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Improving and Integrating Respiratory Services in the NHS (IMPRESS)

IMPRESS is a joint initiative between the two leading respiratory clinical societies in the UK: the British Thoracic Society and the Primary Care Respiratory Society (PCRS)-UK.

"Providing the clinical leadership required to drive improvements in care across /beyond the traditional boundaries of primary care and secondary care  to achieve high quality integrated patient centred care for the population with or at risk of respiratory  disease."


Quality and productivity: IMPRESS's More for Less

24 May 2011 Conference - webcasts now online!  Here


IMPRESS Awards and models of good practice

CONGRATULATIONS TO THE WINNERS OF THE 2011 IMPRESS AWARDS

Category I Improving quality  
Winner: The role of the third sector influencing clinical practice in respiratory support MND Association


Download poster

Category II   Increasing high value services and reducing low value services
Winner: Increasing the value of COPD care in Islington using a Local Enhanced Service (LES) to improve COPD case finding and management 

Download poster

Category III.    Integration across boundaries
COPD Rescue Packs: Why you should make them and how to do it. 

Download poster

2009 IMPRESS Award winners click here


 

Publications

The documents listed below are available to download (pdf format)

IMPRESS Guide to Pulmonary Rehabilitation December 2011

How to improve quality and productivity by integrating COPD care  1st edition June 2011


 

 

 

 


 

Rationalising oxygen use to improve patient safety and to reduce waste (2nd Edition May 2011)


 

Guide to information July 2010 - see news.

 


Guide to information about the use of medicines in the NHS A document about the information available to help clinicians, commissioners and managers to know what is being prescribed by whom, for whom, at what cost, and at what benefit.  7 July 2010.


More for Less 1 July 2010
Discussion paper to inform the implementation of respiratory strategies within the context of limited resources.


NHS Jargon Buster (3rd edition updated March 2010)
An essential glossary of NHS, housing and social care jargon. (Online version available here)

 


 Living and Dying with COPD is an educational package from IMPRESS consisting of a DVD and CD of PowerPoint slides. Free copies are available now.

 


IMPRESS Social Care and Housing Jargon Buster

 


Shaping the Future of Care Together The Big Care Debate - Response by IMPRESS

 



documentgifBidding for Community COPD Services - A second case study


 


  Service Specification for Investigation and treatment of Obstructive Sleep Apnoea Syndrome
 

 


 IMPRESS response to Department of Health (England) End of Life Care Strategy: Quality Markers Consultation

 


Best practice guidance on developing a respiratory service specification

 

 


Delivering Respiratory Care Closer to Home

 

 


Commissioning a community COPD service
Based on a case study in Somerset PCT by IMPRESS

  


A Vision for Respiratory Care
Our response to Lord Darzi.

 


Guide to respiratory coding
Published by the British Thoracic Society and compiled by Dr Steve Connellan, this guide to respiratory coding is an essential reference and includes HRG4 codes to be used from April 2009

 


Workforce standards

 

 


Consultant Physicians in Integrated Respiratory Care

 

 


Principles, Definitions & Standards for Pulmonary Rehabilitation

Supported by IMPRESS in consultation with BAOT, ARNS and ACPRC

 


BTS statement on criteria for specialist referral

 

 


Referral letter

Latest News

2012
3 Jan Submit an abstract
for the 6th World International Primary Care Respiratory Group (IPCRG) 2012 conference, Edinburgh 25-28 April.  Abstract deadline - 11/1/12. Clinical, service implementation and new ideas for research.  For information and details of prizes visit www.ipcrg-pcrs2012.com

7 December 2011
IMPRESS guide to Pulmonary Rehabilitation out now!

16 November 2011 Secondment opportunity or direct employment: Green Respiratory Fellow for 9 months to a year working with Centre for Sustainable Healthcare.  A one-year project to improve the environmental sustainability of respiratory medicine. For more information see here.

 

16 November 2011 Impressions 20 - Changes to QOF in 2012/13: What it means for respiratory services in primary care.
 
Also note DH commissioning pack due out shortly.  Regional Leads have access to drafts now.

