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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.

Accessible Information and Communication policy

L230 - Welcome to North Derbyshire Pulmonary Rehabilitation

L230 - Welcome to North Derbyshire Pulmonary Rehabilitation leaflet

SOP for the supply or issue of Steroid Emergency Cards (S87)

Identify / supply to patients who require a Steroid Emergency card in the Community Hospitals setting, Urgent Treatment Centres, Podiatric Surgery, Integrated Community teams and specialist services such as Respiratory teams and Physiotherapy if a new Steroid Emergency card is needed or a Steroid Emergency Card has been lost

A4 - List of CDs which Require Denaturing and Witnessed Destruction (S47)

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

Podiatry Service Changes FAQs .docx

DCHS Podiatry Service Changes FAQs