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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.

Nominations and Remuneration Committee Terms of Reference - October 2024

Nominations and Remuneration Committee Terms of Reference - October 2024

APPENDIX 4 Application for Adoption Leave and Pay Form.docx

Organisational strategy - Bitesize slides - Focus on the Future

Organisational strategy - Bitesize slides - Focus on the Future

Your Health Records Leaflet - updated Jan 2019.pdf

Promotion and Management of Continence for Adult Services Policy (P10)

This policy aims to identify a framework for the standards of care and best practice for bladder, bowel and continence promotion. The range of multidisciplinary professionals involved in continence care is diverse, and it is therefore essential that a continence service delivers integrated working practices across organisational and professional boundaries in order to provide effective care and efficient use of resource. The information detailed within this document will assist healthcare professionals who are undertaking a continence assessment and sets the standards of care for patients who present with a bladder or bowel problem. The continence advisory service aims to provide a quality service to all adults registered with a Derbyshire or Derby City GP. People with continence needs should be seen at the most appropriate time by the most appropriate professional. Excellence in continence care (2018) suggests that the initial assessment is best undertaken by staff trained in continence care within in a community setting, the provision of a high-quality assessment is the foundation of high-quality continence care.

Dressing Formulary and Wound Care Guidelines (G68)

The Derbyshire Wound Care and dressing formulary has been revised in collaboration with the East Midlands Wound Care Formulary Group. Work has been undertaken to provide a clinically effective, appropriate and cost effective choices of products to manage the vast majority of wounds. The formulary is available for all practitioners working for Derbyshire Community Health Services and Primary Care Services. It is expected that prescribers will preferentially use the products listed in the guide for routine use and be able to provide robust rationale where they have prescribed outside the formulary.

Appendix 4 - List of CDs which Require Denaturing and Witnessed Destruction (S47)

Appendix 4 - List of CDs which Require Denaturing and Witnessed Destruction (S47)

Water Safety Plan Design Control 2.1.pdf

Water Safety Plan Design Control 2.1, Estates Design Team, Legionella, Water Systems.

Disclosure Ref 202262 - Ethnic minority categories used for patients.pdf

FOI Disclosure