BREATHE PULMONARY REHAB

What is pulmonary rehabilitation (PR) According to NICE (2010) PR is: An MDT programme of care for patients with chronic respiratory impairment Individually tailored Designed to optimise the individual’s physical and social performance and autonomy Physical training, disease education, nutritional, psychological and behavioural intervention.

Who is appropriate for Breathe? Confirmed diagnosis of a chronic respiratory disease Functionally disabled by respiratory disease (MRC Dyspnoea Score > 3) Cardiovascularly stable Compliant with clinical management

Aims of Breathe Increase exercise tolerance & functional ability Reduce/control dyspnoea & disability Improve quality of life Promote self management & independence Promote long term commitment to exercise Reduce hospital admissions & cost to the NHS

Current Breathe Clinic Sites Venue Address Day of the Week PR Class Time Walton Corner Stone 2 Liston Street, Walton L4 5RT Mondays 12.30 – 2.30pm The Breckfield and North Everton Sports Centre (The Breckfield Gym) Mere Lane, Anfield L5 4QT   2 – 4pm Ellergreen Community & Early Years Centre Ellergreen Road, Norris Green L11 2RY Tuesdays Oakvale Church Edge Lane Drive, Broadgreen L13 4AD Wednesdays Ropewalks Health Centre 28 Argyle Street L1 5DL Thursdays 11 am – 1pm Therapies Department The Liverpool Heart and Chest Hospital Broadgreen L14 3PE For patients on oxygen and ambulance patients only 1.30 – 3.30pm (ambulance patients) 2.30 – 4.30pm (own transport patients) Bridge Chapel Centre Heath Road, Allerton L19 4XR Fridays 1 – 3 pm Speke Neighbourhood Health Centre 75 South Parade, Speke L24 2SF BODY COPY

Core Principles of Breathe Exercise Self-Management Education

Physical Deconditioning: The Negative Inactivity Spiral BODY COPY

Exercise and Dyspnoea: The Positive Activity Spiral BODY COPY

What’s Different about BREATHE? Traditional PR pathway+ Evidence based MECC – Brief Interventions Flexible programme (access, t/f, on hold scheme) Bespoke modules of care - pods Provide bespoke CRD education and exercise Hands on intervention Link in with other health/social care/voluntary services to ensure true holistic care Stepping stone for further progress for life style changes Ongoing support and access to care

BREATHE HEP Format Endurance training for functional gains Strength training for specific activities Respiratory muscle training and chest clearance routine Progressive exercise prescription

Aims of Self-Management Education Know and understand their condition Understand what different medication are for Know how and when to use different medication Know what is “normal” for them in terms of symptoms Can recognise when symptoms are worsening Know what to do when symptoms are worsening Know who to contact and how to contact them when symptoms are worsening Know when to call for emergency help Know what support is available

How Do We Know BREATHE Works Patient testimonials Outcome measures

How do We Know BREATHE Works. 20 How do We Know BREATHE Works? 20.0% improvement in respiratory disability BODY COPY

How do We Know BREATHE Works? 29.4% improvement in distance walked BODY COPY

How do We Know BREATHE Works. 20 How do We Know BREATHE Works? 20.0% improvement in managing breathlessness during daily tasks BODY COPY

How do We Know BREATHE Works? 22.2% and 25.0% improvement in anxiety and depression BODY COPY

How do We Know BREATHE Works. 22 How do We Know BREATHE Works? 22.6% improvement in disease and self-management knowledge BODY COPY

Contact the BREATHE team on: Thank You for Your Time and Attention Any Questions? Contact the BREATHE team on: 0151 600 1950 or Breathe.lhch@nhs.net