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COPD in Primary Care

COPD in Primary Care. Andrew Riddoch GP Dorchester New NHS commissioning structure Pan Dorset Respiratory plan Happy to take any questions. Pulmonary Rehabilitation. Equitable Provision QIPP funded Non Heath care environment MRC3 Breathlessness Post discharge

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COPD in Primary Care

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  1. COPD in Primary Care • Andrew Riddoch GP Dorchester • New NHS commissioning structure • Pan Dorset Respiratory plan • Happy to take any questions

  2. Pulmonary Rehabilitation • Equitable Provision • QIPP funded • Non Heath care environment • MRC3 Breathlessness • Post discharge • Available on Choose and Book

  3. Pulse Oximeters • 92 distributed and more to come • Changing COPD care • Reliability • Stand equipment for Primary care assessment

  4. Know-it, Check it, Treat-it • Public Health Campaign • Working with Pharmaceutical company support • Information, health screening, referral into Primary care

  5. V. Ws(Virtual Wards) • MDT for frail elderly patients • GP Practice based • Multidisciplinary-Drs, Nurses, CRT members, community matrons, social services, secretarial support • Continuity of care • Time consuming-meeting pressures-adjacent to Palliative care meeting, crossover patients • RISC tool, case finding and prioritisation

  6. Tele-health • Controversial • Centrally funded • Innovation • Starting before April 2012 • Patient selection • Clinician engagement

  7. Professional Learning • Clinical leadership • Networks • Online learning • Significant events • GPs Understanding Spirometry • Palliative care skills

  8. Oxygen Prescribing • Audits and reviews in Primary care • Keeping track of the Track the contract • Clinical support • “Prescribers Guide to Home Oxygen Therapy” for free copies Jennifer.REDFERN@airliquide.com • Oxygen Prescribing teaching session in you Practice or Locality from Heather Chaytor • Hypoxia not Breathlessness

  9. Referral Management • Pathways • Performance Data • Financial drivers • Clinical Challenge and feedback

  10. Primary Care Prescribing for COPD • Clear Guidance • Steroids • Antibiotics • New Medication Pharmacy reviews

  11. Smoke-stop • Firm line • Smoke-stop referral • Smoke- stop Prescribing

  12. Working Together • Primary and secondary care • Commissioner and Provider • Health carer and Patient • NHS and commercial

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