Table of contents

Recommendations for Commissioning

Adults :: COPD :: Recommendations for Commissioning

• Implement strategies for targeted case-finding to find Medway's share of the 'missing millions' and reduce the gap between recorded and estimated prevalence.
• Improve access to accredited spirometry services at diagnosis
• Implement Personal Care Plans (to include COPD information, self- management, and signposting to other relevant services).
• Improve referral and uptake of smoking cessation services for COPD patients.
• Redesign the urgent care pathway for confirmed COPD patients to ensure quicker access to secondary care assessment thereby avoiding unnecessary hospital admission.
• Improve and increase access to pulmonary rehabilitation.
• A COPD audit should be undertaken for case-finding and hospital admissions to assess the impact of the implementation of the recommendations and highlight areas in the COPD pathway where further improvements can be made.