Organisational survey data from hospitals in England, Wales and Scotland 1 April 2019 to 1 July 2019 on admissions, staffing, access to specialist staff/services, 7-day working, integration, patient engagement, transitional care, cost reimbursement.

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

Contains organisational survey data collected from hospitals in England, Wales and Scotland between 1 April 2019 and 1 July 2019. Includes data on admissions numbers and beds, staffing levels, access to specialist staff/services, 7-day working, management and integration of care, patient and carer engagement, transitional care, cost reimbursement.

percentage of hospitals 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

Total number of adult medical emergencies admitted in the 2020/21 financial year (Inclusion criteria: Patients  ≥ 35 years old admitted to hospital adult services with a primary diagnosis of acute exacerbation of chronic obstructive pulmonary disease (AECOPD), or where an initial, or unclear, diagnosis is revised to AECOPD)

How many adult medical emergencies did your hospital admit in the 2020/21 financial year?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 1 data fields: Admissions – Numbers and beds

Secondary care: COPD and adult asthma: Organisational audit dataset 2021

This refers to all primary emergency respiratory coded admissions only (whether admitted to respiratory wards or not). Codes J00-J99 will be included.

How many respiratory coded emergencies did your hospital admit in the 2020/21 financial year?

Acute exacerbation of COPD should be the primary diagnosis. The main codes that will be relevant are: 
J44.0 - Chronic obstructive pulmonary disease with acute lower respiratory infection (in first or second position only)
J44.1 - Chronic obstructive pulmonary disease with acute exacerbations (unspecified) (in first or second position only)
J44.8 - Other specified chronic obstructive pulmonary disease (first position only)
J44.9 - Other unspecified chronic obstructive pulmonary disease (first position only)
J43.9 - Emphysema (unspecified) (first position only)
J22 - Unspecified acute lower respiratory infection (first position only with COPD (J44.0, J44.8 or J43.9) in second position)
R06.0 - Dyspnea (shortness of breath) (first position only with COPD (J44.0, J44.8 or J43.9) in second position)

How many COPD coded emergencies did you hospital admit in the 2020/21 financial year?

Total number of emergency COPD coded respiratory admissions that were discharged from, or died, on the dedicated respiratory ward(s) in the 2020/21 financial year?

How many emergency COPD coded respiratory admissions were discharged from, or died, on your dedicated respiratory ward(s) in the 2020/21 financial year?

Tick box for if the hospital does not have a dedicated respiratory ward

Hospital does not have a dedicated respiratory ward

Asthma should be the primary diagnosis. The main codes that will be relevant are:                                                                                                           J45.0 Predominantly allergic asthma
J45.9 Asthma, unspecified
J46.X Status asthmaticus (Includes.: Acute severe asthma).

How many asthma coded emergencies did your hospital admit in the 2020/21 financial year?

Total number of emergency asthma coded respiratory admissions that were discharged from, or died, on the dedicated respiratory ward(s) in the 2020/21 financial year? (Options: Number or We do not have a dedicated respiratory ward)

How may emergency asthma coded respiratory admissions were discharged from, or died, on your dedicated respiratory ward(s) in the 2020/21 financial year?

Average number of medical beds that were available in the hospital in September 2021

How many medical beds are there in your hospital?

Average number of dedicated respiratory beds that were available in the hospital in September 2021.

How many beds are there on your dedicated respiratory ward(s)?

Hospital does not have a dedicated respiratory ward2

Average number of Level 2 beds that were available in your hospital in September 2021

How many of these are Level 2 beds?

Tick box for if the hospital has no Level 2 beds

No Level 2 beds

Does the hospital have a High Dependency Unit(s) (HDUs) to which respiratory patients can be admitted?

Does your hospital have a High Dependency Unit(s) (HDUs) to which respiratory patients can be admitted?

Average number of HDU beds that were available in the hospital in September 2021 (greyed out if "No" selected to previous question)

If yes, how many HDU beds are there in your hospital to which COPD and asthma patients can be admitted?

Does the hospital have a Respiratory Support Unit (RSU) to which respiratory patients can be admitted?

