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Childrens 0-19 Services Was Not Brought No Access and Failed Encounter Policy (P92)

Babies, children and young people are reliant on someone else to take them to appointments or be at home for a visit that relates to their health, development and wellbeing and as a result they are sometimes not taken or in to receive them. Historically this would have been recorded as ‘Did Not Attend’, Failed Encounter and No Access. Many Serious Case Reviews / Safeguarding Adult Reviews/Domestic Homicide Reviews, both nationally and regionally, have identified that not being taken to medical appointments can be a precursor to serious abuse. This policy is to ensure that there is a clear process for all staff working within Childrens 0-19 on how to apply safeguarding principles and procedures to the following situations: • New referrals into the 5-19 service that do not attend their first appointment. • Children and young people known to our services who are not brought to an appointment • No access visits where staff are unable to make contact with, or gain access, to a Child or young person’s place of residence. • Processes are in place to ensure early intervention and prevention when disengagement is a feature as this is the key to safeguarding children • To ensure the recording and collection of timely information to enable analysis of incidents and identification of investigations • The safety and well- being of patients who miss an appointment or home visit is maintained.

STAY Conversations 9 - 14 Months Record Form

STAY Conversations 9-14 months record form

Community services visiting you at home _1.pdf

2021 sub Derbyshire Community Health Services NHS Foundation Trust - Employer Feedback Report.pdf

Employer Feedback report 2022

Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

APPENDIX 5 HRP23 Formal Notification of Return Date from Adoption Leave .docx

DCHS Policy Update_October 2024.docx

A7 - Patient Enquiries to Respiratory Administration (S88).docx

Disclosure Ref 2025171 - Referral for MRI scan.pdf

Freedom of Information disclosure reference 2025/171 relating to A&E guideline procedures for referring patients to MRI scans

Intergrated Performance Report - November 2025

Intergrated Performance Report - November 2025