The Adult Cardiorespiratory Enhanced and Responsive Service (ACERS) Pulmonary Rehabilitation Pilot Engagement event for patients in City and Hackney. (ID 387)
NHS
Abstract
Background
In line with the BTS Quality Standards (2014), ACERS aim to provide Pulmonary Rehabilitation (PR) to patients in City and Hackney with a diagnosed chronic respiratory condition and MRC dyspnoea of 2+. Only 49% of eligible patients with Chronic Obstructive Pulmonary Disease in City and Hackney were referred to PR in the last 24 months, falling short of the NHSE improvement target of 60%.
Aim
To run a virtual patient engagement webinar to increase referrals of eligible patients to PR.
Method
Eligible patients, identified through searches (n=3118), received a text message from their GP inviting them to sign up for an online PR information session. Inclusion criteria; a chronic respiratory disease diagnosis and MRC dyspnoea of 2+. 36 patients registered for the event. The session was delivered midweek in the evening by the ACERS team. To maintain confidentiality, Zoom Video Webinar was used following local Information Governance clearance. After the event, participants received an email with a questionnaire giving them the opportunity to opt in for a PR initial assessment.
Results
36 people registered to attend, of which 33% (n=12) attended. Of those attending, 58% (n=7) completed the questionnaire with 41% (n=5) opting in for further assessment, 8% opting out (n=1) and 8% needing more time to decide (n=1).
Overall, 86% (n=6) said they found the session useful and 14% (n=1) not that useful When asked if they had previously heard about PR, 14% (n=1) reported they had, 86% (n=6) had not. 43% (n=3) cited times of groups as a barrier to attending PR.
Conclusion
The Pilot Engagement webinar was poorly attended. Among attendees the timings of the classes (due to full time employment) prevented previous PR referral and attendance. Further case finding may establish if an evening PR cohort would help to meet the NHSE referral target.
Funding: NHSE EOI funding allowed the purchase of the Zoom Webinar license
Conflicts of interest: None
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