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

GD23 Recruitment and Selection Information Guidance for Applicants.docx

Disclosure Ref 202511 - Facilities Management.pdf

Disclosure to freedom of information request regarding soft facilities management service provider

Requesting GP Prescribing SOP (S147)

To enable non-prescribing clinicians access to an internal group of DCHS prescribers to ensure patients receive clinically indicated medicines in a timely way without putting undue pressure on Community GPs within the system.

Sending information via email.docx

HRP20 Supporting and Maintaining Attendance Policy

v2 November 2025

FINAL Chief Executive Designate - Stakeholder Briefing - 11 November 2021.pdf

Dr Chris Clayton appointment; Chief Executive JUCD

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.

Safe to Wait SOP for Band 3 HCAs (S76)

The rationale for introducing a “Safe to Wait” process is, for when patients present to UTC Services, the first point of contact will usually be the Reception/HCA staff. The Safe to Wait Guidance will be undertaken by Health Care Assistant (Band 3) staff following specific training and a period of demonstrating competence for the assessment of patients attending the UTCs with specific conditions/injuries. This will ensure that Band 3 HCA’s are aware of “Red Flag Signs”, and symptoms that indicate that someone presenting at the unit may require immediate or urgent attention.