Domain 2: systems to support service delivery

Standard 2.1: The service has defined roles and responsibilities for facilities, equipment and IT management, in accordance with the operational plan.

Written summary of managerial and administrative support for the service and IT support, including audit (in operational plan).

Reporting procedures for damaged equipment and repair.
Evidence of well-maintained and adequate space for the number of patients and types of activity being performed (to be reviewed by assessment team at site assessment).
A risk assessment of clinical space, facilities and equipment
Evidence of:
- filled out equipment and facilities checklists completed prior to the commencement of PR classes
- planned replacement/maintenance contracts of existing facilities and equipment
- planned purchase of facilities and equipment
- adequacy of clinical space.
Photographic evidence of all clinical areas within the service (photographs of all sites, covering all areas used by staff and patients). If patients are in the photos, please ensure consent is gained.

There are systems in place to ensure that access to particular areas is restricted where appropriate.
As a minimum, the equipment available onsite must include:
- aerobic equipment
- weights and resistance equipment
- oximeters, BP monitor, weight scales, height chart
- stopwatches (for assessments and exercise sessions, one for each patient)
- music player, two bright cones, tape measure (10 metre for incremental shuttle walk test (ISWT) or 30 metre for 6-minute walking test (6MWT))
- chairs
- telephone access
- emergency equipment
- laptop/projector/flipcharts/white boards and supplementary written material for educational sessions.

Evidence of review of IT system needs (in team meeting minutes/operational plan).

The service must identify information standards and IT systems relevant to the specific needs of the service.
If purchasing or implementing new IT systems; how they relate, communicate and interact with other IT systems within the service shall be assessed.

Section in SOP relating to storage of data.
Staff training and/or education regarding data storage and information governance.

It is expected that the policy should include the transportation of data off site.

Process of document management and control in the service.
Evidence that documents, including SOP, follow document control process and are reviewed at appropriate timescales.

The process for the control of documents requires that:
- documents are kept up to date, secure and, where necessary, confidential
- information that is obsolete is removed from use and archived.