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COPD presentation


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COPD presentation

  1. 1. South London Practice Nurse Launch Event 3rd November 2011 Matthew Hodson & Kirsty Barnes HEIC COPD Fellows
  2. 2. A play of 2 halfs• Introduce to ACERs Team• Integration & Challenges• Organisation & Wider Picture in COPD• Resources• The Shine Project
  3. 3. Introducing ACERS Acute COPDEarly Response Service Matthew Hodson Nurse Consultant ACERS Homerton University Hospital
  4. 4. Setting the scene in Hackney
  5. 5. COPD is projected to be the third biggest killer by 2020 1990 2020 Ischaemic heart disease CVD disease Lower respiratory infection 3rd Diarrhoeal disease Perinatal disorders COPD 6th Tuberculosis Measles Stomach cancer Road traffic accident HIV Lung cancer Suicide Murray & Lopez 1997
  6. 6. Diagnosis• Generally over 40 years1• A smoker or ex-smoker (remember passive smoking)• Presentation with: • cough • excessive sputum • dyspnoea (most common)• Spirometry • FEV1/FVC < 70% • FEV1 – As per 2010 Guidelines 1. NICE 2010
  7. 7. No. of patients discharged with a diagnosis of COPD 900 800 830 700 600 587 617 500 508 531 400 380 300 200 100 0 2000 2001 2002 2003 2004 2005 2006 2007 Year
  8. 8. Service Model• Primary Care Support• Community Based Rapid Response• Emergency Department Intervention• Early Supported Discharge• Community Clinics• Education• End of Life Pathway
  9. 9. Service PhilosophyTo provide a comprehensive, integrated, responsive community-focused COPD service, for acute exacerbations and ongoing chronic disease management, which meets the diverse needs of City & Hackney patients in a sustainable and timely manner.
  10. 10. Who are we?• 1 wte Nurse Consultant – Matthew Hodson• 2 wte COPD Specialist Nurses• 4 wte COPD Senior Staff Nurses• 2 wte COPD Specialist Physiotherapists• 1 wte COPD Team Administrator• Medical Consultant LeadBase: Respiratory Offices, Homerton Hospital
  11. 11. Patient GP Other Practice health professionals nurse ACERSCommunity ClinicMatron Emergency Department Medical Wards
  12. 12. ACERS Core Features• Opening Hours (7 days, 8 am – 7 pm)• Response Time (<4 hrs for community referral)• Length of Care Package for H @ H within the community (approx< 8 days)• Focus on 30 and 90 days post exacerbation• Referral in to PR – ASAP after exacerbation• Medical Support (Close links with hospital team)
  13. 13. Clinical Responsibility• ACERS have regular contact with Respiratory Consultant and SpR• Easy access to hospital diagnostics• Regular communication with Practice Nurse & GP• GP asked for input with non-respiratory problems when appropriate
  14. 14. Hospital @ Home• Admission Avoidance – SOS Calls• Early & Supportive Discharge• Links with Other Local Acute Hospitals• Acute Intervention• Weekly MDT & Links with Respiratory Team• Up to 14 days intervention (HV/Telephone)• Physiotherapy Intervention• Post exacerbation PR offered
  15. 15. Specialist COPD Case Management• Level 1 & 2 COPD case management• Proactive disease management can make a real difference to patients with a single condition provided by a specialist team• COPD main long term condition• Support generic workforce in managing COPD in community links with practice nurse• Focus on 30 and 90 day follow-up – single pathway
  16. 16. Community Clinics• Diagnostic and therapeutic support to practices• Assist in case detection / diagnosis• Follow up of exacerbations seen at home• Advise in the management of “difficult” problems• Location Homerton Hospital
  17. 17. Education• Support LES and Non LES practices in providing direct education to the practice in COPD.• In practice join COPD Clinics with PN• Named COPD Nurse links with Practice Nurse• Direct Access to COPD Healthcare professional – Via fax spirometry / phone• Email Advice
  18. 18. Education - Challenges • Key – self management • Understanding and accepting diagnosis • New diagnosis – where does it start? • NICE 2010 Guidelines – update • Rescue Packs • Variety of inhaler choices – but why and MDI? • Annual Reviews – making changes
  19. 19. Multidisciplinary working – COPD care should be delivered by a multidisciplinary team that includes respiratory nurse specialists & Specialist Ward Nurses – Consider referral to specialist departments (not just respiratory physicians) Specialist department Who might benefit? Physiotherapy People with excessive sputum Dietetic advice People with BMI that is high, low or changing over time Occupational therapy People needing help with daily living activities Social services People disabled by COPD Multidisciplinary palliative People with end-stage COPD (and their care teams families and carers) [2004]
  20. 20. Organisational Aspects and key messages in COPD
  21. 21. Focus of COPD Care
