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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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Employee Record Summary Template

Employee record summary template

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APPENDIX 10 - Investigation meeting notes letter.docx

HRP24 Appendix 10 - Investigation meeting notes

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A1 – Documentation on SystmOne TPP (S107)

Documentation on SystmOne TPP

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HIV SOP for Use of Injectable HIV Treatment (S145)

HIV SOP for Use of Injectable HIV Treatment (S145)

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Appendix C – Relocation Expenses Claim Form.docx

Appendix C – Relocation Expenses Claim Form

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A6 - Foot Dressing Clinic – Requesting ABX via Podiatry Route (S149)

Foot Dressing Clinic – Requesting ABX via Podiatry Route

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Annual Leave Calculator for Medical Staff 2026-2027.xlsx

Annual Leave Calculator for Medical Staff 2026-2027

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Disclosure Ref 2025301 - Policies on advance decisions & Lasting Power of Attorney.docx

Freedom of Information disclosure relating to policies or processes for handling Advance Decisions to Refuse Treatment (ADRT) and Health & Welfare LPAs, how concerns about them are managed, and whether there is a named person responsible for Mental Capacity Act compliance.

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Clinical-Strategy-on-a-page.pdf

DCHS Clinical strategy on a page/summary