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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.

APPENDIX 11 – Investigation Report.docx

HRP24 Appendix 11 – Investigation Report

A2b - Eligibility for NHS Podiatry service (S107)

Eligibility for NHS Podiatry service

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

Operational Plan 2021-2022

SAMA Template 01 File Note

Template 01 - File note

SAMA Template 17a Pre Final review meeting invite

Template 17a Pre Final Review Meeting invite letter

SAMA Template 34 Disability Leave Request Form

Template 34 Disability Leave Request Form

A9 Management of Diabetic Patients on Insulin on Community Cardiac Rehabilitation Programmes (S109)

Procedure for how to manage diabetic patients on Insulin on Community Cardiac Rehabilitation Programmes

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

Vaccination programme (flexible staffing and bank) - Employee Online user guide.pdf