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Was Not Brought - Did Not Attend - No Access Visit Policy (P88)

The purpose of this document is to outline the responsibilities of Derbyshire Community Health Services NHS Foundation Trust (DCHS) staff when parents/carers disengage from health services and there are concerns about the welfare of children and adults in their care. Laming (2003) and learning from serious case reviews and safeguarding adult reviews show that disengagement from healthcare may be partial, intermittent, persistent or terminal in nature. It is widely acknowledged that ‘was not brought’/‘non-attendance’ and avoidance of seeing health staff can be a sign that things are not as they should be within the family and/or person’s life. This may have serious consequences for some children and adults dependent on others to meet their care and support needs. It may also signal potential abuse or neglect. It is imperative that early non engagement with services is identified in order for health practitioners to consider if this is a safeguarding concern that requires a safeguarding referral, safety planning or escalation.

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DCHS PSED Report 2019-2020.pdf

DCHS Public Sector Equality Duty Report 2019-2020

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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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Guidelines for Locality Managers and 0-19 Clinicians following notification of a child death (G318)

The aim of this document is to provide guidance for 0-19 clinical staff and Locality Managers following notification by the children’s services administration team of the death of a baby, child, or young person.

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Disclosure Ref 202427 - Ophthalmology.pdf

FOI Disclosure Ref 202427 relating to Ophthalmology contracts

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Disclosure Ref 202490 - Unconscious Bias Training Expenditure.pdf

FOI Disclosure Ref 202490 relating to Unconscious Bias Training Expenditure

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Disclosure Ref 202527 - IT service delivery models.pdf

Disclosure to freedom of information request regarding IT service delivery models