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Type and Title of Submission


Title:

Community based pulmonary rehabilitation service

Description:

Category:

Clinical

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

CG12 - Chronic obstructive pulmonary disease

Category(s) that most closely reflects the nature of the submission:

service redesign

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

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 setting

Objectives

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 population

Context

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 symptoms

Results 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 data

Key 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

Contact Details

Name:Isabelle Thompson
Job Title:Clinical Quality Manager
Organisation:Birmingham East and North PCT
Address:Richard street aston
Town:Birmingham
County:West Midlands
Postcode:B7 4AA
Phone:0121 380 9042
Email:isabelle.thompson@benpct.nhs.uk
Fax:0121 3335382

 

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This page was last updated: 30 September 2008

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Selected, reliable information for health and social care in one place

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.

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.