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Deprivation of Liberty DoLs Policy (P35)

The Mental Capacity Act 2005 aims to empower people to make decisions themselves wherever possible and sets out the steps which must be taken to promote this. Where a person lacks the capacity to make a particular decision it provides a statutory framework for acting and making decisions on their behalf, and in their best interests (see the DCHS Mental Capacity Act Policy and Appendix 3 Tips on assessing capacity) The Deprivation of Liberty Safeguards (DoLS) is an addendum to the Mental Capacity Act (2005) that came into force in 2009. It ensures that any Best Interests decision that deprives someone of their Article 5 right to liberty (European Convention of Human Rights) is made according to defined processes and in consultation with specific authorities. It applies where a person needs to be accommodated in a hospital or a care home in order to receive care or treatment for which they cannot consent. The DoLS were introduced to protect an individual’s rights under such circumstances, and ensure that any care or treatment that they receive, including where this involves the use of restraint or restrictions, is proportionate to the risk of harm they would otherwise be at and in their best interests.

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ReSPECT Policy (P89)

This policy aims to clarify the ReSPECT process and takes into account the complex clinical considerations and ethical issues regarding both the making and the communication of decisions relating to limiting potentially life sustaining treatments, including CPR. The policy encourages health and social care professionals to engage in conversations with patients about advance care planning and to recognise our responsibility to do so. Application of this policy will assist our patients and the public to anticipate having these conversations as a routine part of their care and to recognise the importance of planning ahead for a future emergency.

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Urgent Community Response Clinical Lead Role Statement v2

Urgent Community Response Clinical Lead Role Statement - includes how to apply and ask questions

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Patient Supervision and Observation Policy (P82)

This policy aims to provide a framework for staff working in Derbyshire Community Health Services Foundation Trust (DCHS) to enable them to follow a consistent approach in the planning and implementation of patient supervision and observation for patients who pose a potential or actual risk to themselves or others. The policy provides clear instructions on how patient supervision should be implemented. Guidelines are also provided for the assessment of risk, to identify the level of supervision required and effective care planning.

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Online record access tasks.pdf

What to do if a patient is downloading the Airmid App and cannot view their records

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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.

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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.

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Disclosure Ref 202485 - Waste Management Contract & Spend.pdf

FOI Disclosure Ref 202485 relating to Waste Management Contract & Spend

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Disclosure Ref 2024162 - Commitee Meeting Software.pdf

FOI disclosure relating to Committee Meeting Software contract

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Short Break Service SOP (S137)

This SOP aims to outline the process for providing clear guidance to medication support and assistance, delegation to the support workers/support worker supervisors and what training they need to complete for them to be able to support the patients in the service.