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COPD teams lead by example

The Trust’s Chronic Obstructive Pulmonary Disease (COPD) teams have been recognised for their best practice by the Royal College of Physicians National COPD Audit Programme.

Since April 2017 all acute trusts in England have been required to enter national audit data on every patient admitted to hospital with an acute exacerbation of COPD.

This data is used to monitor the quality of COPD care delivered at different hospitals across the country, and allows comparison between different hospital trusts. Caroline Everett, Respiratory Consultant, explained: “The respiratory specialist nursing teams work extremely hard to review patients admitted acutely to York and Scarborough hospitals with exacerbation of COPD.

“They aim to review patients within 24 hours of admission and ensure that a ‘bundle’ of the vital elements of high quality COPD care are delivered to each patient.

“Many of these elements of care such as ensuring inhaler technique is correct, giving advice and support on smoking cessation, or referring patients for pulmonary rehabilitation are known to improve outcomes and reduce re-admissions for COPD patients. These would often be inadvertently missed without the intervention of the respiratory nursing teams. “Together with their admin support workers the nurses also ensure that information on this care is documented in the patient’s record and communicated with community and primary care teams at the time the patient is discharged from hospital.

“The results from the first quarter year of National Audit of this activity has confirmed that our Trust has met the required standard for best practice and is one of only 32 hospitals nationally to achieve this. This is entirely due to the hard work and dedication of the respiratory nursing teams at both hospital sites.”

As well as having entered a substantial number of patient records, the team in York were also commended for their spirometry results. This is the test used to help diagnose and monitor certain lung conditions by measuring how much air people breathe out in one forced breath. The team will share their best practice to support hospitals who are struggling in this area.

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