Abstract

Background:
Chronic respiratory diseases are a major contributor to preventable hospitalisations, morbidity, and mortality in the UK. While general practice nurses (GPNs) play a central role in delivering primary care to patients with these conditions, significant variation exists in the quality of care due to inconsistent training and limited access to structured respiratory education.
Aims:
This study aimed to:
1. Optimise an innovative nurse-led respiratory education programme to enhance the knowledge and confidence of GPNs.
2. Evaluate the programme using mixed methods to inform further refinement and support potential wider implementation.
Methods:
The training package, developed and delivered by the Living Well Primary Care Network, involved three cohorts (n=11) of GPNs. It combined two face-to-face theoretical sessions and six practical sessions at a primary care-based, nurse-led respiratory hub. Participants observed and conducted diagnostic assessments and complex reviews. Evaluation, led by the University of Southampton, employed qualitative and quantitative methods to capture participant feedback and outcomes.
Results:
The programme was positively received by all participants, particularly those with less respiratory experience. Reported benefits included:
• A structured approach to diagnosis and management
• Improved understanding and application of spirometry
• Establishment of a supportive peer network
Participants recommended enhancements such as increased one-to-one time with respiratory nurse specialists and cohorts by experience level to tailor learning.
Conclusion:
The nurse-led respiratory training programme effectively enhanced GPNs’ confidence and competence in delivering person-centred respiratory care. With further refinement, it has strong potential for broader implementation to address workforce training gaps and reduce disparities in respiratory care.