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NACAP Pulmonary Rehabilitation 2021 Organisational AuditNACAP Pulmonary Rehabilitation 2021 Organisational Audit - Full data file CSV

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Region	Integrated Care System (ICS)	Trust name	Pulmonary rehabilitation (PR) service name	PR offered to people with COPD with the following self-reported Medical Research Council (MRC) grades: 1	PR offered to people with COPD with the following self-reported MRC grade: 2	PR offered to people with COPD with the following self-reported MRC grade: 3	PR offered to people with COPD with the following self-reported MRC grade: 4	PR offered to people with COPD with the following self-reported MRC grade: 5	PR offered to people with COPD who have previously completed a PR programme	PR offered to people discharged from hospital with a diagnosis of acute exacerbation of COPD (AECOPD)	PR offered to people with long-term conditions other than COPD	Programme structure	Typical duration of centre-based PR programme(s): 4 weeks	Typical duration of centre-based PR programme(s): 5 weeks	Typical duration of centre-based PR programme(s): 6 weeks	Typical duration of centre-based PR programme(s): 7 weeks	Typical duration of centre-based PR programme(s): 8 weeks	Typical duration of centre-based PR programme(s): More than 8 weeks	Number of supervised centre-based PR sessions people are expected to attend per week: 1	Number of supervised centre-based PR sessions people are expected to attend per week: 2	Number of supervised centre-based PR sessions people are expected to attend per week: 3	Number of supervised centre-based PR sessions people are expected to attend per week: More than 3	Home-based PR programme offered	All people attending home-based PR programme are offered initial and discharge assessments	People attending home-based PR programme are offered supervised PR sessions in their homes	Typical duration of home-based PR programme: 4 weeks	Typical duration of home-based PR programme: 5 weeks	Typical duration of home-based PR programme: 6 weeks	Typical duration of home-based PR programme: 7 weeks	Typical duration of home-based PR programme: 8 weeks	Typical duration of home-based PR programme: More than 8 weeks	Number of supervised home-based PR sessions offered per week: 1	Number of supervised home-based PR sessions offered per week: 2	Number of supervised home-based PR sessions offered per week: 3	Number of supervised home-based PR sessions offered per week: More than 3	People sent information about PR programme prior to their initial assessment	Funded transport available	Measures of exercise capacity used at assessments or referred to as outcome measures: Endurance shuttle walk test (ESWT)	Measures of exercise capacity used at assessments or referred to as outcome measures: Incremental shuttle walk test (ISWT)	Measures of exercise capacity used at assessments or referred to as outcome measures: Sit-to-stand (STS)	Measures of exercise capacity used at assessments or referred to as outcome measures: Six minute walk test (6MWT)	If 6MWT, number of sites that use a 30-metre course to conduct the 6MWT	Muscle strength is measured at assessment	Measures collected at initial and discharge assessment include: Activities of daily living scale	Measures collected at initial and discharge assessment include: Hospital Anxiety and Depression Scores	Measures collected at initial and discharge assessment include: Knowledge gained during education	Measures collected at initial and discharge assessment include: Other psychological status scores	Measures collected at initial and discharge assessment include: Patient satisfaction	Measures collected at initial and discharge assessment include: Patient experience	Measures collected at initial and discharge assessment include: Physical activity	Measures collected at initial and discharge assessment include: None of these measures are collected	Aerobic training is offered as part of the PR programme	Types of aerobic training offered as part of PR programme: Cycling	Types of aerobic training offered as part of PR programme: Walking	Types of aerobic training offered as part of PR programme: Other	Aerobic training is individually prescribed	Method(s) used to prescribe aerobic training: Borg or perceived exertion scores	Method(s) used to prescribe aerobic training: Endurance shuttle walking