Chronic Obstructive Pulmonary Disease (health and wellbeing needs in South Tyneside)

Unmet needs

  • There is no clear model for a Smoke Free South Tyneside Hospital,
  • There isn't a clear pathway to help people stop smoking prior to elective surgery in South Tyneside,
  • There is no pulmonary rehabilitation provision for patients with an MRC score of < 3,
  • Community-based support for people with acute exacerbations and advice/ support on immediate response and "rescue" medications,
  • Support to help people (and carers) self-care and manage their conditions,
  • There is a fragmented COPD care model in South Tyneside and clearer connections between different elements of the pathway need to be made,
  • Lack of capacity in the pulmonary rehabilitation programme, and the pathways out of pulmonary rehabilitation into community-based services for exercise / wellness,
  • GP practices have highlighted a gap in clinical care for housebound patients with COPD. This was identified through a recent audit of GP practices as part of the Better Outcomes Scheme.
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