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Four-pronged approach to tackling respiratory conditions

The ICS is committed to improving access to high quality services for everybody living in the system and is working to ensure that treatments for respiratory conditions reflect this.
There are four priorities within the respiratory work programme:

  • Ensuring early and accurate diagnosis of patients with respiratory diseases - including ensuring clinicians are fully trained and qualified to carry out diagnosis correctly.
  • Use the pulmonary rehabilitation service to offer support to patients with Chronic Obstructive Pulmonary Disease (COPD). Service delivered by the Adult Integrated Respiratory Service, BOC and Virgin Care.
  • Ensure best clinical practice is delivered to patients i.e. anybody admitted to hospital with a lung condition is reviewed within 24 hours and receives a discharge bundle.
  • Avoiding hospital admissions. By working with existing service providers to treat patients’ health and social care needs and using consultant-led clinics in primary care, patients can be supported before they become unwell

The National Service for Health Improvement (NSHI) has been commissioned to provide a COPD review service across the Frimley Health and Care Integrated Care System. This service will provide expertise in assessing, diagnosing, treating and reviewing patients with COPD or asthma.

As of November 2018, 37 GP practices had signed up for the service and delivered 100 clinics for patients. We are actively seeking more GP practices to sign up to this approach. Accurate diagnosis of COPD has risen from 71% to 80%, with a patient self-management plan provided to people who have been through the service. Uncertain diagnoses have dropped from 24% to 14%