-
Clinical Standards for COPD Services (PDF, 444K, 1min 3secs) -
Evaluation Tool for COPD Services (PDF, 110K, 15secs)
-
Guidance for use of Evaluation Tool by NHS Staff (PDF, 59K, 8secs)
The focus of the Clinical Standards
There are 7 standards all together. They focus on:
- Organisation and delivery of COPD services
- Case finding
- Diagnosis and periodic review of COPD
- Pulmonary rehabilitation
- Oxygen therapy
- Home support, intermediate care and supported discharge services
- Palliative care services
Standards for a range of care providers
These standards apply to all NHS boards in Scotland with responsibility for delivering COPD services.
In particular the following professionals will benefit from this publication:
- Allied health professionals such as dietitians, occupational therapists, physiotherapists, radiographers and speech & language therapists
- Ambulance staff
- Clinical physiologists (spirometry)
- GPs
- Nurses in accident and emergency, community, geriatric medicine, palliative care, practice nurses, respiratory nurse specialists
- Out of hours staff and pharmacists
- Physicians in accident and emergency, acute care, geriatric medicine, intensive care, palliative care, respiratory medicine and radiology
- Practitioner psychologists
The effects and impact of COPD
Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition that does not have a known ‘cure’. It affects many people, particularly the most vulnerable in our communities, including people from areas with high social deprivation. The progression of the disease can be slowed down, but not halted, by stopping smoking.
COPD can be characterised by frequent (and sometimes preventable) exacerbations and admissions to hospital. It is the third most common reason for hospital admission in Scotland and has high re-admission rates. Many of the localities with the highest COPD admission rates in the UK are in Scotland. It is a major health issue.
COPD is the only major cause of death in Scotland on the increase. There are thought to be about 100,000 people in Scotland living with COPD, with a predicted increase of 33% in the next 20 years. It accounts for over 122,000 bed days and 4,500 deaths every year.
Audit Scotland has estimated the direct cost of COPD to NHSScotland to be around £100 million per annum.
Over the last 10 years there has been an increase in research into COPD and its treatment.
Treatment options have been developed which place greater emphasis on reducing exacerbations, improving quality of life and activities of daily living. At the same time, it has become clear that this disease causes a huge burden to individuals and their families.
To help address some of these issues, and in keeping with national policy, managed clinical networks (MCNs) and enhanced services for people with COPD are being established in NHS boards.
