Contains organisational survey data of pulmonary rehabilitation services collected between July and September 2019. The dataset includes information on the organisation and resourcing of pulmonary rehabilitation services.

MDW Discover  > National Asthma and COPD Audit Programme - Pulmonary rehab organisational audit @ 559

MDW Discover

Browse All

London SDE

West Midlands SDE

Kent, Medway & Sussex SDE

MDW - Discover

https://www.hqip.org.uk/a-z-of-nca/national-asthma-and-copd-audit-programme-nacap/

percentage of pulmonary rehab services in England which submited data

HDR UK

Data has been provided by the Healthcare Quality Improvement Partnership from the National Asthma and COPD Audit Programme

The range of MRC scores to which the service offers PR: Multiple choice - options Grade 1 - Grade 5

To which self-reported Medical Research Council (MRC) graded COPD patients do you offer PR? (Please select all that apply)

Data fields for the NACAP Organisational Audit (November 2021)

NACAP Organisational Audit (November 2021)

Does the service offer PR to COPD patients who have previously completed a PR programme? Options: Yes – if within a year of completing PR/Yes – if completed over one year ago/Yes – if completed over three years ago/No

Do you offer PR to COPD patients who have previously completed a PR programme?

Does the service offer PR to patients discharged from hospital with a diagnosis of acute exacerbation of COPD (AECOPD)?

Do you offer PR to patients discharged from hospital with a diagnosis of acute exacerbation of COPD (AECOPD)?

Does the service accept patients with long-term conditions other than COPD into your PR service? If any of the following are accepted select "yes": Asthma/Interstitial lung disease (ILD)/Non-cystic fibrosis (CF) bronchiectasis/Other chronic respiratory diseases/Chronic heart failure /Pre or post thoracic surgery/Long-COVID

Do you accept patients with long-term conditions other than COPD into your PR service?

Does the service run cohort or rolling PR programmes? Options: Rolling/Cohort/Both

Do you run cohort or rolling PR programmes?

The typical duration of the centre-based PR programme. (If you run multiple PR programmes differently at different sites, please select all that apply.) Options: Less than 4 weeks/4 weeks/5 weeks/6 weeks/7 weeks/8 weeks/More than 8 weeks

What is the typical duration of your centre-based PR programme?

The number of supervised centre-based PR sessions per week patients are expected to attend. (If you run multiple PR programmes differently at different sites, please select all that apply.) 1/2/3/More than 3

How many supervised centre-based PR sessions per week are patients expected to attend?

Does the service offer a home-based PR programme? (If this is run face to face, virtually, via a manual based programme, by telephone or another form of digital communication please select ‘Yes’.)

Do you offer a home-based PR programme?

If ‘Yes’, are all patients offered initial and discharge assessments?

If ‘Yes’, are patients offered supervised PR sessions in their homes? (This includes face to face, telehealth platform, virtually (via zoom etc), by telephone or another form of digital communication where there is the opportunity for regular two-way communication.)

If ‘Yes’, are patients offered supervised PR sessions in their homes?

The typical duration of the home-based PR programme. Options: Less than 4 weeks/4 weeks/5 weeks/6 weeks/7 weeks/8 weeks/More than 8 weeks

If ‘Yes’, what is the typical duration of your home-based PR programme?

The number of supervised home-based PR sessions per week patients are offered? (Select all that apply.) 1/2/3/More than 3

If ‘Yes’, how many supervised home-based PR sessions per week are patients offered?

Does the service send patients information about the PR programme prior to their initial assessment?

Do you send patients information about your PR programme prior to their initial assessment?

Is transport funded for patients? Select ‘Yes’ if any funding is provided, even if only for a subset of patients.

Is transport funded for patients?

The measures of aerobic exercise performance used at assessments or refered to as outcome measures. (Select all that apply) Options: Endurance shuttle walk test (ESWT)/Incremental shuttle walk test (ISWT)/Sit-to-stand (5STS)/Six minute walk test (6MWT)

Which measures of aerobic exercise performance do you use at assessments or refer to as outcome measures?

If ‘6MWT’, how many of your sites use a 30-metre course? Options: All sites use a 30m course/At least 1 site uses a 30m course/No sites use a 30m course

If ‘6MWT’, how many of your sites use a 30-metre course?

Is muscle strength measured at assessment?

Are any of the following measured at assessment? These measures can be collected at initial and/or discharge assessment. Please select ‘No’ or all that apply. Options: Activities of daily living scale/Hospital Anxiety and Depression Scores/Knowledge gained during education/Other psychological status scores/Patient satisfaction/Patient experience/Physical activity/No

Are any of the following measured at assessment? Activities of daily living scale/Hospital Anxiety and Depression Scores/Knowledge gained during education/Other psychological status scores/Patient satisfaction/Patient experience/Physical activity/No

Is aerobic training offered during the PR programme?

The type of aerobic training undertaken during the PR programme. (Select all that apply) Options: Walking/Cycling/Other

What type of aerobic training is undertaken during the PR programme?

Is aerobic training individually prescribed?

How is aerobic training prescribed? (Select all that apply) Options: Borg or perceived exertion scores/Endurance shuttle walking test (ESWT) level from ISWT/From six-minute walk test (6MWT)/From incremental shuttle walk test (ISWT)

How is aerobic training prescribed?

The intensity of aerobic exercise prescription used. Options: <65%/65 - <75%/75 - 85%/>85%

What intensity of aerobic exercise prescription is used?

Is resistance training offered during the PR programme?

Is resistance training individually prescribed?

How is resistance training prescribed? (Select all that apply) Options: Borg or perceived exertion scores/Measurement of 1RM or strength/Other

How is resistance training prescribed?

