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Wound Clinic Service

Our wound clinic service was established in 2019 to provide a 7-day per week wound care service for the people of Derbyshire.

Health Psychology

The DCHS health psychology service provides specialist psychological care and support to adults with physical health problems.

Files

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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.

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Wound Assessment SOP (S62)

The purpose of this document is to provide a clear written procedure for staff to understand what information is required when assessing a wound using the wound assessment template on SystmOne. It will include information about when to refer to different services and key information about individual accountability to the patient in wound care. This document will be available to all nurses in Community Health Services and to new starters. It will provide them with a single reference point for how to assess a wound and action to be taken in the event of problems, concerns or complaints.

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Self Administration of Medicines Procedure (S28)

The aim of this procedure is to advise ward staff in the community hospitals of the process to be taken in supporting appropriate patients to self-administer their own medicines whilst an inpatient in a DCHS hospital.

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Falls Management Policy for use in Urgent Treatment Centres, Community and Outpatient settings (P32)

The Trust’s aim is to prevent harm resulting from falls that may occur by assessing each patient and identifying their individual risk and the interventions required. There is an expectation that clinicians who work in the community and who see patients in their own homes, extended care settings or in outpatient settings will use the policy framework as part of their everyday practice within DCHS. This policy incorporates key national guidance: - • NICE CG161 (2013) “Falls: the assessment and prevention of falls in older people • NICE Quality standards (2015) ‘Assessment after a fall and preventing further falls’. • NICE (2015) on ‘Head Injury: assessment and early management’ • BGS Fit for Frailty (2014) ‘Consensus best practice guidance for the care of older people living in community and outpatient settings’ • Public Health England (2019) ‘Preventing falls in people with learning disabilities: making reasonable adjustments’

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Chaperone Policy (P87)

The purpose of the Chaperone Policy is to set out the principles, practice and responsibilities of Trust staff for using a chaperone. The policy is aimed at DCHS Services and staff who provide care and treatment that requires the patient to have a procedure. The relationship between the person and the health professional should be one of mutual trust, confidence and respect. Over the years there have been incidents where the relationship has been breached, resulting in harm to the person and criminal prosecution of the health professional (HM Government, 2007). Inadequate communication and misunderstandings about the behaviour demonstrated during a procedure by a health professional towards the person, has also resulted in health professionals facing allegations of professional misconduct. Safe and effective communication is crucial, before during and after a procedure. The use of a chaperone can help to protect both the person and the health professional.

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How do I access the Derbyshire Shared Care Record.docx

Guide for staff on how to access the Derbyshire Shared Care Record

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Equality Diversity and Inclusion (PSED) Report 2022

Public Sector Equality Equality Duty (PSED) Report 2022

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N365 Policy v1.2.docx

N365 Policy; The purpose of this policy is to provide the organisation’s statement of intent on how it sets-up, secures, uses and monitors data used on the N365 platform. It provides employees with their obligations and expectations when using solutions within N365.

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Interim guidance for reviewing Emergency Department Attendances for school aged children (5-17 years) (G251)

The purpose of this interim guidance document is to support all staff within the 5-19 (school nursing) service to be able to review relevant ED attendances, to take any action required to address unmet public health needs and to share any information in the best interests of the child/young person to safeguard their well-being.

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Continence Support in Universal Childrens Services Policy (P96)

This policy is to support Health Visitor, School Nurses and Nursery Nurses to work effectively when supporting children, young people and their families with continence issues. This guidance and the supporting pathway will use evidence based practice to guide clinicians through the processes they need to follow to ensure that effective tier 1 support is offered before a referral is made to specialist services.