By All-Party Parliamentary Group on Respiratory Health (2014)
The inquiry investigated why premature mortality from respiratory disease remains so high and how death rates could be improved. It focussed in particular on two conditions: COPD and asthma, which together affect around 6 million people in the UK. The report makes several recommendations.
By British Lung Foundation (2013)
This patient pathway aims to help people living with COPD, their carers and healthcare professionals identify the type of care COPD patients should be receiving, from diagnosis onwards. It also includes NICE Quality Standards and real-life best practice case studies from around the UK.
By Quality Watch (2013)
This QualityWatch Focus On report examines trends in emergency
admissions for ambulatory care sensitive conditions. Focus On reports
provide snapshots and longitudinal analyses of aspects of quality in a
particular area or areas of care.
By The King’s Fund (October 2013)
This paper focuses on a co-ordinated service delivery model – the ‘house of care’ – that aims to deliver proactive, holistic and patient-centred care for people with long-term conditions.
The house of care model differs from others by encompassing all people with long-term conditions and assuming an active role for patients. This paper calls on the Department of Health and NHS England to collaborate on a coherent approach to care planning for people with long-term conditions.
Vestbo, J. et al. The Clinical Respiratory Journal, 2012; 6(4): 208-214
The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has published a strategy for diagnosis and for management of chronic obstructive pulmonary disease (COPD) since 2001 and this has formed the basis for numerous national and regional guidelines.OBJECTIVES: We describe the background for the 2011 revision of the GOLD document.METHODS: The GOLD document is updated annually and revised every 5 years based on published research as well as an evaluation by an expert panel of how to best formulate and disseminate knowledge on COPD.RESULTS: The GOLD 2011 revision states that spirometry is required for making a clinical diagnosis of COPD. At the same time, the document has less emphasis on spirometric evaluation of disease severity and launches a combined assessment taking symptoms, spirometry and history of exacerbations into account. This is matched with initial treatment for COPD where smoking cessation, pulmonary rehabilitation and physical activity in general are given high priority followed by pharmacologic treatment guided by the novel assessment scheme. Comorbidities are often present in COPD and the GOLD 2011 revision gives some guidance in how to manage these as well as how to manage COPD in the presence of comorbidities.CONCLUSION: A more clinically oriented
GOLD document will hopefully improve assessment and management of COPD.
Contact your local NHS health library to request this article (NHS STAFF ONLY)
By NHS Improvment – Lung (2012)
This guide is based on learning from COPD and asthma service improvement projects. It aims to help future sites get started; make progress in improving quality; understand their use of resources; and measure improvement. It covers acute and primary care, home oxygen services, and asthma care.
By NHS Improvment Lung (2012)
This is a basic guide to the key principles every area should be adopting to provide good COPD care; if you do nothing else, start with these ten things and make sure they are in place for all your patients. It is also a helpful starting point for those new to commissioning for COPD services or for a stocktake for a local respiratory team.
By London and South East Regional Medicines Information Service (August 2012)
This annotated bibliography with 194 references is based on searches of the National Electronic Library for Medicines (NeLM), Medline, Google Scholar and publishers’ websites. The use of inhaled therapy is of great importance in the treatment of asthma, COPD and other respiratory conditions. However, a substantial percentage of users of inhaler devices worldwide have been found to have inadequate technique or to make critical errors, which means that they do not obtain full benefit from their medication. Despite attention by researchers and the introduction of new types of device, real life use of inhalers seems to have made little progress over the past thirty years.
Lomundal B.K. et al. International Journal of Chronic Obstructive Pulmonary Disease, 2012; 7: 87-93
This article investigates the long-term effects 4 years after the end of a 1-year self-management program (SMP) with 30 hours of education and 16 hours of physical activity in patients with chronic obstructive pulmonary disease (COPD).
Glaab T. et al. International Journal of Chronic Obstructive Pulmonary Disease, 2012; 7: 101-108
Little is known about the role of guidelines for the practical management of chronic obstructive pulmonary disease (COPD) by office-based pulmonary specialists. The aim of this study was to assess their outpatient management in relation to current guideline recommendations for COPD.