A Breathe Better Project which aims to:
1. Bring together patients with chronic obstructive pulmonary disease (COPD), carers, clinicians, voluntary and community groups
2. Use an asset-based community approach including third sector groups
3. Embed it in the system so that if recurrent funding isn’t available, it would still be sustainable
4. Improve well-being, reduce anxiety, social isolation and increase activity
5. Move focus from medicines and tests to helping people with living with and managing their condition
1. Bring together patients with chronic obstructive pulmonary disease (COPD), carers, clinicians, voluntary and community groups
2. Use an asset-based community approach including third sector groups
3. Embed it in the system so that if recurrent funding isn’t available, it would still be sustainable
4. Improve well-being, reduce anxiety, social isolation and increase activity
5. Move focus from medicines and tests to helping people with living with and managing their condition
Submitter(s): Sue Mason
Submitted:
The provision of a Community Lung Health Day in Lambeth & Southwark, carried out to support patients with respiratory disease and improving their lung health and their Vital 5 (Alcohol, Healthy Weight, Hypertension, Mental Health and Tobacco Dependency), through addressing social determinants of health. Other aims included increasing enrolment to pulmonary rehabilitation (PR) and improving integration of the respiratory team and voluntary, community and social enterprise (VCSE) organisations.
Submitter(s): Alicia Piwko
Submitted:
Using a local Breathe In Sing Out group to improve the symptoms and impact experienced by people with long-term respiratory disease.
Improvements reported in the ability to manage conditions, less need to use medication and inhalers and increased motivation and social engagement. NHS data showed reduction in both hospital admission and ED attendance.
Improvements reported in the ability to manage conditions, less need to use medication and inhalers and increased motivation and social engagement. NHS data showed reduction in both hospital admission and ED attendance.
Submitter(s): Ruth Melhuish
Submitted:
A project to proactively manage people at risk of developing, or who have a diagnosis of respiratory disease, via the provision of a neighbourhood place based holistic approach to care. The service supports patients with respiratory diseases including COPD.
Submitter(s): Deepak Subramanian
Submitted:
Working in partnership with Health and Care Innovations (HCI) the Torbay and South Devon NHS Foundation Trust (TSDFT) respiratory team have co-designed and deployed resources on the multi-condition CONNECTPlus app to support COPD self-management and pulmonary rehabilitation (PR). The app utilises a "For, From, About" model and ensure a comprehensive approach to patient management and access to information (for both healthcare professionals and patients).
Submitter(s): Matt Halkes
Submitted:
Breathlessness is a common symptom heralding serious underlying cardiopulmonary disease, and early and accurate diagnosis is essential to reduce emergency healthcare use and improved patient outcome. In Merseyside, an initiative launched by Everton Football Club (Everton in the Community) seeks to address this challenge by the implementing a ‘Beat Breathlessness Clinic’ based on the NHS England (NHSE) Adult Breathlessness pathway.
Submitter(s): Biswajit Chakrabarti
Submitted:
Identifying rising risk COPD patients in 3 local primary care network (PCN) areas in order to improve patient care and outcomes. Improvements required and achieved include increased multidisciplinary working, better clinical pathways and coding, increased pulmonary rehabilitation (PR) completion and self-management and successfully addressing social and environmental factors associated with poorer outcomes.
Submitter(s): Rachel Williams
Submitted:
The NNHIP West Leicestershire COPD Programme aims to improve integrated care and quality of life for patients with COPD by participating in Wave 1 of the National Neighbourhood Health Implementation Programme (NNHIP). Key project outcomes looking to be achieved include development and implementation of personalised care plans for COPD patients and establishing consistent multidisciplinary team (MDT) working across all participating federation areas.
Submitter(s): Leslie Borrill
Submitted:
Introducing a dedicated link worker (social prescriber) within a pulmonary rehabilitation (PR) service to address wider determinants of health (health inequalities, poverty, housing, social isolation etc) which impact patient engagement, adherence and completion rates of PR.
(Submitted by Michelle Maguire, on behalf of the Imperial Community Respiratory Team)
(Submitted by Michelle Maguire, on behalf of the Imperial Community Respiratory Team)
Submitter(s): Michelle Maguire
Submitted:
A project conducted to co-produce a data led approach to respiratory care; that proactively manages patient care and leverages all available resources (positively impacting patient health, reducing utilisation costs and patient admissions). Work was conducted in an area with very high social deprivation and smoking rates, and where 56+ different languages are spoken.
Submitter(s): Sonia Silk
Submitted:
The establishment of a Living Well Service (LWS) to tackle the under recognition of Breathing Pattern Disorder, particularly complex breathlessness. The LWS provided thorough bio-psycho-social assessment, the consideration of differential diagnosis and any outstanding investigations, to ensure any co-morbidities were managed. Key features included co-production of care through goal setting and provision of a tailored self-management program, as well as a specific intervention group for complex breathlessness.
Submitter(s): Lois Botham
Submitted:
Introducing FebriDx (Lumos Diagnostics) for c-reactive protein (CRP)/viral biomarker testing in COPD patients. Introduction was to improve patient care, outcomes and reduce costs associated with admission/readmission to hospital, travel, GP attendance and medications.
Submitter(s): Elaine Sutherland
Submitted:
Comprehensive assessment of patients with COPD post-exacerbation frequently identifies the need for exercise, however due to significant symptom burden, high prevalence of malnutrition, and frailty and falls risk, an alternative to the current home exercise programme (HEP) offer was required. The objective was to diversify home rehabilitation options to improve equity and access for patients with COPD to optimise outcomes and reduce exacerbation risk.
Submitter(s): Elaine Sutherland
Submitted:
You may also be interested in...
Do you have your own example of implementing a Neighbourhood Health model for COPD? If yes, please share it with us!