Are patients advised to do unsupervised home exercise during their PR programme? Yes, as part of a centre-based programme/Yes, as part of a home-based programme/No

Are patients advised to do unsupervised home exercise during their PR programme?

Hours of education scheduled during a centre-based PR programme. (Please give the time spent on education during a standard completed programme to the nearest hour.)

How many hours of education are scheduled during a centre-based PR programme?

Hours of education scheduled during a home-based PR programme. (Please give the time spent on education during a standard completed programme to the nearest hour. )

How many hours of education are scheduled during a home-based PR programme?

How is education provided for both centre and home-based PR programmes? (Select all that apply) Options: CD given to patients/DVD given to patients/Face-to-face group education sessions/Virtual group sessions (including telehealth, remote delivery)/	Information on a dedicated website, including pre-recorded videos via YouTube etc/Written hand-outs/Telephone/Other

How is education provided for both centre and home-based PR programmes?

If you offer face-to-face or virtual group education sessions, who delivers these? (Select all that apply) Options: Clinical psychologist/Dietician/Exercise physiologist/Fitness instructor/Health care/therapy assistant/Health psychologist/Occupational therapist /Pharmacist/Physiotherapist/Registered nurse/Respiratory physician/Respiratory physiologist/Social worker/Technical instructor/Volunteer/Other

If you offer face-to-face or virtual group education sessions, who delivers these?

If you offer face-to-face or virtual group education sessions, what do these sessions cover? (Select all that apply) Options: Advance directives/Anatomy, physiology, pathology—in health and in chronic respiratory disease/Anxiety management and relaxation/Benefits system and welfare rights/Chest clearance techniques/Confidence, self-efficacy and self-management/Dyspnoea/symptom management/Energy conservation & pacing/Exacerbation management (including coping with setbacks and relapses)/Goal setting and rewards/Identifying and changing beliefs about exercise and health related behaviours/Loving relationships and sexuality/Managing travel/Medication (including oxygen therapy)/Nutritional advice/Opportunities to exercise after pulmonary rehabilitation/Patient support groups/Relaxation/Smoking cessation/The benefits of physical exercise/Use of self-management plans/Other

If you offer face-to-face or virtual group education sessions, what do these sessions cover?

Does the service routinely provide patients with an individualised structured, written plan for ongoing exercise maintenance?

Do you routinely provide patients with an individualised structured, written plan for ongoing exercise maintenance?

The type of organisation that provides the service. (Select all that apply) Options: Community interest company (CIC)/Council/Integrated Care Organisations (ICO)/Local authorities/NHS acute trust/NHS Health Board/NHS non-acute or community trust/Private healthcare provider/Primary care network

What type of organisation provides your service?

The type of funding the service has. Options: Fixed-term/Non fixed-term

What type of funding does your service have?

Is there a named clinical lead for the service? Please note that this answer will not need to be re-entered as an answer for 4.2. Options: Yes – filled/Yes – currently unfilled /No

Is there a named clinical lead for the service?

If ‘Yes - filled’, what is their profession, grade and WTE?  If your service has more than one allocated lead, please record the profession, band and number of WTEs for each type of post. Matrix with profession as row title. Profession options: Doctor/Exercise practitioner/Qualified nurse/Qualified occupational therapist/Qualified physiotherapist. Pay band options: Pay band 4/Pay band 5/Pay band 6/Pay band 7/Pay band 8a/Pay band 8b/Pay band 8c/Pay band 8d/Pay band 9. WTE number to 2 decimal places

If ‘Yes - filled’, what is their profession, grade and WTE?

If ‘Yes’, does the clinical lead receive dedicated sessional time to coordinate and manage/develop the service?

How many types of posts are funded for the service? Matrix with profession as row title. Profession options: Admin and clerical/Community exercise instructor/Dietician or Nutritionist/Exercise practitioner/ Lay person/patient representative /Healthcare support worker/Pharmacist/Physician/Psychologist/Qualified nurse/Qualified physiotherapist/Qualified occupational therapist/Social worker/Therapy assistant . Pay band options: Pay band options 1-9. WTE number to 2 decimal places

How many types of posts are funded for the service?

What is the current WTE of staff vacancies at the service? (Up to 2 decimal places)

What is the current WTE of staff vacancies at the service?

What are the designations of the staff who contribute, but are non-funded, to the service? (Select all that apply) Options: Admin and clerical/Community exercise instructor/Dietician or Nutritionist /Exercise practitioner/Healthcare support worker/Lay person and/or patient representative/Pharmacist/Physician/Psychologist/Qualified nurse/Qualified physiotherapist/Qualified occupational therapist/Social worker/Therapy Assistant

What are the designations of the staff who contribute, but are non-funded, to the service?

Is there audit support provided?

How many WTE of audit support are provided? (Up to 2 decimal places)

How many WTE of audit support are provided?

Does the service have a Standard Operating Procedure (SOP) detailing local policies?

Do you have a Standard Operating Procedure (SOP) detailing local policies?

If ‘Yes’, what does the Standard Operating Procedure include? (Select all that apply) Options: Accessibility/Capacity/Digital or alternative modes of delivery/DNA management/Environment: facilities, kit and equipment/Maintaining dignity and respect/Managing waiting times/Measurement of exercise outcomes/Medication management/Minimum staffing levels/Patient and carer experience-satisfaction-feedback/Patients needing oxygen/Patient safety/Patient security/Risk assessments/Staff training, development and well-being/Transition care/Use of IT equipment/Whistle blowing

National Asthma and COPD Audit Programme - Pulmonary rehab organisational audit

Documentation

Coverage

Provenance

Origin

Temporal

Accessibility

Access

Usage

Format and Standards

Observations

Origin