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New Guidance for Commissioners on Pulmonary Rehabilitation published by IMPRESS

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New Guidance for Commissioners on Pulmonary Rehabilitation published by IMPRESS

This document, produced by an expert task force of IMPRESS, aims to answer the questions that most healthcare commissioners and planners want answered around the commissioning of Pulmonary Rehabilitation.

The document looks at the case for commissioning Pulmonary Rehabilitation services, including the  value of Pulmonary Rehabilitaton for patients, referral and treatment pathways, service specifications and coding.


Key content and messages from the IMPRESS guidance

  • This paper reviews the evidence, explains what Pulmonary Rehabilitation is, how it works, its value and why it should be commissioned 
  • Pulmonary rehabilitation (PR) reduces morbidity, mortality and hospital attendances in people with COPD disabled by their disease.
  • PR should receive commissioning priority given its proven clinical and cost effectiveness and relative value compared to many of our other interventions for COPD.
  • 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.
  • A COPD pathway for a patient is more likely to show a positive effect the more components of the COPD tpathway it has working together in an integrated multi-faceted programme - including an interface with self-management support,
    quit smoking support and oxygen assessment, 
  • It supplements the Commissioning Pack for COPD to be issued by the DH England, including a section on PR (due early 2012).