Hello,

I wrote my Masters dissertation on using nebulised bronchodilators in COPD in the community and as a result was able to critique the lack of info relating to local nebuliser services. Came across the nebuliser purchasing guidelines from NHS purchasing which would help underpin the rationale for providing specific nebulisers with specific patients instead of the '1 size fits all' approach currently used in my local DGH in order to address whole life savings for those on nebulisers (if they're actually needed at all when lots of other criteria have been addressed!). Sourcing, financing and using nebuliser consumables is a massive grey area nationwide and is a very inequitable service nationally.

Hope this is of interest to you.