Does your hospital have a Respiratory Support Unit (RSU) to which respiratory patients can be admitted?

Average number of RSU beds that were available in the hospital in September 2021 (greyed out if "No" selected to previous question)

If yes, how many RSU beds are there in your hospital to which COPD and asthma patients can be admitted?

The number of WTEs for filled ST3 and above posts

How many ST3 and above posts (filled) are there in your respiratory team?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 2 data fields: Staffing levels

The number of WTEs for unfilled ST3 and above posts

How many ST3 and above posts (unfilled) are there in your respiratory team?

The number of WTEs for filled Respiratory consultant posts

How many Respiratory consultant posts (filled) are there in your respiratory team?

The number of WTEs for unfilled Respiratory consultant posts

How many Respiratory consultant posts (unfilled) are there in your respiratory team?

The number of WTEs for filled Advanced nurse practitioner posts

How many Advanced nurse practitioner posts (filled) are there in your respiratory team?

The number of WTEs for unfilled Advanced nurse practitioner posts

How many Advanced nurse practitioner posts (unfilled) are there in your respiratory team?

The number of WTEs for filled General respiratory nurse specialist posts

How many General respiratory nurse specialist posts (filled) are there in your respiratory team?

The number of WTEs for unfilled General respiratory nurse specialist posts

How many General respiratory nurse specialist posts (unfilled) are there in your respiratory team?

The number of WTEs for filled COPD nurse specialist posts

How many COPD nurse specialist posts (filled) are there in your respiratory team?

The number of WTEs for unfilled COPD nurse specialist posts

How many COPD nurse specialist posts (unfilled) are there in your respiratory team?

The number of WTEs for filled Nurse consultant posts

How many Nurse consultant posts (filled) are there in your respiratory team?

The number of WTEs for unfilled Nurse consultant  posts

How many Nurse consultant posts (unfilled) are there in your respiratory team?

The number of WTEs for filled Advanced clinical practitioner posts

How many Advanced clinical practitioner posts (filled) are there in your respiratory team?

The number of WTEs for unfilled Advanced clinical practitioner posts

How many Advanced clinical practitioner posts (unfilled) are there in your respiratory team?

Do respiratory physicians operate a dedicated on-call rota at the hospital for respiratory emergency admissions?

Do respiratory physicians operate a dedicated on-call rota at your hospital for respiratory emergency admissions?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 3 data fields: Access to specialist staff and services

Does the hospital have a designated, named clinical lead for COPD?

Does your hospital have a designated, named clinical lead for COPD?

Does the hospital have a designated, named clinical lead for asthma?

Does your hospital have a designated, named clinical lead for asthma?

This refers to a service where either palliative care consultants or palliative care nurse specialists are based at the hospital.  Tick all that apply. Options available: COPD patients/Asthma patients/Neither COPD nor asthma patients/No on-site palliative care service

Which patients have access to an on-site palliative care service?

This refers to a formal smoking cessation programme, delivered in the hospital, either by hospital staff or a visiting smoking cessation practitioner. Tick all that apply. Options available: COPD patients/Asthma patients/No smoking cessation service available

Is there a smoking cessation service to which you can refer or signpost COPD and/or asthma patients?

On which days and times does the hospital operate a system of specialty triage of patients to respiratory medicine? Tick all that apply.  Options available: Weekdays/Weekends/Out of hours/No specialty triage of patients to respiratory medicine

On which days and times does your hospital operate a system of specialty triage of patients to respiratory medicine?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 4 data fields: 7-day working

On which days and times is an on-call respiratory consultant available? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/No on-call respiratory consultant available

On which days and times is an on-call respiratory consultant available?

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on the MAU/admissions wards? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/None

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on the MAU/admissions wards?

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on the respiratory ward(s)? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/None

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on the respiratory ward(s)?

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on other wards? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/None

On which days and times does a senior decision maker from the respiratory team (ST3 or above) undertake a ward round of new COPD and asthma patients on other wards?

On which days is a/are respiratory nurse(s) available to review COPD patients? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/No respiratory nurse available

On which days is a/are respiratory nurse(s) available to review COPD patients?

