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National Asthma and COPD Audit Programme (NACAP): Pulmonary rehabilitation clinical and organisational audit 2019 report
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Download this fileService code | Trust name | Service name | country | 1.1 How many referrals did your service receive between June - November 2019 | 1.1a How many patients attended an initial assessment with a view to enrolling onto a PR programme between June - November 2019 | 1.1b How many patients started a PR programme between June - November 2019 | 1.1c How many patients completed a discharge assessment between June - November 2019 | 1.2a Referral from Primary care | 1.2b Referral from Community care | 1.2c Referral from Secondary care | 1.2d Self-referral | 1.2e Referral other | 2.1 Eligible for inclusion in June - November 2019 reporting period | 2.2 Eligible patients identified in question 2.1 were approached and asked to consent to be included in the clinical audit | 2.3 Eligible patients approached in question 2.2 gave consent to be included in this audit | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Grade 1 | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Grade 2 | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Grade 3 | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Grade 4 | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Grade 5 | 3.1 To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? Not recorded | 3.2 Do you offer PR to COPD patients who are current smokers? | 3.3 Do you offer PR to COPD patients who have previously completed a PR programm | 3.4 Do you offer PR to patients discharged from hospital with a diagnosis of acute exacerbation of COPD (AECOPD)? | 3.5 Do you accept patients with long-term conditions other than COPD into your PR service? | 3.5a If Yes, what other long-term conditions are accepted? | 3.5a If Yes, what other long-term conditions are accepted? = Asthma | 3.5a If Yes, what other long-term conditions are accepted? = Interstitial lung disease (ILD) | 3.5a If Yes, what other long-term conditions are accepted? = Non-cystic fibrosis (CF) bronchiectasis | 3.5a If Yes, what other long-term conditions are accepted? = Other chronic respiratory diseases | 3.5a If Yes, what other long-term conditions are accepted? = Chronic heart failure | 3.5a If Yes, what other long-term conditions are accepted? = Pre/post thoracic surgery | 3.5b If Yes, do patients with other long-term conditions enrol on the same programme as those with COPD? | 3.5c Is your service funded to provide PR to non-COPD patients? | 4.1 At how many sites do you currently offer assessments/centre-based PR? | 4.2 Do your assessments/centre-based PR programmes run differently at different sites? | 4.3 What is the typical duration of your centre-based PR programme? | 4.3 What is the typical duration of your centre-based PR programme? = Less than 4 weeks | 4.3 What is the typical duration of your centre-based PR programme? = 4 weeks | 4.3 What is the typical duration of your centre-based PR programme? = 5 weeks | 4.3 What is the typical duration of your centre-based PR programme? = 6 weeks | 4.3 What is the typical duration of your centre-based PR programme? = 7 weeks | 4.3 What is the typical duration of your centre-based PR programme? = 8 weeks | 4.3 What is the typical duration of your centre-based PR programme? = More than 8 weeks | 4.4 How many supervised centre-based PR sessions per week are patients expected to attend? | 4.4 How many supervised centre-based PR sessions per week are patients expected to attend? 1 | 4.4 How many supervised centre-based PR sessions per week are patients expected to attend? 2 | 4.4 How many supervised centre-based PR sessions per week are patients expected to attend? 3 | 4.4 How many supervised centre-based PR sessions per week are patients expected to attend? More than 3 | 4.5 Do you offer a home-based PR programme? | 4.5a If Yes, are patients offered initial and discharge assessments? | 4.5b If Yes, are patients offered supervised PR sessions in their homes? | 4.5c If Yes, what is the typical duration of your home-based PR programme? | 4.5c If Yes, what is the typical duration of your home-based PR programme? = Less than 4 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = 4 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = 5 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = 6 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = 7 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = 8 weeks | 4.5c If Yes, what is the typical duration of your home-based PR programme? = More than 8 weeks | 4.5d If Yes, how many supervised home-based PR sessions per week are patients offered? | 4.5d If Yes, how many supervised home-based PR sessions per week are patients offered? 1 | 4.5d If Yes, how many supervised home-based PR sessions per week are patients offered? 