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Clinical Harms Review Additional detail for Service Level SOP (S130)

This document should be read in conjunction with the overarching DCHS Standard Operating procedure on Clinical Harms which outlines the processes to be followed 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.

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A2 - Stop And Watch

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Disclosure Ref 2024170 - Childrens eating disorder services.pdf

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E-Rostering, Leave Approval, and Safe Staffing Levels Document history SOP (S154)

This SOP outlines the procedures for effective electronic rostering (e-rostering), leave approval, and ensuring compliance with safe staffing levels across the integrated sexual health service. It ensures that staffing levels are maintained to deliver safe, high-quality care while balancing fair and consistent access to leave for staff. This SOP applies to all staff working within the department including permanent, temporary, bank and agency staff.

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Uniform and Dress Code Policy (P3)

Staff working within Derbyshire Community Health Services (DCHS) NHS Foundation Trust are required to adhere to a safe, hygienic and appropriate uniform and dress code policy. Therefore the purpose of this policy is to clarify the standards that staff are required to comply with. DCHS recognises the importance of appearance and attire in providing a professional image when working with clients and representing the Trust. All staff working clinically or visiting a clinical area have a responsibility for safeguarding patients in respect of reducing hospital acquired infections, therefore all clinical staff should adhere to the best practice guidelines as set by the Department of Health’s Best Practice Guidelines found in Uniforms and Work Wear DOH March 2010, An Evidence Base for Developing a Local Policy (DH)

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Dressing Formulary and Wound Care Guidelines (G68)

The Derbyshire Wound Care and dressing formulary has been revised in collaboration with the East Midlands Wound Care Formulary Group. Work has been undertaken to provide a clinically effective, appropriate and cost effective choices of products to manage the vast majority of wounds. The formulary is available for all practitioners working for Derbyshire Community Health Services and Primary Care Services. It is expected that prescribers will preferentially use the products listed in the guide for routine use and be able to provide robust rationale where they have prescribed outside the formulary.

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Transfer of Care Protocol (S14)

1.1 The purpose of these joint procedures is to minimise delays for all adult patients assessed as fit for transfer including those who need Care Packages at home, permanent Care Home Placements whether publicly funded, self-funded, or fully funded by NHS Continuing Care or Terminal Care as described in the NHS Continuing Care National Framework (Revised November 2018.) These procedures will ensure efficient bed utilisation.

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Safe to Wait SOP for Band 3 HCAs (S76)

The rationale for introducing a “Safe to Wait” process is, for when patients present to UTC Services, the first point of contact will usually be the Reception/HCA staff. The Safe to Wait Guidance will be undertaken by Health Care Assistant (Band 3) staff following specific training and a period of demonstrating competence for the assessment of patients attending the UTCs with specific conditions/injuries. This will ensure that Band 3 HCA’s are aware of “Red Flag Signs”, and symptoms that indicate that someone presenting at the unit may require immediate or urgent attention.

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Disclosure Ref 202281 - Staff Absence data Dec 2021 - Jan 2022.pdf

FOI disclosure

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DCHS Glasses Claim Authorisation Form

Glasses Claim Authorisation