IMPRESS Guide to Pulmonary Rehabilitation – Improving and Integrating Respiratory Services – December 2011

Posted on December 19, 2011. Filed under: Rehabilitation, Respiratory Medicine | Tags: |

IMPRESS Guide to Pulmonary Rehabilitation – Improving and Integrating Respiratory Services – December 2011

“IMPRESS was set up in 2007 as a joint initiative between the British Thoracic Society (BTS) and the Primary Care Respiratory Society-UK (PCRS-UK) to provide clinical leadership to the NHS to stimulate improvement and integration in respiratory services. The IMPRESS team now works closely with representatives from  primary and secondary care, nursing and medicine, public health, social care, providing and commissioning and the public.”

“Executive Summary

• Pulmonary rehabilitation (PR) reduces morbidity, mortality and hospital attendances in people with COPD disabled by their disease.
• PR should receive commissioning priority given its proven clinical and cost effectiveness and relative value compared to many of our other interventions
for COPD.
• The more components of the COPD pathway working together in an integrated multi-faceted programme, including an interface with self-management support, quit smoking support and oxygen assessment, the more likely there is to be a positive effect.
• This paper reviews the evidence, explains what PR is, how it works, its value and why it should be commissioned.
• It supplements the Commissioning Pack for COPD to be issued by the DH England, including a section on PR (due early 2012).
• It answers the questions asked by commissioners who may have no current service, a service with insufficient capacity, one that does not meet patient’s expectations, or one that is failing to achieve acceptable completion rates.”

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