2 | 4.5d If Yes, how many supervised home-based PR sessions per week are patients offered? 3 | 4.5d If Yes, how many supervised home-based PR sessions per week are patients offered? More than 3 | 4.6 Do you send patients written information about your PR programme prior to their initial assessment? | 4.7 Do you run/refer to additional services that people can attend whilst awaiting a PR course? | 4.8 Is transport funded for patients? | 4.9 Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures? | 4.9 Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures? ESWT | 4.9 Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures? ISWT | 4.9 Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures? 5STS | 4.9 Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures? 6MWT | 4.9a If 6MWT; how many of your sites use a 30-metre course? | 4.10 Is muscle strength measured at assessment? | 4.10a If Yes, how is muscle strength measured? | 4.10a If Yes, how is muscle strength measured? = Dynamometer | 4.10a If Yes, how is muscle strength measured? = Strain gauge | 4.10a If Yes, how is muscle strength measured? = 1RM (repetition maximum) | 4.10a If Yes, how is muscle strength measured? = 10RM | 4.10a If Yes, how is muscle strength measured? = Sit-to-stand (5STS) | 4.11 Are any of the following measured at assessment? | 4.11 Are any of the following measured at assessment? = Activities of daily living | 4.11 Are any of the following measured at assessment? = Hospital Anxiety and Depression | 4.11 Are any of the following measured at assessment? = Knowledge gained during education | 4.11 Are any of the following measured at assessment? = Other psychological status scores | 4.11 Are any of the following measured at assessment? = Patient satisfaction | 4.11 Are any of the following measured at assessment? = Patient experience | 4.11 Are any of the following measured at assessment? = Physical activity | 4.11 Are any of the following measured at assessment? = No | 4.11a If Physical activity is measured, please select how this is done? | 4.11a If Physical activity is measured, please select how this is done. Device | 4.11a If Physical activity is measured, please select how this is done. Questionnaire | 4.12 Is aerobic training offered during the PR programme? | 4.12a What type of aerobic training is undertaken during the PR programme? | 4.12a Is aerobic training offered during the PR programme? = Cycling | 4.12a Is aerobic training offered during the PR programme? = Walking | 4.12a Is aerobic training offered during the PR programme? = Other | 4.13 Is aerobic training individually prescribed? | 4.13a How is aerobic training prescribed? | 4.13a How is aerobic training prescribed? = Borg or perceived exertion scores | 4.13a How is aerobic training prescribed? = Endurance shuttle walking test (ESWT | 4.13a How is aerobic training prescribed? = From six-minute walk test (6MWT) | 4.13a How is aerobic training prescribed? = From incremental shuttle walk test (ISWT) | 4.13b What intensity of aerobic exercise prescription is used? | 4.14 Is resistance training offered during the PR programme? | 4.14a What resistance training equipment is provided during the PR programme? | 4.14a What resistance training equipment is provided during the PR programme? = Free weights | 4.14a What resistance training equipment is provided during the PR programme? = Resistance bands | 4.14a What resistance training equipment is provided during the PR programme? = Weight machines | 4.14a What resistance training equipment is provided during the PR programme? = Other | 4.15 Is resistance training individually prescribed? | 4.15a How is resistance training prescribed? | 4.15a How is resistance training prescribed? = Borg or perceived exertion scores | 4.15a How is resistance training prescribed? = Measurement of 1RM or strength | 4.15a How is resistance training prescribed? = Other | 4.16 Are patients advised to do unsupervised home exercise during their PR programme | 4.17 How many hours of education are scheduled during a centre-based PR programm | 4.18 How is education provided? | 4.18 How is education provided? = CD given to patients | 4.18 How is education provided? = DVD given to patients | 4.18 How is education provided? = Face-to-face taught group sessions | 4.18 How is education provided? = Information on a dedicated website | 4.18 How is education provided? = Telecare or other remote delivery | 4.18 How is education provided? = Written hand-outs | 4.18 How is education provided? = Other | 4.18a If you offer face-to-face taught group sessions, who delivers these? | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Clinical psychologist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Dietician | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Exercise physiologist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Fitness instructor | 4.18a If you offer face-to-face taught group sessions, who delivers these? = GP | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Health care/therapy assistant | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Health psychologist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Occupational therapist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Pharmacist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Physiotherapist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Registered nurse | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Respiratory physician | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Respiratory physiologist | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Social worker | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Technical instructor | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Volunteer | 4.18a If you offer face-to-face taught group sessions, who delivers these? = Other | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Advance directives | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Anatomy, physiology, pathologyin health and in chronic respiratory disease | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Anxiety management and relaxation | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Benefits system and welfare rights | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Chest clearance techniques | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Confidence, self-efficacy and self-management | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Dyspnoea/symptom management | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Energy conservation/pacing | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Exacerbation management (including coping with setbacks and relapses) | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Goal setting and rewards | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Identifying and changing beliefs about exercise and health related behaviours | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Loving relationships/sexuality | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Managing travel | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Medication (including oxygen therapy) | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Nutritional advice | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Opportunities to exercise after pulmonary rehabilitation | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Patient support groups | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Relaxation | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Smoking cessation | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? The benefits of physical exercise | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Use of self-management plans | 4.18b If you offer face-to-face taught group sessions, what do these sessions cover? Other | 4.19 Do you routinely provide patients with an individualised structured, written plan for ongoing exercise maintenance? | 5.1 Which Clinical Commissioning Group (CCG) commissions your service? | 5.2 What type of organisation provides your service? | 5.2 What type of organisation provides your service? = Charity | 5.2 What type of organisation provides your service? = Community interest company (CIC) | 5.2 What type of organisation provides your service? = Council | 5.2 What type of organisation provides your service? = GP federation | 5.2 What type of organisation provides your service? = Integrated Care Organisation (ICO) | 5.2 What type of organisation provides your service? = NHS acute trust | 5.2 What type of organisation provides your service? = NHS Health Board | 5.2 What type of organisation provides your service? = NHS non-acute or community trust | 5.2 What type of organisation provides your service? = Private healthcare provider | 5.3 What type of funding does your service have? | 5.3 What type of funding does your service have? = Fixed-term | 5.3 What type of funding does your service have? = Non fixed-term | 5.3a If Fixed-term, how many years future funding does the service have? | 6.1 Is there a named clinical lead for the service? | 6.1a If 'Yes - filled', what is their profession, grade and WTE? | 6.1b If Yes, does the clinical lead receive dedicated sessional time to coordinate and manage/develop the service? | 6.2 How many types of posts are funded for the service? | 6.3 What is the current WTE of staff vacancies at the service? | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Admin and clerical | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Community exercise instructor | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Dietician/Nutritionist | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Exercise practitioner | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Healthcare support worker | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Lay person / patient representative | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Pharmacist | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Physician | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Psychologist | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Qualified nurse | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Qualified physiotherapist | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Qualified occupational therapist | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Social worker | 6.4 What are the designations of the staff who contribute, but are non-funded, to the service? Therapy Assistant | 6.5 Is there audit support provided? | 6.5a If 'Yes', How many WTE of audit support are provided? | 7.1 Do you have a Standard Operating Procedure (SOP) detailing local policies? | 7.1a What does the Standard Operating Procedure cover? | 7.1a What does the Standard Operating Procedure cover? = Accessibility | 7.1a What does the Standard Operating Procedure cover? = Capacity | 7.1a What does the Standard Operating Procedure cover? = DNA management | 7.1a What does the Standard Operating Procedure cover? = Environment: facilities | 7.1a What does the Standard Operating Procedure cover? = Maintaining dignity and respect | 7.1a What does the Standard Operating Procedure cover? = Managing waiting times | 7.1a What does the Standard Operating Procedure cover? = Measurement of exercise | 7.1a What does the Standard Operating Procedure cover? = Medication management | 7.1a What does the Standard Operating Procedure cover? = Minimum staffing levels | 7.1a What does the Standard Operating Procedure cover? = Patient and carer experience | 7.1a What does the Standard Operating Procedure cover? = Patients needing oxygen | 7.1a What does the Standard Operating Procedure cover? = Patient safety | 7.1a What does the Standard Operating Procedure cover? = Patient security | 7.1a What does the Standard Operating Procedure cover? = Risk assessments | 7.1a What does the Standard Operating Procedure cover? = Staff training, development and well-being | 7.1a What does the Standard Operating Procedure cover? = Transition care | 7.1a What does the Standard Operating Procedure cover? = Use of IT equipment | 7.1a What does the Standard Operating Procedure cover? = Whistle blowing |
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7A12 | Betsi Cadwaladr University LHB | BCUHB -East Pulmonary Rehabilitation Service | Wales | 289 | 167 | 92 | 87 | 74 | 0 | 215 | 0 | 0 | 63 | 63 | 61 | Grade 2;Grade 3;Grade 4;Grade 5 | 0 | 1 | 1 | 1 | 1 | 0 | Yes | Yes - if completed over one year ago | Yes | Yes | Asthma;Interstitial lung disease (ILD);Non-cystic fibrosis (CF) bronchiectasis;Other chronic respiratory diseases;Pre/post thoracic surgery | 1 | 1 | 1 | 1 | 0 | 1 | Yes - all patients undertake the same programme | Yes - all conditions recorded at question 3.5a are funded | 6 | No | 7 weeks | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | No | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Yes | No | No | Six minute walk test (6MWT);Incremental shuttle walk test (ISWT) | 0 | 1 | 0 | 1 | No sites use a 30m course | Yes | 10RM | 0 | 0 | 0 | 1 | 0 | Other psychological status scores;Patient satisfaction;Patient experience | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | Not set | Not set | Not set | Yes | Cycling;Walking;Other | 1 | 1 | 1 | Yes | Borg or perceived exertion scores | 1 | 0 | 0 | 0 | Not set | Yes | Free weights | 1 | 0 | 0 | 0 | Yes | Other | 0 | 0 | 1 | Yes | 7 | Face-to-face taught group sessions;CD given to patients;Written hand-outs | 1 | 0 | 1 | 0 | 0 | 1 | 0 | Dietician;Health care/therapy assistant;Occupational therapist;Pharmacist;Physiotherapist;Registered nurse;Respiratory physician;Technical instructor;Other | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | Anatomy, physiology, pathologyin health and in chronic respiratory disease;Anxiety management and relaxation;Benefits system and welfare rights;Chest clearance techniques;Confidence, self-efficacy and self-management;Dyspnoea/symptom management;Energy conservation/pacing;Exacerbation management (including coping with setbacks and relapses);Goal setting and rewards;Identifying and changing beliefs about exercise and health related behaviours;Loving relationships/sexuality;Managing travel;Medication (including oxygen therapy);Nutritional advice;Opportunities to exercise after pulmonary rehabilitation;Patient support groups;Relaxation;The benefits of physical exercise;Use of self-management plans | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | Yes | Not Applicable (N/A) [000] | NHS Health Board | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | Non fixed-term | 0 | 1 | Not set | Yes - filled | Doctor~9~0.1;Qualified physiotherapist~8a~0.8 | Yes | Admin and clerical~3~0.7;Dietician/Nutritionist~6~0.12;Pharmacist~8a~0.12;Qualified nurse~6~0.12;Qualified occupational therapist~6~1.5;Qualified physiotherapist~6~2;Therapy assistant~4~0.98;Therapy assistant~5~1 | 0 | Lay person/patient representative | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | No | Not set | Yes | Accessibility;Capacity;DNA management;Environment: facilities, kit and equipment;Maintaining dignity and respect;Managing waiting times;Measurement of exercise outcomes;Medication management;Minimum staffing levels;Patient and carer experience/satisfaction/feedback;Patients needing oxygen;Patient safety;Patient security;Risk assessments;Staff training, development and well-being;Use of IT equipment | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 |
