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Industrial Action Update - Issued on 16 January 2023

Ahead of this week’s planned industrial action by the Royal College of Nursing (RCN), we’ve developed an in-depth briefing which we hope colleagues will find useful. It also signposts to other helpful sources of information.

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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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Patient Initiated Follow-up SOP (S125)

Patient Initiated Follow-up SOP

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Appendix 2 - Launching a Video Consultation from the Appointment Ledger in SystmOne (S82)

Launching a Video Consultation from the Appointment Ledger in SystmOne

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APPENDIX 7 - Investigation meeting - Witness.docx

HRP24 Appendix 7 - Investigation meeting - Witness

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Standard Operating Procedure For producing Certificates

Standard Operating Procedure For producing Certificates

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Template 04 Reporting Recording Monitoring Absence Flow Chart NEW.docx

HRP20 Supporting and Maintaining Attendance Manager Guide Template 04 Reporting Recording Monitoring Absence Flow Chart

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Template 21 Longterm absence flowchart NEW.docx

HRP20 Supporting and Maintaining Attendance Policy - Template 21 Long Term Absence Flow Chart

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Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement .docx

Appendix 6 – Confirmation Letter for Work Experience/Placement/Return to Practice Agreement

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The-DCHS-Clinical-strategy-Final-Version-3rd-June.pdf

DCHS Clinical Strategy 2019-2020

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SOP Titration of Heart Failure Medication by Designated Nurses (S8)

This procedure has been developed to support trained designated nurses to alter the dosage of cornerstone therapies and loop diuretics for this specific group of patients