Patients may be referred for diagnostic spirometry or in some instances, for monitoring in the event of worsening symptoms. This will be determined by the clinician responsible for the care of the patient. The service provides diagnostic Spirometry and if requested/indicated, post-bronchodilator spirometry and reversibility studies FENO testing.

Diagnostic spirometry offers breathing tests to evaluate lung function, essential for diagnosing COPD and assisting in the diagnosis of asthma and other lung conditions. It provides post-bronchodilator spirometry and reversibility studies if needed, following ARTP spirometry guidelines.

Eligibility Criteria

Inclusions

Housebound patients only:

• aged 18 years and over
• residents of Haringey
• registered with a Haringey GP 
• patients requiring supportive/confirmatory evidence for a diagnosis of COPD or asthma
• patients with known diagnosis who have deteriorating symptoms where measuring lung function will help with further management
• if post-bronchodilator or reversibility testing is required, the patient must be prescribed a Salbutamol inhaler and spacer for the test
• MRC 5 and unable to leave home
• dependent on mobility aids and unable to access transport safely
• has a medical condition where leaving home poses a significant health risk
• severe cognitive impairment impacting on ability to travel
• temporarily unable to attend clinic due to recent discharge.

Exclusions

• patients who are not housebound
• severe cognitive impairment and unable to follow instructions
• absolute contraindications to spirometry such as active TB, untreated PE and Aortic aneurysm 
• spirometry reviews.

How to Refer