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Integrating patients with respiratory and cardiac disease in one rehabilitation programme

Integrating patients with respiratory and cardiac disease in one rehabilitation programme: a mixed methods evaluation of clinical outcomes and experiences of staff

What we are doing:

The overarching aim of this project is to evaluate the impact of our novel rehabilitation service, which for the first time integrates patients with respiratory and cardiac disease into one programme. The key questions that we expect to address are:

1. To what extent is the service meeting its objectives? (patient outcome measures)

2. What improvements can be made to the service? (thoughts from staff focus groups)

3. What should the objectives be going forward? (Information from questions one and two will inform our consensus meeting and implementation plans).

Why we are doing it:

Rehabilitation is a successful intervention for patients with pulmonary and cardiac disease. These interventions are traditionally provided as disease-specific programmes; yet their components are largely the same, patients often present with co-existing pulmonary and cardiac disease, with similar clinical symptoms and share risk factors for long-term conditions. This study aims to evaluate the impact of a novel service which incorporates patients with respiratory and cardiac disease into one programme. It is proposed that byintegrating patients with respiratory and cardiac disease into one programme will be cost and resource effective, and move away from the silo approach of disease management.

What the benefits will be:

The project has the potential to radically alter how rehabilitation is provided, and rather than have a disease-specific based service we propose to have a more integrated service for anyone with lung, heart or combined disease. As many patients have combined respiratory and cardiac disease, as well as common risk factors for other long-term conditions, it would seem sensible to offer a more holistic programme of care for these individuals. In addition, by streamlining breathless patients into our new service, we will release capacity in the separate disease-specific classes at the hospital for patients with more complex needs.

Who we are working with:

  • Leicester, Leicestershire and Rutland (LLR) Sustainability and Transformation Plan (STP) team representing the local clinical commissioning groups (CCGs)
  • East Midlands Academic Health Science Network (EM AHSN) 
  • NIHR North West London (NWL) CLAHRC
  • University Hospitals of Leicester (UHL) NHS Trust
  • Centre for Exercise and Rehabilitation Science (CERS) Patient and Public Involvement (PPI) Group
  • NIHR Leicester Biomedical Research Centre (BRC)
  • East Midlands National Centre for Sport & Exercise Medicine (EM-NCSEM)

Via co-applicants and collaborators on this project. 

Study Lead:

Name: Linzy Houchen-Wolloff

Role: Senior Research Associate/ OT & Physiotherapy Research Lead

Organisation: University Hospitals of Leicester NHS Trust

Contact:

Linzy.Houchen@uhl-tr.nhs.uk