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Guidance Checklist to Support Clinicians in determining Fast Track Eligibility (G258)

This guidance has been developed to assist Clinicians to determine whether it is appropriate to complete the Fast Track - Continuing Healthcare Application. The intention of the Fast Track Pathway is that it should identify individuals who need to access NHS Continuing Healthcare (CHC) quickly, with minimum delay, and with no requirement to complete a CHC Decision Support Tool (DST). Therefore, the completed Fast Track Pathway Tool, with clear reasons why the individual fulfils the criteria, and which clearly evidences that an individual is both rapidly deteriorating and approaching the end of life.

Disclosure Ref 2022127 - BI & Data Warehousing, E-rostering, Order Communications, Pathology, Pharmacy, & Scheduling.pdf

Response to FOI

Disclosure Ref 2022109 - Strategies & reports including the operational plan 2022.pdf

FOI Disclosure

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.

Disclosure Ref 2025151 - Trust buying and supplying paracetamol and Ibuprofen.pdf

FOI disclosure ref 2025/151 regarding the Trust purchasing and supplying Paracetamol and ibuprofen

Screen shots for opening one patient record at a time on SystmOne draft.docx

Childrens 0-19 Services Was Not Brought No Access and Failed Encounter Policy (P92)

Babies, children and young people are reliant on someone else to take them to appointments or be at home for a visit that relates to their health, development and wellbeing and as a result they are sometimes not taken or in to receive them. Historically this would have been recorded as ‘Did Not Attend’, Failed Encounter and No Access. Many Serious Case Reviews / Safeguarding Adult Reviews/Domestic Homicide Reviews, both nationally and regionally, have identified that not being taken to medical appointments can be a precursor to serious abuse. This policy is to ensure that there is a clear process for all staff working within Childrens 0-19 on how to apply safeguarding principles and procedures to the following situations: • New referrals into the 5-19 service that do not attend their first appointment. • Children and young people known to our services who are not brought to an appointment • No access visits where staff are unable to make contact with, or gain access, to a Child or young person’s place of residence. • Processes are in place to ensure early intervention and prevention when disengagement is a feature as this is the key to safeguarding children • To ensure the recording and collection of timely information to enable analysis of incidents and identification of investigations • The safety and well- being of patients who miss an appointment or home visit is maintained.

STAY Conversations 9 - 14 Months Record Form

STAY Conversations 9-14 months record form

Podiatry Service Changes FAQs .docx

DCHS Podiatry Service Changes FAQs

Disclosure Ref 202291 - Organisational Chart.pdf

FOI disclosure