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Files

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Guidelines for Pressure Ulcer Risk Assessment - Adapted Waterlow Score (G89)

The purpose of this Standard Operation Procedure is to set out the process to be followed to ensure a consistent approach is followed for the assessment of patient’s risks of developing pressure ulcers.

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Missing Patient Procedure Including Section 18 Concern for Safety and Welfare (S23)

This procedure has been developed to inform hospital staff what action to take when a detained patient is absent without leave from the hospital where they are liable to be detained under the Mental Health Act 1983. Guidance when an informal patient’s whereabouts is unknown and this includes patients that may be missing from other in-patient areas. The procedure aims to provide a consistent and easy to follow approach thus supporting the staff and protecting some of our most at risk and vulnerable patients.

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Patient Safety and Duty of Candour Policy (P81)

The purpose of this policy is to set out the arrangements for open and honest communication following an event/incident, complaint or claim in compliance with the Being Open principles and Duty of Candour requirements

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DCHS Clinical Supervisor details for database form

DCHS Clinical Supervisor details for database form - for adding or updating details to the supervisors database

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The Management of Warfarin Therapy for Inpatients Guidelines (G233)

The aim of this guideline is to improve the safety of anticoagulant therapy for inpatients under the care of DCHS by: • Providing an evidence-based algorithm for the initiation of warfarin therapy in atrial fibrillation, including the use of a specific SystmOne template for warfarin management. • Offering an evidence-based algorithm to guide maintenance dosing decisions. • Clarifying the process for communicating follow-up arrangements to primary care teams when a patient is discharged from hospital. • Endorsing the level of competence and training required of clinicians who prescribe warfarin. • Ensuring that the guidance will be built into an audit and review cycle.

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Section 5.28 COVID-19 (IP&C Policy)

Section 5.28 COVID-19 (IP& C Policy) v2 (September 2022). With links. The aim of this document is to provide operational guidance to staff in particular in relation to COVID-19.

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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.

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JUCD Leadership Orientation Managers Checklist (v1).docx

JUCD new managers local orientation checklist (V1) uploaded Mar23. For all new leaders/managers in DCHS to complete

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Cardiac Rehab Service SOP (S109)

This SOP was drawn up to confirm and clarify the operating procedure for the community cardiac rehabilitation service (CR) This document sets out the standards which, in the view of the patient and professional organisations involved, are required of services to deliver a high-quality community cardiac rehabilitation service for people with cardiovascular disease (CVD) Cardiac rehabilitation is a comprehensive secondary prevention programme of exercise and education aimed at people who have had a cardiac event, cardiac surgery, and heart failure. Research has demonstrated that it helps reduce mortality and morbidity “The evidence base that supports the merits of comprehensive CR is robust and consistently demonstrates a favourable impact on cardiovascular mortality and hospital re-admissions in patients with coronary heart disease” (Anderson et al 2016). The community cardiac rehabilitation service was developed in response to a growing need for more cardiac rehabilitation programmes for a wider range of cardiac conditions which were unable to be accommodated in the acute hospital programmes and to offer a menu of options for delivery of programmes closer to the patient’s own home.

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Clinical Harms Review Additional detail for Service Level SOP - Community Podiatry Service (S113)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed in order to deliver a consistent approach to: • Utilising a proactive method of risk stratification to minimise clinical harm as a result of delays in care. • Embedding systems which consider 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 for the that support the Trusts governance and assurance processes and maintains practice in line with national expectations.