What is Pulmonary Rehabilitation - watch these videos to learn more!

For commissioners and managers

• Whittington Health (2012): http://www.youtube.com/watch?v=RlT7pfCjQzw&feature=youtu.be

For patients and referrers

• NHS Choices video: http://www.nhs.uk/Video/Pages/Pulmonaryrehabilitation.aspx
• Oxleas  http://www.oxleas.nhs.uk/video/pdescription-herep-1/?clip=/site-media/videos/Pulmonary_Rehab.flv
• Kings Hospital Part 1 http://www.youtube.com/watch?v=3goKl9Vr8iw
• Kings Hospital Part 2 http://www.youtube.com/watch?v=cthKnGK6Gzs

• The British Lung Foundation (2012) also has a DVD - Living well with COPD – that gives practical advice on managing the condition. "The DVD covers everything  you need to know to successfully self-manage your condition, including:

• • how COPD affects your body
  • how to cope with the symptoms
  • what help is available to you and your family or carers

Order our free DVD to help you and your family manage your condition by calling the BLF Helpline on 08458 50 50 20 or order online at www.lunguk.org"
 

IMPRESS Guide to Pulmonary Rehabiltation - for commissioners and providers

Download the IMPRESS Guide to pulmonary rehabilitation, December 2011.  Downloaded over  7000 times since March 2012!

Executive summary

• Pulmonary rehabilitation (PR) reduces morbidity, mortality and hospital attendances in people with COPD disabled by their disease.
• PR should receive commissioning priority given its proven clinical and cost effectiveness and relative value compared to many of our other interventions for COPD.
• The more components of the COPD pathway working together in an integrated multi-faceted programme, including an interface with self-management support, quit smoking support and oxygen assessment, the more likely there is to be a positive effect.
• This paper reviews the evidence, explains what PR is, how it works, its value and why it should be com- missioned.
• It supplements the Commissioning Pack for COPD issued by the DH England, including a section on PR
• It answers the questions asked by commissioners who may have no current service, a service with insufficient capacity, one that does not meet patient?s expectations, or one that is failing to achieve accept- able completion rates.
  

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  BTS Standards and Guideline

 BTS Quality Standards for Pulmonary Rehabilitation are now available for consultation (Feb 2014)

 The first BTS Guideline for pulmonary rehabilitation in adults was published in August 2013 (reviewed next in 2017)

Department of Health

Costing tool guidance for spirometry and assessment and pulmonary rehabilitation

Read costing tool for spirometry and assessment and pulmonary rehabilitation

Service specification pulmonary rehabilitation

Webcast from Dr Rupert Jones at the inaugural IMPRESS conference: Care closer to home. The models of pulmonary rehabilitation Dr Jones estimates that if you assume  a 2% prevalence of diagnosed COPD and 30% of those will benefit  from PR, then in a population of 250,000, 1500 will need pulmonary rehabilitation, and a GP with 2000 patients may have 40 patients with COPD of whom 12 will need referral to PR.   It is therefore important to create models of provision that match this need.  He gives examples.

Webcast from Dr Louise Restrick  at the inaugural IMPRESS conference showing how her team increased completion rates from the national average of 50% to 92%. An outreach model of integration, the Whittington model

This model from NHS Islington is also available as a NICE example of shared learning Introduction of pulmonary rehabilitation programme in primary care in accordance with COPD guidance

From Primary Care Respiratory Society (PRS UK)  (ex GPIAG)

Best practice

Opinion sheet

Health Improvement Scotland resources 2011

See also NICE commissioning guidance