Neighbourhood Respiratory Model: Improving Access and Proactive Care
Overview
Organisation: Dudley Group NHS Foundation Trust Placed Based Division
Organisation type: NHS Trust / Primary Care Network Collaboration
Dudley in the Black Country has some of the highest respiratory-related hospital admissions and mortality rates in the UK. Before the project, care was reactive, fragmented, and often delayed. Patients faced long waits for asthma and COPD diagnostic tests and specialist appointments, resulting in misdiagnoses, poorer outcomes, and increased reliance on urgent and emergency care. A proactive, integrated approach was needed to meet local population needs and to develop new ways of working with system-wide experts to streamline respiratory care pathways and implement NICE guidance into routine practice.
The project aimed to:
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reduce variation in care
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prioritise prevention
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move care closer to home
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improve patient safety
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enhance health equity
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deliver proactive, patient-centred, holistic care.
Success would be demonstrated through improvement in early and accurate diagnosis, identifying misdiagnosis, reducing hospital appointments, empowering patients to better self-manage exacerbations, reduced use of urgent and emergency care, enhanced patient experience, and establishing a replicable delivery model.
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