1. BREATHE
PULMONARY REHAB

2. What is pulmonary rehabilitation (PR)
According to NICE (2010) PR is:
An MDT programme of care for patients with chronic respiratory impairment
Individually tailored
Designed to optimise the individual’s physical and social performance and autonomy
Physical training, disease education, nutritional, psychological and behavioural intervention.

3. Who is appropriate for Breathe?
Confirmed diagnosis of a chronic respiratory disease
Functionally disabled by respiratory disease (MRC Dyspnoea Score > 3)
Cardiovascularly stable
Compliant with clinical management

4. Aims of Breathe Increase exercise tolerance & functional ability
Reduce/control dyspnoea & disability
Improve quality of life
Promote self management & independence
Promote long term commitment to exercise
Reduce hospital admissions & cost to the NHS

6. Current Breathe Clinic Sites
Venue Address
Day of the Week
PR Class Time
Walton Corner Stone
2 Liston Street, Walton
L4 5RT
Mondays
12.30 – 2.30pm
The Breckfield and North Everton Sports Centre
(The Breckfield Gym)
Mere Lane, Anfield
L5 4QT
2 – 4pm
Ellergreen Community & Early Years Centre
Ellergreen Road, Norris Green
L11 2RY
Tuesdays
Oakvale Church
Edge Lane Drive, Broadgreen
L13 4AD
Wednesdays
Ropewalks Health Centre
28 Argyle Street
L1 5DL
Thursdays
11 am – 1pm
Therapies Department
The Liverpool Heart and Chest Hospital
Broadgreen
L14 3PE
For patients on oxygen and ambulance patients only
1.30 – 3.30pm
(ambulance patients)
2.30 – 4.30pm
(own transport patients)
Bridge Chapel Centre
Heath Road, Allerton
L19 4XR
Fridays
1 – 3 pm
Speke Neighbourhood Health Centre
75 South Parade, Speke
L24 2SF
BODY COPY

7. Core Principles of Breathe
Exercise
Self-Management Education

8. Physical Deconditioning: The Negative Inactivity Spiral
BODY COPY

9. Exercise and Dyspnoea: The Positive Activity Spiral
BODY COPY

10. What’s Different about BREATHE?
Traditional PR pathway+
Evidence based MECC – Brief Interventions
Flexible programme (access, t/f, on hold scheme)
Bespoke modules of care - pods
Provide bespoke CRD education and exercise
Hands on intervention
Link in with other health/social care/voluntary services to ensure true holistic care
Stepping stone for further progress for life style changes
Ongoing support and access to care

11. BREATHE HEP Format Endurance training for functional gains
Strength training for specific activities
Respiratory muscle training and chest clearance routine
Progressive exercise prescription

13. Aims of Self-Management Education
Know and understand their condition
Understand what different medication are for
Know how and when to use different medication
Know what is “normal” for them in terms of symptoms
Can recognise when symptoms are worsening
Know what to do when symptoms are worsening
Know who to contact and how to contact them when symptoms are worsening
Know when to call for emergency help
Know what support is available

14. How Do We Know BREATHE Works
Patient testimonials
Outcome measures

16. How do We Know BREATHE Works. 20
How do We Know BREATHE Works? 20.0% improvement in respiratory disability
BODY COPY

17. How do We Know BREATHE Works?
29.4% improvement in distance walked
BODY COPY

18. How do We Know BREATHE Works. 20
How do We Know BREATHE Works? 20.0% improvement in managing breathlessness during daily tasks
BODY COPY

19. How do We Know BREATHE Works?
22.2% and 25.0% improvement in anxiety and depression
BODY COPY

20. How do We Know BREATHE Works. 22
How do We Know BREATHE Works? 22.6% improvement in disease and self-management knowledge
BODY COPY

21. Contact the BREATHE team on:
Thank You for Your Time and Attention
Any Questions?
Contact the BREATHE team on: or