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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.

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.

Disclosure Ref 202281 - Staff Absence data Dec 2021 - Jan 2022.pdf

FOI disclosure

DCHS Glasses Claim Authorisation Form

Glasses Claim Authorisation

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.

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