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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.

Disclosure Ref 2025386 Inpatient admissions for austic individuals .doc

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.

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