoring waiting times against defined thresholds across pathways of care. • Delivering personalised, patient-centred communications to patients who are waiting for care. • Implementing Harm Reviews that support the Trusts governance and assurance processes and maintains practice in line with national expectations. The intention of the service level document is to provide specific detail on. • The risk stratification process in operation and clinically appropriate to specific service lines and patient cohorts • Waiting time thresholds for the relevant patient pathways

Disclosure Ref 202528 - Quality assurance software systems, used by nursing teams for auditing and accreditation .pdf

Disclosure to freedom of information request regarding quality assurance software systems, used by nursing teams for auditing and accreditation across the NHS. The examples of the audits would be - safeguarding audits, falls audits, medicines, hand hygiene audits or ward accreditation

Disclosure Ref 202503 - Patient waiting lists.pdf

Disclosure to freedom of information request regarding the number of patients who died while on your NHS waiting list

Disclosure Ref 202504 - Vials used & patients treated 2024 .pdf

Disclosure to freedom of information request regarding Vials used & patients treated 2024

Disclosure Ref 202563 - ERostering & Self Rostering used.pdf

Freedom of information disclosure Ref 202563 relating to E-Rostering & Self Rostering used by the Trust

Disclosure Ref 202594 - Number of beds and patient Medically fit for discharge (MFFD) .pdf

Freedom of information final disclosure Ref 202594 relating to number of beds and patient Medically fit for discharge (MFFD)

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