National Welsh Standard

Long term management of COPD

The aim of this programme is to optimise a patient with COPD according to the greatest-value interventions, thereby reducing exacerbations and hospital admissions and saving millions of pounds through correct inhaler prescribing.

Check out the All Wales guideline, TV show and tutorials on the long-term management of COPD in practice. When you are ready, navigate to the assessment to achieve the certificate.

NICE Quality standards [QS10]:

  1. People with chronic obstructive pulmonary disease (COPD) who are prescribed an inhaler have their inhaler technique assessed when starting treatment and then regularly during treatment.
  2. People with stable chronic obstructive pulmonary disease (COPD) and a persistent resting stable oxygen saturation level of 92% or less have their arterial blood gases measured to assess whether they need long‑term oxygen therapy (LTOT).
  3. People with stable chronic obstructive pulmonary disease (COPD) and exercise limitation due to breathlessness are referred to a pulmonary rehabilitation programme.
  4. People admitted to hospital for an acute exacerbation of chronic obstructive pulmonary disease (COPD) start a pulmonary rehabilitation programme within 4 weeks of discharge.

Tutorials

Confirming a diagnosis of COPD

Referral for high value interventions

Categorise the patient into three COPD phenotypes

The COPD Annual Review

Sub-tutorials

COVID-19 and underlying lung disease

The QALY Pyramid

The health benefits of quitting smoking

Pulmonary rehabilitation

ABCD Classification System for COPD

GOLD 2017 Guidelines

Single, Dual and Triple Therapy

Guidelines

All-Wales COPD Management and Prescribing Guideline

Resources

COPDhub: website

A free self management App developed by the experts from NHS Wales, to signpost your COPD patients

The QALY Pyramid

The London Respiratory Network, working with the London School of Economics developed an economic value model for COPD interventions, comparing the cost of each increased QALY for various COPD interventions. This is the QALY Pyramid.

Diagnosis and management of COPD in primary care

A guide for those working in primary care, produced by PCRS-UK, is endorsed by the Royal College of General Practitioners and the British Lung Foundation.

Respiratory (chest) physiotherapy for people with COPD

A patient information leaflet

Self management for patients with COPD (Cochrane Review)

Self management interventions help patients with chronic obstructive pulmonary disease (COPD) acquire and practise the skills they need to carry out disease-specific medical regimens, guide changes in health behaviour and provide emotional support to enable patients to control their disease.

Empowering Patients with COPD to access High Quality Care

In this publication by The Health Foundation, they set out a new model of patient engagement and education to help to foster more collaborative and sustainable improvements in Primary Care.

Global Strategy for the Diagnosis, Management and Prevention of COPD

The GOLD report has been used worldwide as a “strategy document” for healthcare professionals to use as a tool to implement effective management programmes based on local healthcare systems. The ABCD assessment tool has been used by many to structure their assessment of COPD symptom burden and create treatment plans.

Patient leaflet: National Exercise Referral Scheme

The National Exercise Referral Scheme (NERS) is a Welsh Government (WG) funded scheme which has been in development since 2006 to standardise exercise referral opportunities across all local authorities and Local Health Boards in Wales.

BTS Guideline on Pulmonary Rehabilitation in Adults

British Thoracic Society Pulmonary Rehabilitation Guideline Group

RightBreathe Inhaler prescribing information

There are over 120 inhaler device & drug combinations licensed for the treatment of respiratory disease in the UK and it can be challenging for clinicians and patients to identify the product which best meets individual needs.

Assessments

Long-term Management of COPD

45-minute case-based assessment

25 multiple choice questions

80% pass mark (20 out of 25)

Unlimited retakes

On successful completion, your certificate will appear under this tab.

Undertake Assessment

QI Projects

Providing High-Value Care

Promote the COPDhub App (Project ONE of TWO)

0%
completed

Overview of the project

This QI project will ensure that more patients are offered this high value intervention, and those who do not meet the criteria for pulmonary rehabilitation are advised to use the digital resources which contains a lot of valuable resources for patients with COPD.

Why is it important?

Data collected from GP practices across Wales suggest that only 56% of people with COPD have been referred for pulmonary rehabilitation.

Providing High-Value Care

Pulmonary Rehabilitation Referral (Project TWO of TWO)

0%
completed

Overview of the project

This is the second of two projects, which focuses on referring those patients who are functionally disabled by their breathlessness, to a formal pulmonary rehabilitation service.

Why is it important?

Data collected from GP practices across Wales suggest that only 56% of people with COPD have been referred for pulmonary rehabilitation.

Inhaler Technique Check

Promote the Healthhub apps (Project ONE of TWO)

0%
completed

Overview of the project

This is the first of two projects, which involves targeting all patients on the Asthma and COPD registers and letting them know about the digital resources available which demonstrate correct inhaler technique.

Why is it important?

Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.

Inhaler Technique Check

The Asthma and COPD Annual Review (Project TWO of TWO)

0%
completed

Overview of the project

This is the second of two projects in the series, which involves checking the inhaler technique of all patients with Asthma and COPD.

Why is it important?

Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.

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