A consultant-supported multi-disciplinary team, providing domiciliary visits to housebound patients with COPD, who frequently have exacerbations or hospital admissions.

The team also provides:

• exacerbation management in previously known patients
• support on hospital discharge (with diagnosis of COPD or likely diagnosis and within 72 hours of discharge). Please note that this service is not designed to address acute medical needs.
• medication optimisation and medication trials (e.g. up-titration of ICS)
• individualised self-management plans e.g. breathlessness management, secretion clearance, disease and exacerbation education.

Eligibility Criteria

Inclusions

• housebound patients with confirmed diagnosis of COPD
• and/or frequent exacerbations or hospital admissions
• patient must have a Camden GP
   

Exclusions

• Patients that can attend a respiratory clinic will be offered all the above in an out-patient setting
• Patients without a COPD diagnosis

How to Refer