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Podiatry - Community Podiatry Service

The community podiatry service provides assessment, diagnosis and treatment to a range of patients with lower limb and foot problems, including; - People with long term conditions such as diabetes, vascular disease, amputees, connective tissue disorders, stroke, Parkinson's disease - People with multiple and complex needs e.g. dementia, falls - People with biomechanical problems e.g. gait /postural problems - People requiring wound care to the foot - People requiring nail surgery - People with severe foot and ankle problems and conditions.

Patient Group Directions (PGDs)

Patient Group Directions - PGDs provide a legal framework that allows some registered health professionals to supply and/or administer a specified medicine(s) to a pre-defined group of patients, without them having to see a prescriber.

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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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Appendix 1 – Application for Employment Break Form.docx

Appendix 1 – Application for Employment Break Form

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Appendix 2 - Application for Work Experience .docx

Appendix 2 - Application for Work Experience

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Annual Leave Calculator for GP's 2026-2027.xlsx

Annual Leave Calculator for GP's 2026-2027

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DCHS Draft Operational Plan BOARD Jun21 AccessStd (003).pdf

Operational Plan 2021-2022

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Clinical Strategy.pdf

DCHS Clinical Strategy

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Drug Fridge and Freezer Temperature Monitoring Procedure (S48)

A clear standard procedure to assist and enable ward/unit staff to comply with the Medicines Code requirement to routinely monitor, record and act on drug fridge and freezer temperatures thus ensuring that patients receive effective, correctly stored refrigerated products.

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Transcribing Medicines including Insulin for Patients in their Own Homes (Including Care Homes) and within the Short Breaks Service SOP (S29)

This procedure sets out how to record medicine administration, which will make use of transcribing as detailed in the above document.