  22. 22. Outcomes that matter• Improved Survival• Earlier and Accurate Diagnosis• Improved Quality of Life• Slower disease progression• Reduced exacerbation rate• Reduce hospital admission & re-admission rates• High Quality End of Life care• Patient centred quality care
  23. 23. What does patient centred COPD care look like Practice nurse Community GP Matron
  24. 24. Improving Outcomes for Patients
  25. 25. Key Messages to bottle up ..• Earlier Diagnosis• Smoking as treatment for COPD• Responsible Prescribing• Pulmonary Rehabilitation• Responsible oxygen prescribing• Living with advanced COPD
  26. 26. …but now what do with them? • Recognise that there is fantastic work already happening within current work places. • Integration across primary and secondary care is key in improving the patient pathway: - join up working - reduce repetition - no silo working - patient centred care
  27. 27. Quality COPD Service• Proactive and opportunistic case finding to minimise the impact of late diagnosis on individuals and the healthcare system• Quality assured, accurate diagnosis and assessment of severity and ongoing monitoring and review of the condition through a proactive chronic disease management model.• People with COPD are screened, assessed and managed with pharmacological and non-pharmacological interventions in line with NICE/quality guidelines• People with COPD are educated and supported in the management of their condition so that they can become active partners in care.• Effective prevention and management of exacerbations and of hospital Admissions• Effective palliative, end of life care and bereavement support for people with COPD
  28. 28. Support & Resources Available
  29. 29. Many available..• Contact your local COPD or Respiratory Specialist within your local hospital or Community Health Services• Explore the hospital or community website – use COPD as a search term• Identify your oxygen champion• Who is leading on Pulmonary Rehabilitation within your local area
  30. 30. National & Resources• National Institute for Clinical Excellence – NICE 2010 Update Guidelines for the management of COPD in primary and secondary care• British Lung Foundation• Primary Care Respiratory Society (PCRS)• NHS Improvement Programme – Lung Work stream• NHS London Respiratory Team• IMPRESS (BTS and PCRS)• Association of Respiratory Nurse Specialist
  31. 31. NHS London Respiratory
  32. 32. NHS Lung Improvement Programme•
  33. 33. National COPD Project• Prevent COPD readmissions• In line with NICE guidance – Self Management Plans – Rescue Packs • Antiobiotic: change in sputum colour • Corticosteroid: ↑ breathless and/or wheeze• Admissions 1º Δ of COPD Exacerbation• NICE: all patients who have had an exacerbation OR are at risk of an exacerbation should get a self mx plan & rescue medicines
  34. 34. Department of Health
  35. 35. Primary Care Respiratory Society /
  36. 36. And finally… Even after the COPD Annual Reviewwith the Practice Nurse the nextday the patient presents to the ED department and says…
  37. 37. Acknowledgements Team Dr A Bhowmik Respiratory Consultant Jane Osei-Wusu COPD Clinical Nurse Specialist Ailsa Dann COPD Clinical Physiotherapist Arthur Tadique COPD SSN Edmer Sayat COPD SSN Aminata Gbla COPD SSN Aziza Zina & Team Team Administrator • Nancy Hallett – Chief Executive • John Coakley – Medical Director • Dylan Jones – General Manager for Medicine • Louise Olley – Head of Nursing GEM • Mervyn Freeze – Assistant GM
  38. 38. Kirsty BarnesHEIC COPD Physiotherapist
  39. 39. NECLES HIEC • Reducing door to mask time for type 2 respiratory Lung failure Improvement Projects • Reducing readmissions through provision of self management packs • Research to develop the first COPD Patient Reported Experience PREMs Measure • For sub- acute and community dwelling patients • Benchmarking quality and cost of COPD care across A Year in the 4 boroughs in ONEL Life • Providing targeted and free training opportunities for Primary Care Clinicians
  40. 40. A Year in the LifeDashboards of COPD Training opportunities Building sustainablequality care indicators delivered: changes through circulated: Accredited spirometry networks: Co- production of training, COPD Building awareness of dashboards and masterclasses, Practice quality interventions templates nurse mentorship in Making connections Using data to drive COPD management & between teams improvements spirometry clinics, issuing self management Facilitating COPD leads plans to continue improvement process
  41. 41. Data dashboards for smokingstatus, severity of disease, annual reviews performed
  42. 42. Datadashboards onappropriate PR referrals and self management plans issued
  43. 43. COPD training opportunities• Accredited spirometry training• Practice Nurse mentorship in COPD management• COPD masterclasses• Performing the COPD annual review and issuing a self management plan• Consultant education sessions in Practice
  44. 44. Thank you Questions?