test (ESWT) level from ISWT	Method(s) used to prescribe aerobic training: From six-minute walk test (6MWT)	Method(s) used to prescribe aerobic training: From incremental shuttle walk test (ISWT)	Intensity of aerobic exercise prescription used	Resistance training is offered during PR programme	Resistance training is individually prescribed	Method(s) used to prescribe resistance training: Borg or perceived exertion scores	Method(s) used to prescribe resistance training: Measurement of 1RM or strength	Method(s) used to prescribe resistance training: Other	People are advised to do unsupervised home exercise during their PR programme as part of centre-based programme	People are advised to do unsupervised home exercise during their PR programme as part of home-based programme	Number of hours of education scheduled during a centre-based PR programme	Number of hours of education scheduled during a home-based PR programme	Method of providing education (both centre and home-based programmes): CD	Method of providing education (both centre and home-based programmes): DVD	Method of providing education (both centre and home-based programmes): Face-to-face group education sessions	Method of providing education (both centre and home-based programmes): Virtual group sessions	Method of providing education (both centre and home-based programmes): Information on dedicated website	Method of providing education (both centre and home-based programmes): Written handouts	Method of providing education (both centre and home-based programmes): Telephone	Method of providing education (both centre and home-based programmes): Other	Staff involved in delivery of face-to-face or virtual group education sessions : Clinical psychologist	Staff involved in delivery of face-to-face or virtual group education sessions : Dietician	Staff involved in delivery of face-to-face or virtual group education sessions: Exercise physiologist	Staff involved in delivery of face-to-face or virtual group education sessions: Fitness instructor	Staff involved in delivery of face-to-face or virtual group education sessions: Health care/therapy assistant	Staff involved in delivery of face-to-face or virtual group education sessions: Health psychologist	Staff involved in delivery of face-to-face or virtual group education sessions: Occupational therapist	Staff involved in delivery of face-to-face or virtual group education sessions: Pharmacist	Staff involved in delivery of face-to-face or virtual group education sessions: Physiotherapist	Staff involved in delivery of face-to-face or virtual group education sessions: Registered nurse	Staff involved in delivery of face-to-face or virtual group education sessions: Respiratory physician	Staff involved in delivery of face-to-face or virtual group education sessions: Respiratory physiologist	Staff involved in delivery of face-to-face or virtual group education sessions: Social worker	Staff involved in delivery of face-to-face or virtual group education sessions: Technical instructor	Staff involved in delivery of face-to-face or virtual group education sessions: Volunteer	Staff involved in delivery of face-to-face or virtual group education sessions: Other	Topics covered in face-to-face or virtual group education sessions: Advance directives	Topics covered in face-to-face or virtual group education sessions: Anatomy, physiology, pathology—in health and in chronic respiratory disease	Topics covered in face-to-face or virtual group education sessions: Anxiety management and relaxation	Topics covered in face-to-face or virtual group education sessions: Benefits system and welfare rights	Topics covered in face-to-face or virtual group education sessions: Chest clearance techniques	Topics covered in face-to-face or virtual group education sessions: Confidence, self-efficacy and self-management	Topics covered in face-to-face or virtual group education sessions: Dyspnoea/symptom management	Topics covered in face-to-face or virtual group education sessions: Energy conservation/pacing	Topics covered in face-to-face or virtual group education sessions: Exacerbation management (including coping with setbacks and relapses)	Topics covered in face-to-face or virtual group education sessions: Goal setting and rewards	Topics covered in face-to-face or virtual group education sessions: Identifying and changing beliefs about exercise and health related behaviours	