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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.

APPENDIX 1 Notification of Intention to take Paternity Partner Leave Pay.docx

DCHS Empirical Non-Diabetic Foot Antimicrobial Guidelines For The High Risk Foot Clinic and Surgical Site Infection For Use In Podiatry and Podiatric Surgery (G342)

DCHS Empirical Non-Diabetic Foot Antimicrobial Guidelines For The High Risk Foot Clinic and Surgical Site Infection For Use In Podiatry and Podiatric Surgery

A7 - Patient Enquiries to Respiratory Administration (S88).docx

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.

Prevent Policy (P46)

The overall aim of the policy is to make clear the duties, responsibilities, and arrangements in place to enable DCHS staff to safeguard and support individuals (children, young people, adults or staff); where it is suspected that the individual(s) is at risk of being drawn into terrorism or other forms of extremist activity. Safeguarding and promoting the welfare of children, young people and adults is everyone’s responsibility and this Policy sits alongside the DCHS Safeguarding Adults Policy and the DCHS Safeguarding Children’s Policy. The Counterterrorism and Security Act 2015 places a duty on certain bodies, including NHS Trusts, to have “due regard to the need to prevent people from being drawn into terrorism”; including a statutory responsibility to appoint a Prevent Lead and provide training for all staff. Healthcare staff have a key role in Prevent. Prevent focuses on working with individuals (patient’s and/or staff) who may be at risk of being exploited by radicalisers and subsequently drawn into terrorist related activity. Prevent does not require staff to do anything in addition to normal duties. Staff are expected to raise concerns about individuals who are being exploited in this way (DOH 2011).

Disclosure Ref 202291 - Organisational Chart.pdf

FOI disclosure

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.

APPENDIX 2 Statutory Paternity Pay and Leave Becoming a Parent (SC3).docx