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Developing care for people with respiratory conditions

The Bradford Breathing Better programme aims to improve the pathway of care from diagnosis across the whole pathway including end of life care, ensuring improved management of respiratory diseases with a view to reducing avoidable hospital admissions. 

Managing your own health is central to people maintaining good lung health particularly if a person has an existing respiratory condition.

We are working closely with our partners across primary care (GPs), secondary care (hospital teams) and with public health colleagues to make sure people living with respiratory conditions become experts in their own health.

In Bradford we have some of the highest rates of emergency hospital admissions and, clinically, this is not the right course of action for people in many cases.

Our Bradford Breathing Better work stream aims to ensure we make accurate diagnoses of respiratory disease, make sure our patients are on the correct medication, know how to take this correctly and give people the tools and appropriate information to help take better care of their own respiratory health. 

The correct use of inhalers reduces exacerbations and can be lifesaving.  Communicating these techniques should be repeated at every opportunity to make sure that they are being used correctly and that the drug is getting into the lungs where it is needed.

We want to provide skills to clinicians to help them diagnose COPD and provide support to patients and their families to ensure they feel confident in managing, where appropriate, their respiratory health.

The most cost effective interventions and resources are:

These simple strategies will help people look after their own health and give people the necessary resources to do so resulting in a reduction in people going to hospital as an emergency.

Emergency / non-elective admissions for all respiratory related conditions

(Rating to be confirmed)

Work across NHS Bradford City CCG is focusing on improving services relating to respiratory conditions with a view to improving on the reported 2610 emergency admissions for all respiratory related conditions in 2017/18.

It is suggested that for every 100 patients diagnosed with COPD, there are an estimated 15 emergency admissions every year.

Similarly, for people with asthma, for every 100 people with asthma, there are 4 emergency admissions each year.


Annual review: COPD

(Rating to be confirmed)

For people with COPD, education and support are key to them looking after their own health. 

At their annual review, people are encouraged to consider the development of a joint care plan based on their condition and how they can manage their condition safely.

We want to make these checks an integral part of patient care, making sure that everyone has a care plan, is offered and accepts smoking cessation where appropriate, and has access to inhaler techniques.

Annual review: Asthmatics

Education and support are seen as key to people looking after their health. 

At the annual review people are encouraged to consider the development of a joint care plan, based on that individual and how they manage their condition safely.

We want to make these checks an integral part of patient care, making sure that everyone has a care plan, is offered and accepts smoking cessation where appropriate, and has access to inhaler techniques.