Topics covered in face-to-face or virtual group education sessions: Loving relationships/sexuality	Topics covered in face-to-face or virtual group education sessions: Managing travel	Topics covered in face-to-face or virtual group education sessions: Medication (including oxygen therapy)	Topics covered in face-to-face or virtual group education sessions: Nutritional advice	Topics covered in face-to-face or virtual group education sessions: Opportunities to exercise after PR	Topics covered in face-to-face or virtual group education sessions: Patient support groups	Topics covered in face-to-face or virtual group education sessions: Relaxation	Topics covered in face-to-face or virtual group education sessions: Smoking cessation	Topics covered in face-to-face or virtual group education sessions: The benefits of physical exercise	Topics covered in face-to-face or virtual group education sessions: Use of self-management plans	Topics covered in face-to-face or virtual group education sessions: Other	People routinely provided with an individualised, structured, written plan for ongoing exercise maintenance	Type of organisation that provides service: Community interest company (CIC)	Type of organisation that provides service: Council	Type of organisation that provides service: Integrated Care Organisations (ICO)	Type of organisation that provides service: Local authorities	Type of organisation that provides service: NHS acute trust	Type of organisation that provides service: NHS Health Board	Type of organisation that provides service: NHS non-acute/community trust	Type of organisation that provides service: Private healthcare provider	Type of organisation that provides service: Primary care network	Service has fixed-term funding	Service has non-fixed term funding	Designated clinical lead available for service	Grade and WTE of designated clinical lead: Doctor	Grade and WTE of designated clinical lead: Qualified nurse	Grade and WTE of designated clinical lead: Qualified occupational therapist	Grade and WTE of designated clinical lead: Qualified physiotherapist	Designated clinical lead receives dedicated sessional time to coordinate & manage/develop the service	Grade and WTE of funded admin & clerical post(s)	Grade and WTE of funded diet & nutritionist posts)	Grade and WTE of funded exercise practitioner post(s)	Grade and WTE of funded healthcare support worker post(s)	Grade and WTE of funded pharmacist post(s)	Grade and WTE of funded psychologist post(s)	Grade and WTE of funded qualified nurse post(s)	Grade and WTE of funded qualified physiotherapist post(s)	Grade and WTE of funded qualified occupational therapist post(s)	Grade and WTE of funded therapy assistant post(s)	Current WTE of all staff vacancies at service	Designations of non-funded staff who contribute to the service: Admin and clerical	Designations of non-funded staff who contribute to the service: Community exercise instructor	Designations of non-funded staff who contribute to the service: Dietician/Nutritionist	Designations of non-funded staff who contribute to the service: Exercise practitioner	Designations of non-funded staff who contribute to the service: Healthcare support worker	Designations of non-funded staff who contribute to the service: Lay person / patient representative	Designations of non-funded staff who contribute to the service: Pharmacist	Designations of non-funded staff who contribute to the service: Physician	Designations of non-funded staff who contribute to the service: Psychologist	Designations of non-funded staff who contribute to the service: Qualified nurse	Designations of non-funded staff who contribute to the service: Qualified physiotherapist	Designations of non-funded staff who contribute to the service: Qualified occupational therapist	Designations of non-funded staff who contribute to the service: Social worker	Designations of non-funded staff who contribute to the service: Therapy Assistant	Audit support is provided	WTE of audit support provided	Service has standard operating procedure (SOP) detailing local polices	Elements included in SOP: Accessibility	Elements included in SOP: Capacity	Elements included in SOP: Digital or alternative modes of delivery	Elements included in SOP: DNA management	Elements included in SOP: Environment: facilities, kit and equipment	Elements included in SOP: Maintaining dignity and respect	Elements included in SOP: Managing waiting times	Elements included in SOP: Measurement of exercise outcomes	Elements included in SOP: Medication management	Elements included in SOP: Minimum staffing levels	Elements included in SOP: Patient and carer experience/satisfaction/ feedback	Elements included in SOP: Patients needing oxygen	Elements included in SOP: Patient safety	Elements included in SOP: Patient security	Elements included in SOP: Risk assessments	Elements included in SOP: Staff training, development and well-being	Elements included in SOP: Transition care	Elements included in SOP: Use of IT equipment	Elements included in SOP: Whistleblowing
