Breakout 4.2 Primary Care management of COPD in Mansfield and Ashfield Nottinghamshire - Rachel Walters, Kirsty Ball

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Breakout 4.2 Primary Care management of COPD in Mansfield and Ashfield Nottinghamshire - Rachel Walters, Kirsty Ball
Respiratory Nurse Educator
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme

Published in: Health & Medicine
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Breakout 4.2 Primary Care management of COPD in Mansfield and Ashfield Nottinghamshire - Rachel Walters, Kirsty Ball

  1. 1. Primary Care Management of COPD in Mansfield and Ashfield Nottinghamshire Rachel Walters – Respiratory Nurse Educator Kirsty Ball – Support and Development ManagerLocal aims and objectives Reduce variation in management and Improve Reduce outcomes patient unplanned confidence in admissions self- management To improve the Reduce Primary Care Improve spend on management patient prescribing of patients experience with COPD Ensure all patients have accurate Improve skill, diagnosis, knowledge and treatment, self- confidence of management Primary Care Provide clinicians and an action appropriate plan resources to patients and staff 1
  2. 2. What did we do? Reviewed Trained the the COPD Identified Primary Care registers PharmacistsCOPD health (Respiratoryneeds in M&A on COPD Nurse and prescribing Pharmacist) Created Trained the resources for Completed Community Consulted patients and Respiratory Pharmacists on Breathe Easy inhaler Practice staff Nurse clinics technique (shadowed by Practice Nurses) Met with the Practices to Completed understand the staff training issues relevant for GPs and to them Nurses What did we find?After a notes review of 484 patients on the COPD Register:• 8% were removed from the Register• 42% needed a Respiratory Nurse ReviewAfter reviewing 128 of these patients in house:• 26.5% were removed from the COPD Register• 3.7% had an Asthma diagnosis added• 2.4% had an Asthma diagnosis removed• 66% had a medication change• 28% were offered Pulmonary Rehabilitation• 20% prescribed anticipatory meds and Action Plans given• 21% were referred for further investigations• 11% were referred to secondary care 2
  3. 3. What did we achieve?• Improved diagnosis and treatment of patients (value pyramid) • Non-pharmacological; flu vacc, smoking, PR, keeping active, Breathe Easy • Pharmacological• Improved patient knowledge about the disease and self- management (tested by the validated LINQ score)• Up-skilled and increased confidence of the Primary Care workforce• Comprehensive resource toolkit for Practices and patients• Reduced prescribing spend; saving of £40 per COPD patient on register 3
  4. 4. Thank you Rachel Walters Respiratory Nurse EducatorMansfield and Ashfield Respiratory Service Rachel.Walters@nottshc-chp.nhs.uk 4

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