On which days is a/are respiratory nurse(s) available to review Asthma patients? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/No respiratory nurse available

On which days is a/are respiratory nurse(s) available to review Asthma patients?

On which days is a/are respiratory physiotherapist(s) available to review COPD patients? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/No physiotherapist available

On which days is a/are respiratory physiotherapist(s) available to review COPD patients?

On which days is a/are respiratory physiotherapist(s) available to review Asthma patients? Tick all that apply. Options available: Weekdays/Weekends/Out of hours/No physiotherapist available

On which days is a/are respiratory physiotherapist(s) available to review Asthma patients?

Does the hospital have an Electronic Patient Record (EPR) system?

Does your hospital have an Electronic Patient Record (EPR) system?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 5 data fields: Management of care

If yes, please state the name of the EPR system supplier.

Is there a pulmonary rehabilitation service available to COPD patients discharged following exacerbation? Tick all that apply. Options available: Yes, based at this hospital/Yes, based within another hospital/Yes, based within the community/No

Is there a pulmonary rehabilitation service available to COPD patients discharged following exacerbation?

If yes, is this/are these services available within 30 days of discharge? Options available: Yes/No/Not known

If yes, is this/are these services available within 30 days of discharge?

Does the hospital have a severe asthma service?

Does your hospital have a severe asthma service?

If no, is there a referral pathway to a severe asthma service?

If no, do you have a referral pathway to a severe asthma service?

Does the hospital provide out-reach early/supported discharge and if so, by whom? Options available: Service not provided/Hospital based team/Hospital team that works jointly with a community team (can include hospital staff that support patients in the community.)

Does your hospital provide out-reach early/supported discharge and if so, by whom?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 6 data fields: Integrating care

Does the hospital provide in-reach early/supported discharge and if so, by whom? Options available: Service not provided/Community based team//Community team that works jointly with a hospital team

Does your hospital provide in-reach early/supported discharge and if so, by whom?

Does the hospital provide an admissions avoidance service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide an admissions avoidance service and if so, by whom?

Does the hospital provide an oxygen assessment service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide an oxygen assessment service and if so, by whom?

Does the hospital provide a medicines management service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide a medicines management service and if so, by whom?

Does the hospital provide a chronic disease management service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide a chronic disease management service and if so, by whom?

Does the hospital provide a nebuliser service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide a nebuliser service and if so, by whom?

Does the hospital provide a smoking cessation service and if so, by whom? Options available: Service not provided/Hospital based team/Community based team/Single team that works across the community/secondary care interface

Does your hospital provide a smoking cessation service and if so, by whom?

Is there a regular MDT meeting between hospital and community teams for patients with COPD?

Frequency of MDT meetings. Options available: Weekly/Fortnightly/Monthly/Quarterly/Other (please specify)

If yes, how frequently does the meeting occur?

Range of staff roles that attend MDT meetings. Tick all that apply. Options available: Respiratory consultant/Other member of respiratory specialist team/General practitioner/Ward nurse/Community nurse/Ward physiotherapist/Community physiotherapist/Ward pharmacist/Ward occupational therapist/Community pharmacist/Community occupational therapist/Smoking cessation counsellor/Psychologist/Other (please specify)

If yes, which of the following staff attend?

Is there sessional time within this meeting devoted to developing integrated respiratory services in your area?

Frequency of formal survey seeking patient/carer views on respiratory services.  Options available: Continuous (every patient)/More than 4 times a year/3-4 times a year/1-2 times a year/Less than once a year/Never

How often is a formal survey seeking patient/carer views on respiratory services undertaken?

Secondary care: COPD and adult asthma: Organisational audit dataset 2021 Section 7 data fields: Patient and carer engagement

Does the trust have a strategic group for respiratory services? This group is defined as consisting of senior clinical and management representatives, who meet regularly, set and review targets, implement the respiratory strategy and make plans for the future of the service. Options available: Yes/No/Not known

Does your trust have a strategic group for respiratory services?

If yes, does this group have patient representation? Options available: Yes/No/Not known

National Asthma & COPD Audit:COPD and adult asthma organisational dataset

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