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Diabetes Education FAQs

Frequently Asked Questions about Diabetes and Diabetes Education for the people of Derby and Derbyshire

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Disclosure Ref 2025173 - Bullying and racism amongst midwives .pdf

Freedom of Information disclosure reference 2025173 relating to reports of bullying and racism made by midwives against midwives

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Admission Discharge and Transfer Policy for DCHS OPMH and Neurodevelopmental inpatient Service (P84)

Derbyshire Community Health Services FT (DCHS) has both Learning disability (LD) and Older Peoples Mental Health (OPMH) specialist in-patient services located in the North of the county which provides services to meet acute clinical health care needs. The OPMH service covers North Derbyshire; the LD service is the bedded provision for the County of Derbyshire. The policy sets clinical standards to improve the admission of appropriate patients. The policy encompasses the whole patient pathway including the Admission, Discharge and Transfer processes of these services.

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Dysphagia Management of Adults (P20)

DCHS recognises the risk to people who have difficulty with eating, drinking and swallowing and that the management of dysphagia is everyone’s business. This policy promotes a multi-disciplinary approach to identifying and managing dysphagia. It is to ensure that all people with dysphagia receive the highest possible level of assessment, care and support to achieve maximum independence, pleasure and meet their nutritional needs, whilst keeping the risks associated with this potentially life threatening condition to a minimum.

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Adult Enteral Feeding Policy (P48)

The purpose of the policy is to provide best practice guidance for the care of adults fed via with an enteral feeding tube. The aim of the policy is to ensure delivery of safe and effective care for patients who are enterally tube fed within Derbyshire Community Health Services: • Community Hospitals, • Community Services • Care Homes And to ensure continuity of care within Derbyshire Community Health Service Foundation Trust.

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Prescription and administration of Oxygen in a Hospital or Clinic setting; Guidelines and Procedure (G22)

The aim of these guidelines are to ensure that: • All patients who require supplementary oxygen therapy receive therapy that is appropriate to their clinical condition and in line with national guidance (BTS Guideline; 2017). • Where oxygen saturation monitoring is available oxygen will be prescribed according to a target saturation range. • Those who administer oxygen therapy will monitor the patient and titrate oxygen to maintain oxygen saturations within the target saturation range.

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Standard Operating Procedure for DCHS Wound Clinics (S68)

Derbyshire Community Health Services (DCHS) Integrated Community Services (ICS) provides a Wound Care service in clinics across Derbyshire for non-housebound patients. The service continues to evolve in response to evidence-based practice and patient need. The service actively promotes supported care, enabling patients to manage their own wounds, offering wound assessments and reviews via a range of mediums including face to face, telephone or video consultations. These approaches facilitate a more flexible service, support improved access to care and reduce the need for patients to travel to clinics if it is not necessary. The DCHS Wound Clinic Standard Operating Procedure has been developed to support the management of the clinics and the processes that should be adopted to facilitate the safe and effective management of patient care. This procedure will support the consistent management of patient care.

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Consent Policy (P42)

Consent is a fundamental part of the relationship between NHS staff who deliver care and treatment and the adults, young people and children who access services in the NHS for their care and treatment. “Consent to treatment means a person must give permission before they receive any type of medical treatment, test or examination. Consent from a patient is needed regardless of the procedure, [and the] principle of consent is an important part of medical ethics and international human rights law” (NHS: 2019). “A healthcare professional (or other healthcare staff) who does not respect this principle may be liable both to legal action by the patient and to action by their professional body. Employing bodies may also be liable for the actions of their staff” (DH 2009:5). The aim of this policy is to set out the principles, practice and responsibilities of Trust staff when seeking consent for assessment, examination, intervention (surgical and non-surgical), investigation, treatment and investigative images and recordings.

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Snowdrop Ward Assessment & Treatment Unit – Use of Force Leaflet (L156)

Easy read patient information leaflet about reducing restrictive interventions and what these are. Produced by Hillside Assessment & Treatment Unit and Walton Unit - Older Peoples Mental Health services.

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Communications Annex V7.pdf

How to communicate with Patients using the communication annexe on SystmOne

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Conservative Sharp Debridement (CSD) of Wounds Policy (P99)

We know that wound dressings should provide the optimal environment for wound healing after careful clinical assessment of the wound, the patient clinical condition and clinical outcomes. Hard to heal wounds, however, fail to progress, and many can be seen with dead tissue, slough and necrosis which in turn can increase the risk of infection and also increase cost within appropriate dressing use and nursing time. This procedure will only be undertaken by the Tissue Viability team members who have successfully completed a validated programme of care and assessment of competence in practice. A minimum of 10 episodes of observed practice is to be completed until competency can be granted. The purpose of debridement describes any method by which such materials (necrosis, slough and dead de-vascularised tissue) are removed and consequently the potential to achieve wound healing enhanced. It also reduces the bacterial load and minimises the risk of local and systemic infection. It can allow for wound draining and reduce odour overall enhancing patient quality of life.