1. COPD Discharge Bundle Project Jo Congleton Clinical Lead
KSS AHSN
COPD Discharge Bundle Project
Jo Congleton Clinical Lead

2. KSS Respiratory Programme
Oxygen Clinical Network: 81
and Breathing Matters Distribution list: 895
PR Clinical Network: 108
Virtual NHS Network: 397
Twitter followers: 569
11 acute trusts
16 acute sites
Respiratory Expert Advisory Group: 24
So we believe we can work well to help deliver the AHSN objectives of reducing variation, reducing unscheduled care, increasing research capacity, and wealth creation
KSS Respiratory Programme

4. 30day re-admission rate stable since 2012-13 at 23%

5. COPD Discharge Bundle Project
Collaborative event to explore enthusiasm for COPD discharge bundle 23/1/2014
Evidence presented
Proposal to introduce EQ COPD discharge bundle in Kent, Surrey & Sussex - accepted
Wording of Bundle, data dictionary agreed
Reporting tool developed
Data collection commenced October 2014

6. COPD Discharge Bundle Elements
Referral to smoking cessation service if a current smoker
An assessment of suitability for and enrolment into a pulmonary rehabilitation programme
Provision of written information and rescue packs for future exacerbations
Ensure that patient can demonstrate good inhaler technique whilst on the wards
Ensure that they have appropriate follow up once discharged from hospital

7. % of HES coded COPD admissions with bundle data reported

8. ACS = % with all elements delivered CQS = % of total elements delivered

9. Summary Data: % of reported patients who receive:
Oct 2014
Oct2015
Inhaler technique
24%
49%*
Written information/action plan 9%
40%
Rescue Pack
27%
Smoking cessation
59%
72%*
Refer PR
47%
Follow up
47%*
All elements 4%
25%
* Significant change at P=0.05 level

10. Readmission trend before and after bundle

11. Problems 3/11 trusts not reporting Rescue medication
Coding, coding, coding

12. Conclusion
It is possible to implement a more unified approach to delivery across a large geographical area
We plan to continue to assess impact on outcome measures