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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.

NatPSA-2023-010-MHRA

APPENDIX 4 Application for Adoption Leave and Pay Form.docx

Organisational strategy - Bitesize slides - Healthy Communities.pptx

Organisational strategy - Bitesize slides - Healthy Communities.pptx

Trust Policy for Free of Charge (FOC) Medicines Schemes (P109)

This policy is to ensure consistent, equitable and robust consideration of any free of charge (FOC) scheme that DCHS clinicians would like to be considered for use within DCHS, in line with the National guidance on FOC schemes. Including the requirement for consideration of schemes within Derbyshire for system approval prior to use within DCHS by the Derbyshire Joint Area Prescribing Committee. Where the medicine is currently commissioned by NHS England Specialised Commissioning, ICSs should discuss all FOC schemes with their regional specialised commissioning team in the first instance, before a decision is made on whether to implement the FOC scheme.

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

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).