7A13 | Betsi Cadwaladr University LHB | BCUHB -Centre Pulmonary Rehabilitation Service | Wales | 155 | 122 | 85 | 68 | 39 | 0 | 116 | 0 | 0 | 54 | 54 | 54 | Grade 2;Grade 3;Grade 4;Grade 5 | 0 | 1 | 1 | 1 | 1 | 0 | Yes | Yes - if completed over one year ago | Yes | Yes | Asthma;Interstitial lung disease (ILD);Non-cystic fibrosis (CF) bronchiectasis;Other chronic respiratory diseases;Pre/post thoracic surgery | 1 | 1 | 1 | 1 | 0 | 1 | Yes - all patients undertake the same programme | Yes - all conditions recorded at question 3.5a are funded | 2 | No | 7 weeks | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | No | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Yes | No | No | Six minute walk test (6MWT) | 0 | 0 | 0 | 1 | No sites use a 30m course | Yes | 10RM | 0 | 0 | 0 | 1 | 0 | Other psychological status scores;Patient satisfaction;Patient experience | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | Not set | Not set | Not set | Yes | Cycling;Walking;Other | 1 | 1 | 1 | Yes | Borg or perceived exertion scores | 1 | 0 | 0 | 0 | Not set | Yes | Free weights | 1 | 0 | 0 | 0 | Yes | Other | 0 | 0 | 1 | Yes | 7 | Face-to-face taught group sessions;Written hand-outs | 0 | 0 | 1 | 0 | 0 | 1 | 0 | Dietician;Fitness instructor;Health care/therapy assistant;Occupational therapist;Pharmacist;Physiotherapist;Registered nurse;Respiratory physician;Technical instructor;Other | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 1 | Anatomy, physiology, pathologyin health and in chronic respiratory disease;Anxiety management and relaxation;Benefits system and welfare rights;Chest clearance techniques;Confidence, self-efficacy and self-management;Dyspnoea/symptom management;Energy conservation/pacing;Exacerbation management (including coping with setbacks and relapses);Goal setting and rewards;Identifying and changing beliefs about exercise and health related behaviours;Managing travel;Medication (including oxygen therapy);Nutritional advice;Opportunities to exercise after pulmonary rehabilitation;Patient support groups;Relaxation;The benefits of physical exercise;Use of self-management plans | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 | 0 | Yes | Not Applicable (N/A) [000] | NHS Health Board | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | Non fixed-term | 0 | 1 | Not set | Yes - filled | Doctor~9~0.1;Qualified physiotherapist~7~0.6;Qualified physiotherapist~8a~0.05 | Yes | Admin and clerical~3~0.23;Dietician/Nutritionist~6~0.04;Healthcare support worker~3~0.2;Pharmacist~8a~0.04;Qualified nurse~6~0.04;Qualified occupational therapist~6~0.8;Therapy assistant~3~0.2 | 0 | Community exercise instructor | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | No | Not set | Yes | Accessibility;Capacity;DNA management;Environment: facilities, kit and equipment;Maintaining dignity and respect;Managing waiting times;Measurement of exercise outcomes;Medication management;Minimum staffing levels;Patient and carer experience/satisfaction/feedback;Patients needing oxygen;Patient safety;Patient security;Risk assessments;Staff training, development and well-being;Use of IT equipment | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 0 |
7A22 | Hywel Dda University LHB | Carmarthenshire Pulmonary Rehabilitation Programme | Wales | 155 | 28 | 24 | 15 | 61 | 0 | 81 | 0 | 13 | 18 | 18 | 17 | Grade 3;Grade 4;Grade 5 | 0 | 0 | 1 | 1 | 1 | 0 | Yes | Yes - if completed over one year ago | Yes | Yes | Asthma;Interstitial lung disease (ILD);Non-cystic fibrosis (CF) bronchiectasis;Other chronic respiratory diseases;Chronic heart failure;Pre/post thoracic surgery | 1 | 1 | 1 | 1 | 1 | 1 | Yes - all patients undertake the same programme | No | 3 | No | 7 weeks | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 1 | 0 | 0 | No | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Yes | No | No | Six minute walk test (6MWT);Incremental shuttle walk test (ISWT) | 0 | 1 | 0 | 1 | No sites use a 30m course | No | Not set | Not set | Not set | Not set | Not set | Not set | Hospital Anxiety and Depression Scores;Patient satisfaction | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | Not set | Not set | Not set | Yes | Cycling;Walking | 1 | 1 | 0 | Yes | Borg or perceived exertion scores;From six-minute walk test (6MWT);From incremental shuttle walk test (ISWT) | 1 | 0 | 1 | 1 | 65% - <75% | Yes | Free