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Pulmonary rehabilitation

Quality statement

People with COPD meeting appropriate criteria are offered an effective, timely and accessible multidisciplinary pulmonary rehabilitation programme.

Quality measure

Structure

a) Evidence of local arrangements to provide multidisciplinary pulmonary rehabilitation programmes.

b) Evidence of local arrangements to ensure effectiveness of multidisciplinary pulmonary rehabilitation programmes, by collection and audit of health outcome data.

c) Evidence of local arrangements to ensure multidisciplinary pulmonary rehabilitation programmes can be accessed in a timely manner.

d) Evidence of local arrangements to ensure multidisciplinary pulmonary rehabilitation programmes are geographically accessible.

Process

Proportion of people with COPD meeting appropriate criteria who receive an effective, timely and accessible multidisciplinary pulmonary rehabilitation programme.

Numerator - the number of people in the denominator receiving an effective, timely and accessible multidisciplinary pulmonary rehabilitation programme.

Denominator - the number of people with COPD meeting appropriate criteria for pulmonary rehabilitation.

Outcome

a) Improvements in exercise capacity as measured by a validated field exercise test, for example the 6-minute walk test or the incremental shuttle walking test.

b) Improvements in health-related quality of life measured by a validated questionnaire, for example St George's Respiratory Questionnaire (SGRQ).

Description of what the quality statement means for each audience

Service providers ensure multidisciplinary pulmonary rehabilitation programmes are timely and accessible, and that health outcomes are monitored to ensure their effectiveness.

Healthcare professionals ensure they offer pulmonary rehabilitation to appropriate people with COPD.

Commissioners ensure they commission timely and accessible multidisciplinary pulmonary rehabilitation programmes, and that health outcomes are monitored to ensure their effectiveness.

People with COPD are offered a programme of care, called pulmonary rehabilitation, that is designed for the person with their full involvement to help restore health, if they are likely to benefit from it.

Source clinical guideline references

NICE clinical guideline 101 recommendations 1.2.8.1 (key priority for implementation) and 1.2.8.2 to 1.2.8.4.

Data source

Structure

a) The national COPD audit of ‘acute care resources and organisation of care' examines access to a formal pulmonary rehabilitation programme and whether it is delivered by a multidisciplinary team. The national COPD audit of ‘primary care resources and organisation of care' examines, at an organisation level, access to community pulmonary rehabilitation services.

b) The national COPD audit of ‘acute care resources and organisation of care' examines whether pulmonary rehabilitation programmes measure health status before and after pulmonary rehabilitation.

c) and d) Local data collection.

Process

Local data collection.

Outcome

a) and d) Local data collection.

Definitions

NICE clinical guideline 101 states that pulmonary rehabilitation should be offered to all patients who consider themselves functionally disabled by COPD (usually MRC grade 3 and above). This includes those who have had a recent hospitalisation for an acute exacerbation. Pulmonary rehabilitation is not suitable for those who are unable to walk, have unstable angina or who have had a recent myocardial infarction.

This page was last updated: 28 July 2011

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.