COPD off the shelf Scheme LCRPCT Dr Dave Briggs – Clinical lead Tim Sacks – PBC management lead Dave.briggs@lcr.nhs.uk Tim.sacks@lcr.nhs.uk

Four Key Elements Practice Training needs Prevalence work Strengthening primary care Local Pulmonary Rehab and 02 Assessment

Practice Training Accredit Spirometry Attendance of an accredited training course Commissioned PLT across the localities Clinical Audit (optimum patient care audit) Peer review

Prevalence Work Should apply to 1% of the practice population Criterion agreed between PCT and practices Spirometry If abnormal reversibility testing Clinical review of the diagnosis

Strengthening Primary care Improved PCT wide COPD template Severity must be coded Moderate and severe should have Biannually reviews Use of the MRC breathlessness score 4+5 referral for pulmonary rehab

Pulmonary Rehab Each locality to have its own pulmonary rehab spoke. Run by the provider arm of the PCT Single point of access for severe patients under the care of the specialist respiratory nurse Local 02 assessment service

Impact assessment Monitoring the take up of pulmonary rehab Repeat the optimum patient care audit in one year Monitoring the rates of admission and length of stay of the COPD HRG codes