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Management of Under Nutrition in Adults (G43)

The aim of the guidelines is to ensure effective patient centred oral nutrition support in Derbyshire by promoting a fortified diet and appropriate, effective ONS prescribing.

HRP19 Management of Change Policy

HRP19 DCHS Organisational Change Policy - updated March 2022

DCHS management of in-patients with Diarrhoea or suspected Clostridioides difficile (Cdiff) 2022 poster1.pdf

Peripheral Arterial Disease (PAD) Protocol for Podiatrists (S22)

The purpose of this document is to provide an evidence based approach to the diagnosis and podiatric management of PAD and in particular to identify monitoring and onward referral triggers thus ensuring high quality care which is appropriate, effective and equitable across the Service.

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.

Issue 22 - January 2022.pdf

Medicines Management Newsletter - January 2022

Clinical Effectiveness Policy (P85)

The purpose of this policy is to set out the rationale for clinical audit and provide a framework for such activity, including standards, guidance and procedures, as well as details of the support available from the Clinical Effectiveness Team: • For registering and approving clinical audit project proposals • For developing and designing clinical audit projects • To ensure clinical audit leads to improvement when a need for improvement is identified This policy aims to support a culture of best practice in the management and delivery of clinical audit, to clarify the roles and responsibilities of all staff involved, and to promote a culture of quality improvement in our services.

Child Visiting Policy (P18)

The aim of this policy is to provide a process for staff when facilitating visits by a child/ren to (Derbyshire Community Health Services FT) DCHS inpatient and day case services, including services where patients are detained under the Mental Health Act (1983). Maintaining effective family contact and dynamics has been shown to often be crucial for a full recovery for people with mental health problems. Health professionals must be aware that the needs of the child come first, and they must not be put at significant risk of harm. Working Together to Safeguard Children (2018) sets out how organisations and individuals should work together to safeguard and promote the welfare of children and young people in accordance with Section 11 of the Children Act 2004. All health professionals and organisations have a key role to play in safeguarding and promoting the welfare of children. Many DCHS services do not directly work with children; staff working within these services may indirectly become involved in the welfare of child visitors as part of their daily case management.

Issue 21 - December 2021.pdf

Medicines Management Newsletter - December 2021

Recognition of the Deteriorating Child Policy (P93)

The aim of this policy is to set the minimum standard and frequency for monitoring and recording Child patients’ vital signs in their own home, Urgent Treatment Centres and Outpatient Podiatric Surgery. The mismanagement of deterioration is a common area of systemic failure in avoidable patient death across the NHS and poor communication is a leading cause of adverse events in healthcare. The Paediatric Observation Priority Score (POPS) offers a common language to describe and communicate a child’s acute illness severity by all healthcare professionals in all settings and is central to establishing a national pathway for improving the management of deterioration and sepsis.