East of England	Bedfordshire, Luton and Milton Keynes	Bedford Hospital NHS Trust	Bedford Hospital Pulmonary Rehabilitation	Yes	Yes	Yes	Yes	Yes	Yes - if within a year of completing PR	Yes	Yes	Cohort only	No	No	Yes	No	No	No	No	Yes	No	No	Yes	Yes	Yes	No	No	Yes	No	No	No	Yes	No	No	No	Yes	No	No	Yes	No	No	Not applicable	Yes	No	No	No	Yes	Yes	Yes	No	No	Yes	No	Yes	No	Yes	Yes	No	No	No	Not applicable	Yes	Yes	Yes	No	No	Yes	Yes	17	14	No	No	Yes	No	Yes	Yes	No	No	No	No	No	No	Yes	No	No	No	Yes	Yes	No	No	No	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	No	No	No	No	Yes	No	No	No	No	Yes	No	Yes - filled	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Band 7; WTE 0.8	Yes	Band 2; WTE 0.4	0	0	0	0	0	Band 5; WTE 0.2	Band 6; WTE 0.5	Band 6; WTE 1	Band 4; WTE 2	0.5	No	No	Yes	No	No	No	No	Yes	No	No	Yes	No	No	Yes	No	Not applicable	Yes	Yes	Yes	Yes	Yes	Yes	No	No	Yes	No	Yes	Yes	Yes	Yes	No	Yes	Yes	No	Yes	No
East of England	Bedfordshire, Luton and Milton Keynes	Central and North West London NHS Foundation Trust	Milton Keynes Community Pulmonary Rehabilitation Service	No	Yes	Yes	Yes	Yes	Yes - if completed over one year ago	No	Yes	Cohort only	No	No	No	No	Yes	No	Yes	No	No	No	Yes	Yes	Yes	No	No	No	No	Yes	No	Yes	No	No	No	Yes	No	No	No	No	Yes	No sites use a 30m course	No	No	No	No	Yes	Yes	Yes	No	No	Yes	No	Yes	No	No	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Yes	Yes	Yes	No	Yes	No	Yes	0	3	No	No	No	No	Yes	Yes	No	Yes	No	No	No	No	Yes	No	No	No	Yes	Yes	No	No	No	No	No	No	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Yes	No	No	No	No	No	No	Yes	No	No	No	Yes	Yes - filled	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Band 7; WTE 0.4	No	0	0	Band 3; WTE 0.4	0	0	0	0	0	Band 5; WTE 0.4	0	0.4	Yes	No	No	No	No	No	No	No	No	No	No	No	No	No	Yes	0.6	Yes	No	Yes	Yes	Yes	Yes	No	No	Yes	No	Yes	No	No	No	No	No	No	No	No	No
East of England	Bedfordshire, Luton and Milton Keynes	Luton and Dunstable University Hospital NHS Foundation Trust	Luton and Dunstable Hospital Pulmonary Rehabilitation Service	Yes	Yes	Yes	Yes	Yes	Yes - if within a year of completing PR	Yes	Yes	Both	No	No	No	Yes	No	No	No	Yes	No	No	Yes	Yes	Yes	No	No	No	Yes	No	No	Yes	Yes	No	No	Yes	No	Yes	Yes	Yes	No	Not applicable	No	No	No	No	Yes	Yes	Yes	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	75 - 85%	Yes	Yes	Yes	No	No	Yes	Yes	12	6	No	No	Yes	No	Yes	Yes	No	No	No	No	No	Yes	No	No	Yes	No	Yes	Yes	Yes	No	No	Yes	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	No	No	No	No	Yes	No	No	No	No	No	Yes	Yes - filled	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Band 7; WTE 1	No	Band 2; WTE 0.5	0	Band 3; WTE 1	0	0	0	Band 6; WTE 0.6	Band 6; WTE 0.92	0	0	0	No	Yes	No	No	No	No	No	Yes	Yes	No	No	No	No	No	No	Not applicable	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	No	Yes	Yes	No	Yes	Yes
East of England	Bedfordshire, Luton and Milton Keynes	Milton Keynes University Hospital NHS Foundation Trust	Milton Keynes Hospital Pulmonary Rehabilitation Programme	No	No	No	Yes	Yes	Yes - if completed over one year ago	Yes	Yes	Cohort only	No	No	No	No	Yes	No	Yes	No	No	No	Yes	Yes	Yes	No	No	No	No	Yes	No	No	No	No	Yes	No	Yes	No	No	Yes	Yes	No sites use a 30m course	Yes	No	No	No	No	No	No	No	Yes	Yes	Yes	Yes	No	No	Not applicable	Not applicable	Not applicable	Not applicable	Not applicable	Yes	No	Not applicable	Not applicable	Not applicable	Yes	Yes	1	0	No	No	Yes	No	No	Yes	No	No	No	No	No	No	No	No	No	No	Yes	No	No	No	No	No	No	No	No	Yes	No	No	Yes	No	Yes	No	Yes	No	No	No	No	No	No	No	No	No	Yes	Yes	No	No	No	No	No	No	No	Yes	No	No	No	No	Yes	Yes	Yes - filled	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Clinical lead in place, of other profession	Band 7; WTE 0.8	No	0	0	0	0	0	0	0	0	Band 5; WTE 0.4	0	0	Yes	No	Yes	No	No	No	No	No	No	No	No	Yes	No	No	No	Not applicable	Yes	No	No	No	Yes	Yes	No	No	No	No	Yes	No	No	No	No	No	No	No	No	No