IMPRESS Guide to Pulmonary Rehabilitation
New guide for commissioners and providers of pulmonary rehabilitation services (PR) as part of an integrated COPD service available from http://www.impressresp.com/Home.aspx
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Pulmonary rehabilitation (PR) reduces morbidity, mortality and hospital attendances in people with COPD disabled by their disease.
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PR should receive commissioning priority given its proven clinical and cost effectiveness and relative value compared to many of our other interventions for COPD.
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The more components of the COPD pathway work- ing together in an integrated multi-faceted pro- gramme, including an interface with self-manage- ment support, quit smoking support and oxygen assessment, the more likely there is to be a positive effect.
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This paper reviews the evidence, explains what PR is, how it works, its value and why it should be com- missioned.
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It supplements the Commissioning Pack for COPD to be issued by the DH England, including a section on PR (due early 2012).
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It answers the questions asked by commissioners who may have no current service, a service with insufficient capacity, one that does not meet patient’s expectations, or one that is failing to achieve accept- able completion rates.