12 September 2011 Impressions 19 - useful table on risk stratificatin and admission avoidance and impressions 20 - tobacco use and cessation interventions for minority ethnic populations

17 August Impressions 18 Predictive Risk - DH encouraging use of risk stratification but no longer funding tools...

2 August Impressions 17 Shared Decision Making - upbeat and helpful new report from Angela Coulter and Alf Collins

2 August 2011 Nice Quality Standards for COPD published 29 July

20 July  Impressions 16 on Respiratory Outcomes Strategy

15 July
 Impressions 15 the evidence on self-management - a mixed picture

15 July Impressions 14 Under-coordination accounts for 5% of total healthcare cost - evidence reviews from the Health Foundation on clinical coordination and discharge

15 July 2011 Impressions 13 what happens when you start looking at the programme budget and latest Guide to Respiratory Coding

28 June three new Impressions:  Impressions 10 Top tips on using IMPRESS; Impressions 11: outcomes strategy, asthma and the commissioning pack and Impressions 12: Leadership - what can you commit to?

17 June  Impressions 9 on three news stories: networks, continuity of care and bereavement

15 June Government response to the Future Forum.    Recommend NHS Confederation briefing.  Note widening clinical input to commissioning by establishing advisory clinical senates and clinical networks and new requirement for both specialist doctor and nurse to be on the Clinical Commissioning Groups' governing bodies. 

6 June 2011 - June 2011   Skills for Health has now produced a respiratory disease competence framework. Read  more

4 June 2011 - Conference webcasts now online

4 June 2011 - Latest publication  How to improve quality and productivity by integrating COPD care. This latest case study from IMPRESS is a synthesis of current evidence and policy, illustrated by our report on North Tyneside, part of Northumbria Healthcare NHS Foundation Trust, one of two national (England) integrated care pilots focusing on COPD.  Read more....

31 May 2011 New Impressions on the key messages for commissioning and delivering respiratory care from the second IMPRESS conference.

25 May 2011 - Webcasts from excellent 2nd IMPRESS conference will be online this week. Meanwhile, congratulations to the Winners of the three IMPRESS Awards! 

11 May 2011  I
mpressions 6: a focus on QIPP - the one constant and a round-up of latest news.

5 April 2011 During the Pause. Impressions 5 on Audit Commission reducing expenditure on low value treatments, the APHO general practice profiles and case-finding.

7 April 2011 New Impressions on hospital discharge from the Care Quality Commission and avoiding admissions in COPD and for older people

25 March Impressions - new IMPRESS blog on quality and productivity in primary care and avoiding admissions

21 March QOF points updated: slight change to COPD indicators and new points for quality and productivity.  See here.

10 March  BTS, in conjunction with Salford Royal Foundation Trust and Southend University Hospital Foundation Trust, have won the prestigious 2011 Patient Safety Award for Patient Safety in Clinical Practice for their work to improve safety in administration of emergency oxygen to adult patients out of 70 entries. Click here for more information.

10 March Two new additions to the good practice resources from Southend  - commissioning case for an extension to the community respiratory service funded by NHS South East Essex and also their submission to the Health and Social Care Awards, East Region for which they were highly recommended

8 March IMPRESS recommends two reports:  Avoiding hospital admissions.  What does the research evidence say?
Sarah Purdy, Kings Fund, December 2010 and Remote control: The patient-practitioner relationship in a digital age  NHS Confederation.  See here for IMPRESS Programme Manager commentary

8 March  David Nicholson's letter of 17 February to NHS including competition and choice principles

18 February - NHS London CQUINs for COPD and stop smoking

4 February 2011 - more information on social care financial allocations for reablement, and social care to benefit health eg crisis response, community equipment, falls prevention...

28 January 2011 -  call for good practice examples of psychological support.  Deadline 16 Feb 2011.  More

25 January 2011 - Lung Improvement Programme announces applications for national asthma improvement projects.  Deadline 4 March 2011.  Four themes: 1. Improving Asthma Diagnosis and Medicines Optimisation 2. Transforming Acute Care 3. Chronic Disease Management 4. Integrated Care Pathways  More..