weights;Resistance bands | 1 | 1 | 0 | 0 | Yes | Measurement of 1RM or strength | 0 | 1 | 0 | Yes | 13 | Face-to-face taught group sessions;Telecare or other remote delivery;Written hand-outs | 0 | 0 | 1 | 0 | 1 | 1 | 0 | Dietician;Fitness instructor;Occupational therapist;Physiotherapist;Registered nurse;Respiratory physician;Technical instructor;Volunteer | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 0 | Anatomy, physiology, pathologyin health and in chronic respiratory disease;Anxiety management and relaxation;Chest clearance techniques;Confidence, self-efficacy and self-management;Dyspnoea/symptom management;Energy conservation/pacing;Exacerbation management (including coping with setbacks and relapses);Goal setting and rewards;Identifying and changing beliefs about exercise and health related behaviours;Medication (including oxygen therapy);Nutritional advice;Opportunities to exercise after pulmonary rehabilitation;Patient support groups;Relaxation;Smoking cessation;The benefits of physical exercise;Use of self-management plans | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | Yes | Not Applicable (N/A) [000] | NHS Health Board | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | Non fixed-term | 0 | 1 | Not set | Yes - currently unfilled | Not set | Not set | Qualified occupational therapist~7~0.4;Qualified physiotherapist~6~0.4;Therapy assistant~4~0.5 | 0 | Admin and clerical;Dietician/Nutritionist;Qualified nurse;Therapy Assistant | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | No | Not set | Yes | Accessibility;Capacity;DNA management;Environment: facilities, kit and equipment;Maintaining dignity and respect;Managing waiting times;Measurement of exercise outcomes;Medication management;Minimum staffing levels;Patient and carer experience/satisfaction/feedback;Patients needing oxygen;Patient safety;Patient security;Risk assessments;Staff training, development and well-being | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 |
7A31 | Swansea Bay Local Health Board | Swansea Bay University Health Board Pulmonary Rehabilitation Service | Wales | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Grade 2;Grade 3;Grade 4;Grade 5 | 0 | 1 | 1 | 1 | 1 | 0 | Yes | Yes - if completed over one year ago | Yes | Yes | Interstitial lung disease (ILD);Non-cystic fibrosis (CF) bronchiectasis;Pre/post thoracic surgery | 0 | 1 | 1 | 0 | 0 | 1 | No - at least one specialised programme offered | Yes - all conditions recorded at question 3.5a are funded | 12 | Yes | 7 weeks | 0 | 0 | 0 | 0 | 1 | 0 | 0 | More than 3 | 0 | 0 | 1 | 1 | Yes | Yes | Yes | 6 weeks | 0 | 0 | 0 | 1 | 0 | 0 | 0 | More than 3 | 0 | 0 | 1 | 1 | Yes | Yes | No | Six minute walk test (6MWT) | 0 | 0 | 0 | 1 | At least 1 site uses a 30m course | Yes | 1RM (repetition maximum);Sit-to-stand (5STS) | 0 | 0 | 1 | 0 | 1 | Physical activity;Activities of daily living scale;Hospital Anxiety and Depression Scores;Knowledge gained during education;Other psychological status scores | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | Questionnaire | 0 | 1 | Yes | Cycling;Walking;Other | 1 | 1 | 1 | Yes | Borg or perceived exertion scores | 1 | 0 | 0 | 0 | Not set | Yes | Free weights;Resistance bands;Weight machines | 1 | 1 | 1 | 0 | Yes | Measurement of 1RM or strength | 0 | 1 | 0 | Yes | 12 | Face-to-face taught group sessions;Other | 0 | 0 | 1 | 0 | 0 | 0 | 1 | Dietician;Fitness instructor;Occupational therapist;Physiotherapist;Registered nurse;Respiratory physician | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | Advance directives;Anatomy, physiology, pathologyin health and in chronic respiratory disease;Anxiety management and relaxation;Benefits system and welfare rights;Chest clearance techniques;Confidence, self-efficacy and self-management;Dyspnoea/symptom management;Energy conservation/pacing;Exacerbation management (including coping with setbacks and relapses);Goal setting and rewards;Identifying and changing beliefs about exercise and health related behaviours;Medication (including oxygen therapy);Nutritional advice;Opportunities to exercise after pulmonary rehabilitation;Patient support groups;Relaxation;Smoking cessation;The benefits of physical exercise;Use of self-management plans;Other | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | Yes | Not Applicable (N/A) [000] | NHS Health Board | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | Non fixed-term | 0 | 1 | Not set | Yes - filled | Exercise practitioner~4~3;Qualified nurse~6~1;Qualified nurse~7~2;Qualified occupational therapist~6~3.5;Qualified occupational therapist~7~1;Qualified physiotherapist~6~3;Qualified physiotherapist~7~3 | Yes | Admin and clerical~3~2;Admin and clerical~4~1;Dietician/Nutritionist~6~2;Dietician/Nutritionist~7~0.9;Therapy assistant~4~2 | 1 | Physician | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | Yes | 0 | No | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set | Not set |