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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.

DCHS Community Podiatry eligibility leaflet (2020).pdf

DCHS Community Podiatry eligibility leaflet (2020)

Derbyshire Covid Vaccination Programme (flexible staffing bank team) Guidance Manual and Welcome Pack.pdf

Advance Decisions Policy

It is a general principle of law and medical practice that adults have a right to consent to or refuse treatment. The courts have recognised that adults have the right to say in advance that they want to refuse treatment if they lose capacity in the future, even if this results in their death. A valid and applicable advance decision to refuse treatment has the same force as a contemporaneous decision. This has been a fundamental principle of the common law for many years and is now set out in the Mental Capacity Act 2005, which came into force in 2007 supported by the Code of Practice to the Act. Derbyshire Community Health Services NHS Foundation Trust aims to achieve a more balanced partnership between patients and healthcare professionals and acknowledges that it is the right of every adult patient with capacity to determine whether or not to accept medical treatment. In addition, it is the right of every adult patient to express views about their future care and treatment. The primary responsibility lies with the patient (the maker) to write an Advance Decision to Refuse Treatment (ADRT). The Trust endorses the good practice of staff, set out in national guidance and professional standards to provide information to and general support for patients who wish to write an ADRT. The Trust always encourages patients who wish to discuss their plans for future care and will provide advice to patients and support to advance care planning by helping to coordinate care and communicate plans. In addition, it is supportive of those patients who present with an advance decision and where this is valid and applicable, comply with that specific decision. This policy should be read in conjunction with the Trust’s Consent Policy and aims to raise awareness and give guidance to staff about advance decisions.

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

Flat Feet in Children.pub

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

DCHS Policy Update_October 2024.docx

Disclosure Ref 2025116 - Plastic bags used in wards.pdf

Disclosure Ref 2025116 regarding plastic bin liners used on psychiatric inpatient wards

Accessible Information and Communication policy