Community Respiratory Services

• 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.