Respiratory audit 318 referrals reviewed
Categories referred
Who would have been best to care for patient
Ability to care for in primary care
Weighted ability to care for in primary care
How do we investigate breathlessness to: -Reach a diagnosis -Not miss anything -Reassure the patient -Diagnosis mostly -Asthma, COPD, Bronchiectisis, Rhinitis
How do we Investigate Cough to: -Reach a Diagnosis -Not miss anything -Reassure the patient -Diagnosis -Reflux (most common) no diagnosis, asthma, bronchiectisis
Allergy When is investigation helpful? Mostly could have prevented Rhinitis and Angioedema
COPD -Confidence that we are doing everything possible ? Involve COPD team -Query asthma -Confidence in our own ability to investigate and rule out a diagnosis
Questions What more could we have done within primary care? What areas could a lead GP take on? What categories would you have felt comfortable have managing in general practice? What areas would you like guidelines on on DXS?