Transforming access to respiratory diagnostics: addressing a critical healthcare gap in the Armagh and Dungannon area
Overview
Organisation: Federation of family GP Practices Armagh and Dungannon
Organisation type: Not-for-profit community interest company
This case study outlines the implementation and impact of a mobile advanced respiratory diagnostics service, led by a respiratory physiologist within primary care. The service supports 22 GP practices across the rural Armagh and Dungannon region, serving a population of approximately 80,000 in the North of Ireland. The region ranks 208 out of 217 in the UK for respiratory-related admissions and mortality (Asthma and Lung UK Respiratory index visualisations).
Prior to the initiative, access to basic lung function testing was limited, inconsistent, and below standard. In May 2024, the mobile service assumed responsibility for diagnostic testing, introducing quality-assured spirometry, fractional exhaled nitric oxide (FeNO), and gas transfer (DLCO) testing. This significantly improved access and streamlined pathways for personalised, patient-centred care for individuals with suspected asthma or COPD. This case study highlights the positive outcomes achieved, including a substantial reduction in secondary care referrals, and shares key insights and lessons learnt throughout the process.
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