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Getting the best value from respiratory budgets - the IMPRESS guide to re

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Getting the best value from respiratory budgets - the IMPRESS guide to re

Integrated respiratory care organisation IMPRESS have worked with the London School of Economics to produce a study showing how respiratory activity and budgets should be rebalanced to provide the most impact and value for patients

The researchers looked at the £4 billion a year that the NHS spends on respiratory illness -  £720 million of it on COPD - to determine the most effective interventions to reduce mortality from COPD and reduce the burden of breathlessness and other associated problems.

The study identified that particularly valuable interventions were:

  • stop smoking services
  • pulmonary rehabilitation

while also identifying that there is 'substantial overtreatment' of some inhaled medication.

> Read the Executive summary of the Report

> Read the Full IMPRESS report on the relative value of COPD interventions (together with the 8 detailed appendices) 


Steve Holmes, GP, joint author and co-chair of IMPRESS said: “Large amounts of public money are spent in respiratory care but it’s not always used wisely. Healthcare professionals have an ethical responsibility to avoid waste, which means doing what’s best for a patient’s health and avoiding treatments which don’t improve things or which actually make them worse.

“This report applies health economics to our decision-making to produce the evidence for what provides value and what does not. It’s the most comprehensive study conducted of the value of differing treatments for COPD patients and it may contain some surprises for clinicians.

Mike Ward, joint author of the report, Co-chair of IMPRESS and hospital physician in the

Midlands, added “For example we’ve tended to see stop smoking interventions as not our business – as something carried out by public health programmes. We should be arguing for greater investment in specialist stop smoking services for our patients and also for education programmes for us all to have the skills to help people quit.“