Pulmonary rehabilitation

1
Pulmonary rehabilitation
Multi-disciplinary programme of care for
patients with chronic respiratory impairment that
is individually tailored and designed to optimise
the individuals physical and social performance
and autonomy NICE Clinical Guideline 12
(2004) Chronic obstructive pulmonary
disease Management of COPD in adults in primary
and secondary care
2
NICE (2004)

• Be available to all appropriate patients with
  COPD
• To be offered to all patients who consider
  themselves to be functionally disabled by COPD

3
NICE (2004)

• To be effective
• Held at times that suit patients
• In buildings that are easy to get to
• Disabled access
• Short waiting times

4
NICE (2004)

• Patients should be aware of
• Time commitment
• benefits

5
NW London Hospitals

• Hemel Hempstead
• Hillingdon
• Northwick Park
• Royal Brompton
• St. Marys
• Watford
• West Middlesex

• Barnet
• Central Middlesex
• Chelsea and Westminster
• Ealing
• Hillingdon
• Hammersmith
• Harefield

6
PR In hospital

• Harefield
• Royal Brompton
• St. Marys

7
PR another hospital

• Chelsea and Westminster
• Hammersmith

8
PR in community
9
PR no facilities

• Hemel Hempstead
• Hillingdon
• Northwick Park

10
LTOT Provision

• Chelsea and Westminster
• Hammersmith
• Harefield
• Hemel Hempstead
• Hillingdon
• Northwick Park
• St. Marys
• Royal Brompton

11
Ambulatory Oxygen

• Chelsea and Westminster
• Harefield
• Hammersmith
• Hemel Hempstead
• Hillingdon
• Royal Brompton
• St Marys possibly

12
Unknown facilities

• Barnet
• Central Middlesex
• Ealing
• Watford
• West Middlesex