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Community Respiratory Team

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Who are we? 

West Hampshire Integrated Respiratory Service is a Nurse and Allied Healthcare Professional led service. We have 2 teams that cover Andover, Winchester, Eastleigh, Lymington, New Forest, Romsey and Totton.

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Who we work with?  

As well as GP Practices, the West Hampshire Integrated Respiratory Service works with all secondary care organisations within this area. 

We offer a range of services to support your care take a look at some of our pathways below:

Aim:

 

The aim of this service is to stabilise respiratory care so you feel confident in managing your own needs through education.

Who For:    

    Patients within West Hampshire who: 
  • Have a confirmed diagnosis of Chronic Obstructive Pulmonary Disease (COPD)
        
  •    
  • Has adequate social support
      
  • GP has confirmed that referral to the admission avoidance pathway is appropriate

 What we will do:

We will:

  • Contact you within 24 hours of referral
  • Support you in their own homes or via telephone contact (as indicated)
  • Identify further deterioration in your condition through respiratory assessment
  • Provide respiratory education
  • Promote self-management
  • Check your Inhaler technique and compliance
  • Communicate to your GP at the beginning and end of the pathway.
  • Communicate and discuss any significant changes to the your condition at any point during the pathway  

 

Referral:

Referral is made by GPs please contact your GP surgery.

Aim:

The aim of this service is to stabilise and support you when you return home from a hospital visit

 

Who For:    

Patients in West Hampshire who:

Have a confirmed diagnosis of Chronic obstructive Pulmonary Disease (COPD).

Patients whos main reason for hospital admission was acute exacerbation of COPD

 

What we will do:

  • Contact you  within 24 hours of referral
  • Support you in your own home or via telephone contact as clinically indicated
  • Identify deterioration in your condition through respiratory assessment
  • Provide respiratory education
  • Promote self-management
  • Check Inhaler technique and compliance
  • Review your care for a period of 28 days following discharge from hospital
  • Communicate to your GP at the beginning and end of the pathway. 

 

Referral:

Referral is made through clinical triage; please see details at the back of this booklet. It is essential for a discharge summary to be received by the service before we are able to visit the patient.

Aim:

The aim of this service is to:

  • Introduce you to exercise in a safe and fun environment
  • Educate
  • Ensure confidence in self-management
  • Enable engagement in onward lifestyle change
  • Promote peer support

 Who For:    

Patients in the West Hampshire who:

  • Have a confirmed respiratory diagnosis
  • Functionally limited by their breathlessness
  • Will commit to the duration of the course
  • Be able to provide transport to their agreed venue. Transport can only be provided in exceptional circumstances.

 What we will do:

  • See you for a pre-course assessment within 10 weeks of referral (unless you chooses for a later appointment)
  • Offer courses at various locations across West Hampshire and patients will be allocated to their preferred venue at pre-course assessment
  • Provide an individualised pre and post course assessment.
  • Provide a 2 hour session, twice a week for 6 weeks.
  • Provide a structured and individualised exercise programme
  • Provide a structured education programme
  • Communicate to the referrer and GP once the you have commenced and completed a programme.

 Referral:

You should be referred to this pathway of the service using our referral form.

Aim:

  • Ensure the safe provision of ambulatory and long term oxygen therapy
  • Ensure the effective use of ambulatory and long term oxygen therapy

 Who For:    

Patients within the West Hampshire area who:

  • Require long term or ambulatory oxygen therapy

 What we will do:

  • Review your care when you are at least 6 weeks free of an exacerbation
  • Complete a home risk assessment 
  • Review your care after 6 weeks following a change in their oxygen prescription
  • Review your care as a minimum annually once you are established and stable on their oxygen therapy
  • Offer home visits to if you are housebound
  • Communicate to the GP following each assessment.

  Referral:

Patients should be referred to this element of the service using our referral form.

Aim:

Provide respiratory support to primary care staff

Upskill primary care staff in the management of respiratory patients

 

Who For:    

Primary care staff in the West Hampshire area to assist and support in the management of Asthma and/or COPD

What we will do:

Advice – The service offers advice and support through a dedicated healthcare professional telephone line and email. This is offered Monday – Friday 8.30am – 4.30pm. have you got a number to add here? 

Complex case management support – The service offers support with complex patients on an annual basis through a joint clinic at the practice surgery. The clinic can be used to jointly review patients, do virtual/paper review of patients with practice based staff or in a supervisory capacity to upskill practice based staff.

Education – The service offers education to each practice on an annual basis. This will include a review of the practice data, update on respiratory developments and any practice specific requests. If groups of practices join together we are able to offer education on a more frequent basis. 

Referral:

To arrange any of the above please use the P.A.C.E details at the back of this booklet.

Aim:

Provide psychological support to all patients that access the service.

 Who For:    

The service is for respiratory patients that are accessing the other pathways within the service.

 What we will do:

  • The team are skilled to provide self management, motivational interviewing and guided self help
  • Dedicated psychology input into the in to your care 
  • Cognitive behavioural therapy for those patients that need it
  • Self help groups for patients and carers
  • Seamless transition to existing psychology services

 

 Referral:

Patients will access this service through internal referral only.

Contact us:


Telephone: 0300 003 0397


Email: hp-tr.respiratory-assessment-shft@nhs.net


Oxygen queries only: hp-tr.respiratory-oxygen-shft@nhs.net


Address:

Long Term Condition Unit,

Fenwick 2 ,

Pikes Hill,

Lyndhurst,

SO42 7NG

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