25 January 2011  Oxygen update: too much oxygen may cause 2000-4000 avoidable deaths a year with COPD.  Go here for latest evidence and patient safety awards.

20 December NHS Outcomes Framework published following  the consultation Transparency in outcomes - a framework for the NHS with a number of respiratory disease indicators.  More analysis from IMPRESS.

20 December DH published the next phase of consultations: Liberating the NHS: Developing the Healthcare Workforce that sets out proposals for a new workforce, education and training structure driven by patient need and led by local healthcare providers. Consultation  closes  31 March 2011.

15 December  Liberating the NHS: Legislative Framework and Next Steps, published which sets out the policy for NHS Reform in detail including a timetable.  More detail.

15 December - Operating Framework for 2011/12 is published by DH England.  Click here for documents that include transitional commissioning arrangements from PCTs to GP consortia requiring PCTs to cluster into single executive teams by June 2011, confirmation that £20 billion to be found - but now over 4 years (to March 2015); requirement that PCTs "continue" the task of delivering the 24 recommendations of the Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England; hospital tariff to be set at an average 1 per cent below the cost to the average provider for the first time and providers will also be allowed to offer services at below tariff from April 2011. Full IMPRESS summary here.

8 December - summary of the Ernst and Young and RAND Europe independent interim evaluation of the 16 integrated care pilots in the NHS now available

8 December - DH England announces  52 'pathfinder' commissioning consortia covering 1,860 GP practices serving 12.8m patients. Updates will be found on the pathfinder learning network.

6 December - DH England  published the public heath white paper Healthy Lives, Healthy People for consultation on 30 November. Go here for immediate responses.

1 December - A vision for adult social care: Capable communities and active citizens and best practice guides launched on 15 November - summary here.

30 November - Dr Foster Good Hospital Guide 2010 including Hospital Standard Mortality Ratios - see Behind the Headlines report for patients and clinicians

29 November - new commissioning resources: national commissioning websiteAtlas of Variation and report from the Kings Fund Clinical and service integration: The route to improved outcomes.

29 November - summaries from IMPRESS Project Manager  of presentations by Mark Britnall, Earl Howe, Chris Ham and others taken at the recent NHS Alliance conference, as well as notes on personal health budget pilots. Click here.

17 November 2010 (World COPD Day): £800m savings identified through better COPD care  Health Service Journal 11 November 2010  IMPRESS response

15 November 2010  New generic commissioning toolkits for GP commissioners.  More...

15 November 2010 New adult social care guidance and consultations published from DH England including personal budgets.  Click here.

10 November 2010 NICE draft quality standards for COPD launched 30 September 2010 - consultation now closed.  click here

1 October 2010 - draft NICE quality standards issued for consultation  Click here

1 October 2010 - links to the BTS,RCP, RCGP, RCN  and BMA pages on the white paper Liberating the NHS (England) click here

13 September 2010 "...Here is our step-by-step improvement guide to oxygen services. If you follow these steps we would expect that you will improve care. You will also probably release savings that we hope you would negotiate with your local commissioner could be reinvested in implementing some of the other recommendations in the national strategy."   Click here to read the guide and all the practical appendices.

August 2010
  "...patients with COPD should be offered the most intensive smoking cessation intervention feasible, not only from a clinical but also from an economic perspective." [NHS Evidence on Thorax paper August 2010]. Click here for more information.

 

 


 Living and Dying with COPD is an educational package from IMPRESS consisting of a DVD and CD of PowerPoint slides. Free copies are available now and have been sent out to those people who registered an interest. For further information including a short film clip and to order a copy click here.  February 2009: We have also submitted a response to the end of life care quality markers consultation.  For a detailed explanation of the particular challenges of providing high quality end of life care for people with COPD click here.  June 2009: we have now issued over 3400 copies of the package, and it has been extremely well received. We are now working with a local clinical network led by NHS Bristol to understand how to embed  it in practice.

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IMPRESS is grateful to  its corporate supporters - AstraZeneca, Boehringer Ingelheim/Pfizer and GlaxoSmithKline who provide grants for this independent programme of study
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