Interesting discussions today regarding practice nursing peer review of COPD patients during the CCG locality/Lead nurse meeting.
How can we improve the care we provide, has been and always will be the million dollar question!
How do we address the variation in Practice..... This is something Leeds Respiratory Network has been trying to achieve for a long time! This question is music to our ears!
Out thoughts....
Every Practice should have a clinical lead for respiratory care.
Minimun standards of education for Practice Nurses who perform Respiratory reviews moving away from see one do one.
Educational standards during training should include mentorshp, secondary and community care involvement.
Standardisation of review requirements - Templates & Care Plans.
FEV1 for annual review obtained by full spirometry and not COPD6 used for screening.
Implementation of current up to date evidenced based guidelines. Not following the guidelines that were around when if at all respiratory qualifications were recieved.
Enocrporate the QIPP agenda through appropriate prescribing and minimising waste. This is your responsibility not someone else's. We all have a duty to reduce cost in the NHS wheather we like it or not.
Holistic review of the COPD patient to encoporate social assessment.
Referral onto external agencies such as smoking cessation and pulmonary rehabilitation - influence patients with passion and excitement about these services in order to achieve improve outcomes.
Don't be afraid of talking about end of life care!
Just to name a few #COPD #Leadership #Respiratory #Education #PalliativeCare
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