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Working Together as a Respiratory Community

Working Together as a Respiratory Community. June Roberts. How will we. Find our missing COPD millions? Support non specialists to make accurate diagnoses? Support prescribing practice in line with NICE /BTS guidelines?

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Working Together as a Respiratory Community

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  1. Working Together as a Respiratory Community June Roberts

  2. How will we.... • Find our missing COPD millions? • Support non specialists to make accurate diagnoses? • Support prescribing practice in line with NICE /BTS guidelines? • Ensure pulmonary rehabilitation is available for all our patients who need it - and encourage referrals.? • Develop systems to minimise the risk of exacerbations , hospitalisations and LOS for our patients? • Identify and support those with end stage disease?

  3. Current State Driving Forces Resisting Forces Desired State Lewin, 1951 Force Field Analysis

  4. Clinical Leadership • Data collection and repository - 3D picture • Stakeholder engagement – regional boards • Prioritise work streams • Identify and disseminate best practice

  5. Service organisation • One unit had no permanent Respiratory Physician • 9/27 (30%) units never meet with PCT • 5/27 (19%) meet on PRN basis • Others meet between 1-12 times per year • Six units have no clinical Oxygen lead

  6. Stakeholder Mapping

  7. Local data and clinical acumen

  8. Change = 0pportunity • We do some things well • We do some things badly • We would like to do more

  9. Final Thoughts............. • Use local data to stimulate discussion • Communication and engagement • Learn from others • Set standards • Work with commissioners and providers to improve quality and release productivity savings

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