Shared learning database
Type and Title of Submission
Community based pulmonary rehabilitation serviceDescription: Category:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
CG12 - Chronic obstructive pulmonary diseaseCategory(s) that most closely reflects the nature of the submission:
Description of submission
To develop a community based pulmonary rehabilitation service as part of a practice based commissioning service redesign initiative aiming to enhance the quality of life of patients affected by COPD, contributing to the reduction of health inequalities within the area, providing a service closer to home, in a community settingObjectives
1. to improve the quality of life of patients suffering from COPD, by the provision of a exercise programme and a series of education sessions in a easily accessible community setting 2. to contribute to the reduction of health inequalities within the area by ensuring that patient from a deprived area accessed a first class service 3. to ensure that a locally designed service met the needs of the local populationContext
Public health data and needs analysis highlighted the burden of disease within the area. Pulmonary rehabilitation was only provided within secondary care, in a location which was not easily accessible for patients who do not have access to a car. Pulmonary rehabilitation was not seen as part of the primary care responsibility.Methods
1. patients report feeling better and understanding their condition better 2. increased exrecise tolerance in a majority of patients 3. increased confidence, and better able to cope to daily symptomsResults and evaluation
Respiratory index questionnaire before and after programme to assess patients confidence and symptoms tolerance Bleep test to assess walking ability Patient satisfaction questionnaire specifically related to the organisation of the programme, the venue and the effectiveness of the physiotherapists leading the programme Focus groups to obtain more qualitative dataKey learning points
Identify a champion within the organisation who has the enthusiasm to drive the project forward Ensure that the implementation group involves all stakeholders from the very beginning Consider quality and safety issues from the outset
|Job Title:||Clinical Quality Manager|
|Organisation:||Birmingham East and North PCT|
|Address:||Richard street aston|
|Phone:||0121 380 9042|
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This page was last updated: 30 September 2008