Community Respiratory Services

Descriptions

•Support accurate and early diagnosis of respiratory disease, in particular COPD and adult asthma. •Support long term management of patients with respiratory disease through informed care planning and patient education and appropriate prescribing. •Deliver assessment of patients for home oxygen, prescription of oxygen and on-going robust reviews. •Identify those patients who make little or no use of the oxygen that is prescribed (using the oxygen supplier’s concordance data) and review their need. •Monitoring of concordance of all patients using Home Oxygen to identify those over-using their o2 and develop plans to manage patient concordance •Identify patients who would be at risk if they received high-flow oxygen and provide them with an alert card, educating them on the importance of sharing this information with other care providers. •To work with the commissioner to effectively and appropriately manage spend against an indicative budget. •Work with commissioners and other providers within North Lincolnshire to develop and deliver integrated pathways of care for patients with exacerbations of respiratory disease. •Provide advice and guidance to general practice •Provide HCP education •Provide patient education and advice to improve self-care and management by respiratory patients, including advice and support around stopping smoking and appropriate use of medication and inhaler techniques. •Deliver an effective pulmonary rehabilitation service, improving completion rates. •Provide resources and tools to enable patients to better manage their condition themselves. •Ensure service users receive co-ordinated care that responds to their needs •To deliver affordable and Value for Money (VfM) primary medical care services.