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Use of Clamshell Vaccine Bags by Community Nursing Teams (S99)

DCHS staff support the annual Influenza vaccination campaign and other vaccination programs by vaccinating some patients on behalf of GP practices. Vaccines are stocked in the GP practices and administered in the patients’ own homes (including care homes), which means they need to be transported between locations. DCHS staff have been provided with Clamshell Vaccine Bags for this purpose. This Standard Operating Procedure provides information to DCHS staff on the use of Clamshell Vaccine Bags.

Cardiac Rehab Service SOP (S109)

This SOP was drawn up to confirm and clarify the operating procedure for the community cardiac rehabilitation service (CR) This document sets out the standards which, in the view of the patient and professional organisations involved, are required of services to deliver a high-quality community cardiac rehabilitation service for people with cardiovascular disease (CVD) Cardiac rehabilitation is a comprehensive secondary prevention programme of exercise and education aimed at people who have had a cardiac event, cardiac surgery, and heart failure. Research has demonstrated that it helps reduce mortality and morbidity “The evidence base that supports the merits of comprehensive CR is robust and consistently demonstrates a favourable impact on cardiovascular mortality and hospital re-admissions in patients with coronary heart disease” (Anderson et al 2016). The community cardiac rehabilitation service was developed in response to a growing need for more cardiac rehabilitation programmes for a wider range of cardiac conditions which were unable to be accommodated in the acute hospital programmes and to offer a menu of options for delivery of programmes closer to the patient’s own home.

APPENDIX 3 Paternity Partner Leave Flow Chart for Managers.docx

GD23 Recruitment and Selection Information Guidance for Applicants.docx

Trust Policy for Free of Charge (FOC) Medicines Schemes (P109)

This policy is to ensure consistent, equitable and robust consideration of any free of charge (FOC) scheme that DCHS clinicians would like to be considered for use within DCHS, in line with the National guidance on FOC schemes. Including the requirement for consideration of schemes within Derbyshire for system approval prior to use within DCHS by the Derbyshire Joint Area Prescribing Committee. Where the medicine is currently commissioned by NHS England Specialised Commissioning, ICSs should discuss all FOC schemes with their regional specialised commissioning team in the first instance, before a decision is made on whether to implement the FOC scheme.

Escalation Report Template - July 2022.docx

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Transfer of Care Protocol (S14)

1.1 The purpose of these joint procedures is to minimise delays for all adult patients assessed as fit for transfer including those who need Care Packages at home, permanent Care Home Placements whether publicly funded, self-funded, or fully funded by NHS Continuing Care or Terminal Care as described in the NHS Continuing Care National Framework (Revised November 2018.) These procedures will ensure efficient bed utilisation.

Podiatry Service FAQs

Podiatry Service Covid FAQs v3 (updated Sept 2021)

Mileage consultation - QAs Amended Proposal.pdf

Mileage consultation amended proposal questions and answers - Feb 2022

DCHS Update IV care and maintenance

IV care and maintenance