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Managing Demand
Managing Demand

Workforce and skillmix
IMPRESS has published key standards and competencies for respiratory care for commissioners, highlighting what needs to be considered and specified in any respiratory service.

IMPRESS endorses a discussion paper on the role of the Integrated Care Consultant published by BTS.  It also endorses the work by GPIAG on the accreditation and development of Practitioners with a Special Interest. 

Click here for articles in the Primary Care Respiratory Journal and here for a link to the first article in British Journal of General Practice.

In the meantime, Skills for Health has produced a full dictionary of respiratory competences CHS67 Support individuals with long term conditions to manage their respiratory function Page 1 of 6 Final version approved March 2007.www.skillsforhealth.org.uk/page/. These can also be linked to the Map of Medicine work on pathways. The Map of Medicine is now available to all NHS staff — doctors, nurses, midwives, allied health professionals and trust managers in England and Wales. It requires registration. There are about 6 COPD pathways available.www.mapofmedicine.com/home.php


Referral criteria
Thorax has now published a statement of referral criteria for seven chronic respiratory conditions supported by IMPRESS.

Click here to download the supplement.  

In addition, IMPRESS has supplemented this with the recommended content of a referral letter. 

Click here to download a Word document.


Outpatients
IMPRESS has published advice on the shift of outpatients to care closer to home: Delivering Respiratory Care Closer to Home by Improving The Way Respiratory Outpatient Care is Provided.

Download the document here


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IMPRESS is grateful to AstraZeneca, Boehringer Ingelheim/Pfizer and GlaxoSmithKline who have provided sponsorship grants for this independent programme of activity
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