This project will test the use of low value OOPHBs for people with COPD, building on their successful application in discharge (part of the UEC Recovery Plan).
The aim is to test and evaluate OOPHBs to increase participation in Pulmonary Rehab (PR) and /or supported self-management. The PHB offer will be targeted specifically at those that experience barriers to access due to health inequalities such as deprivation and/or SMI.
- National commitment to increase referrals to PR and engagement in self-management activity which will likely be included in MCS and MTS (Lung Health @home work is supporting delivery of national objectives)
- Although a highly effective, recommended intervention, conversion rate of referral to uptake of PR can be impacted by health inequalities i.e. SMI /deprivation
- Chronic respiratory disease is a CORE20PLUS5 clinical area. Respiratory disease is strongly associated with social deprivation and is a major contributor to the overall life expectancy gap between the rich and the poor.
- People living with a serious mental illness generally have higher rates of lung conditions. They also die 15 – 20 years earlier than the general population.
- The pandemic has exacerbated wait times for PR – there is a need to support people whilst waiting which could be through SSM, physical activity or community-based provision.
- Clinical support to test this approach from sites and Interim NCD Jonathan Fuld and Personalised Care Clinical Advisor, Mohan Chandan