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Diabetes services

We provide two services for people with diabetes - Community Diabetes for people with Type 1 & Type 2 diabetes and our Diabetes Education service for people with Type 2 diabetes in Derby and Derbyshire. Each service is designed and selected according to individual requirements.

Tier 3 Weight Management Service Derbyshire

The Tier 3 Weight Management Service offers a weight management programme to support adults with severe and complex obesity to lose weight across Derby City and Derbyshire County.

Finance and Procurement System Changes

The Trust’s current contract for the provision of financial services (i.e. finance and procurement) from NHS Shared Business Services (SBS) is coming to an end on 31 March 2022. 

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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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APPENDIX 11 – Investigation Report.docx

HRP24 Appendix 11 – Investigation Report

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A2b - Eligibility for NHS Podiatry service (S107)

Eligibility for NHS Podiatry service

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Service Level Clinical Harms Standard Operating Procedure (S139)

This document should be read in conjunction with the overarching DCHS patient access and safe waiting policy 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 take into account 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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Appendix 6b- Communication Agreement for Formal Investigations.docx

HRP24 Disciplinary Policy Communication Agreement for Formal Investigations

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Appendix 3 - Work Practice Placement/Experience Confidential Pre-placement Health Declaration.docx

Appendix 3 – Work Practice Placement/Work Experience Confidential Pre-Placement Health Declaration

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Information and Fire Prevention Guidance in relation to Dynamic Air Flow Pressure Relieving Mattresses in Community (G96)

Dynamic Air Flow Pressure Relieving Mattresses are provided to people who spend extended periods of time in bed or are bedbound due to illness and impaired mobility. This means that if a fire starts or smoke detection activates, the individual using the bed is unlikely to be able to respond/escape without assistance. When the mattresses are provided in a home setting, living alone or being alone in the property is therefore a risk factor for consideration.

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Tissue Viability Strategy 2021-2024

DCHS Tissue Viability Strategy 2021-2024

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ICS Wound Clinic Video Consultation SOP (S82)

This Standard Operating Procedure (SOP) aims to outline the purpose and process for offering a video consultation service to patients referred to the DCHS Wound Clinics. This SOP outlines the patient selection criteria, referral process, follow up process, DNA process and will provide support to staff in delivering care to patients via video consultation.

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GD35 Employment Break Guide - Appendix 1 Application Form

GD25 Employment break guide application form