1. Working Together as a Respiratory Community
June Roberts

2. How will we.... Find our missing COPD millions?
Support non specialists to make accurate diagnoses?
Support prescribing practice in line with NICE /BTS guidelines?
Ensure pulmonary rehabilitation is available for all our patients who need it - and encourage referrals.?
Develop systems to minimise the risk of exacerbations , hospitalisations and LOS for our patients?
Identify and support those with end stage disease?
Ensure our local workforce to have the knowledge, skills and confidence to care for and support people with COPD?
NOTES FOR PRESENTERS:
These questions are suggestions that have been developed to help provide a prompt for a discussion at the end of your presentation – please edit and adapt these to suit your local situation.
Additional questions:
How does our service for patients needing non-invasive ventilation compare with the guideline recommendations?

3. Current State Desired State Driving Forces Resisting Forces
Lewin, 1951 Force Field Analysis

4. Clinical Leadership Data collection and repository - 3D picture
Stakeholder engagement – regional boards
Prioritise work streams
Identify and disseminate best practice

5. Service organisation One unit had no permanent Respiratory Physician
9/27 (30%) units never meet with PCT
5/27 (19%) meet on PRN basis
Others meet between 1-12 times per year
Six units have no clinical Oxygen lead

6. Stakeholder Mapping

7. Local data and clinical acumen

8. Change = 0pportunity We do some things well We do some things badly
We would like to do more

9. Final Thoughts............. Use local data to stimulate discussion
Communication and engagement
Learn from others
Set standards
Work with commissioners and providers to improve quality and release productivity savings