COPD Referral Pathway .uk



COPD Referral Pathway

A diagnosis of COPD should be considered in patients over the age of 35 who have risk factor (generally smoking) and who present with exertional breathlessness, chronic cough, regular sputum production, frequent winter 'bronchitis' or wheeze. The presence of airflow obstruction should be confirmed by performing post-bronchodilator spirometry.

(NICE clinical guideline 101 2010)

|Community COPD service |

|The centre of COPD care is in the community |

|Name |Criteria for inclusion |Referral Process |Availability |

|Admission Avoidance |Initial assessment performed by |Telephone our Single Point of Access |7 days a week Mon - |

| |primary care / community clinician|(SPA) on: |Fri: 8am - 8pm Weekends: |

| | |0117 903 0202 |9am - 5pm |

| | | | |

| |Clear acute diagnosis of COPD | | |

| |Stable observations | | |

| |Verbal consent from patient and | | |

| |their identified carers for | | |

| |community support | | |

| |Considered factors in NICE | | |

| |Guidelines (2010) e.g. adequate | | |

| |support at home | | |

|Pulmonary Rehabilitation |Adults over 18 years | |Monday - Friday |

| | | |3 programmes running concurrently |

| | |[pic] | |

| | | | |

| | | | |

| | |E-mail a referral form to: | |

| | |copd.referral@ | |

| |Respiratory diagnosis | | |

| |Functionally disabled by their | | |

| |breathlessness - MRC dyspnoea 3 or| | |

| |above | | |

| |Confirmed diagnosis of COPD | | |

|Community Oxygen Services |Patients in a stable condition >5 |Telephone our Single Point of Access |Monday - Friday Patients|

|for patients requiring |weeks post exacerbation |(SPA) on: |offered appointment within 2 working|

|Long-Term Oxygen Therapy | |0117 903 0202 |days of receiving the referral. Date|

| | | |of appointment - within 2 weeks |

| |Optimisation of respiratory | | |

| |medications | | |

| |Spirometry within 12 months |[pic] | |

| | |E-mail a referral form to | |

| | |copd.referral@ | |

| | | | |

| |Oxygen saturations 92% or below | | |

|HOT Clinic |Any adult patient with acute | |Monday - Friday 10:30am - 3pm |

| |respiratory symptoms who is |[pic] | |

| |threatening admission. See |BRI HOT Clinic Complete a referral | |

| |referral form for exclusion |form and fax to: 0117 342 | |

| |criteria. |2921 | |

| | | | |

| | |[pic] | |

| | |NBT HOT Clinic Complete a referral | |

| | |form and fax to: 0117 323 6073 | |

| | | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download