Pulmonary Rehabilitation offers moderate intensity exercise and education programmes for individuals with chronic lung disease and breathlessness. Patient attend face-to-face twice a week at the Peckwater Centre or remotely via Zoom. The service provides advice, signposting to online resources, access to a basic home exercise programme, and facilitates patient transport and interpreters when needed.

Please include patient spirometry with tracing confirming diagnosis of COPD on referral 

Eligibility Criteria

Inclusions

• registered with Camden GP
• COPD diagnosis confirmed with quality assured spirometry
• patients with a confirmed diagnosis of Interstitial Lung Disease, Bronchiectasis, or Chronic Stable Asthma who have been reviewed by secondary care in the last 12 months
• willingness to participate
• MRC score of 3-5
• MRC score of 1 or 2 with a history of repeated exacerbations or limited by breathlessness
• sufficient mobility
• optimal medical management
• ability to travel for face-to-face pulmonary rehabilitation (transport available if otherwise unable to attend)
• internet capabilities at home (for remote PR) and if possible a laptop/tablet (a tablet can be arranged if the patient only has internet at home).

Exclusions

• unstable cardiac disease including, but not limited to: acute LVF; severe aortic stenosis; unstable angina; uncontrolled arrhythmias; suspected or known dissecting aneurysm
• AAA > 5.5cm
• uncontrolled diabetes
• symptomatic postural hypotension
• post-covid syndrome fatigue that is unmanaged
• frequent dizzy spells or incidence of loss of consciousness that has not been investigated
• 3 or more falls in the last year- should be referred to the falls team prior to PR
• uncontrolled musculoskeletal pain
• cognitive impairment which severely restricts compliance with the programme.

How to Refer

Refer via the EMIS form if patient meets referral criteria and is able to commit to programme.