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Table 5 Pulmonary rehabilitation (PR) quality indicators

From: Introducing the national COPD resources and outcomes project

INDICATOR 'Met in Full'
The pulmonary rehabilitation programme is delivered by a fully funded, multi-disciplinary team with sessions from: a physiotherapist, dietician, social worker, pharmacist, OT, lung function technician and a previous course participant. 44% 36/82
There is a designated lead clinician and a named co-ordinator for the pulmonary rehabilitation programme. 85% 70/82
Pulmonary rehabilitation lasts a minimum of 6 weeks with exercise sessions twice a week. It is repeated regularly throughout the year. 91% 75/82
There is a continuation phase, run by people trained in pulmonary rehabilitation, in the community. 41% 34/82
The pulmonary rehabilitation programme includes education about living with COPD and ALL of the following issues: exercise, smoking cessation, diet, oxygen, social service support and benefits. 89% 72/81
Staff that supervise exercise component of the pulmonary rehabilitation programme are trained in resuscitation to Advanced Life Support standard and basic life support equipment is available (oxygen, bronchodilators and GTN) is available during these 53% 42/80
The staff/patient ratio during the exercise component of the pulmonary rehabilitation programme is at least 1:8 98% 79/81
The pulmonary rehabilitation programme provides written educational resources/leaflets for patients and carers. 95% 78/82
There are annual audits of the service that includes patients numbers AND outcomes AND patient satisfaction. 70% 57/82
Measurements such as spirometry, exercise and health status, are recorded before and after pulmonary rehabilitation. 78% 63/81
  1. Percentage of the 83 NCROP sites providing PR in 2007 that said they 'met in full' these indicators (denominator = number of hospitals returning data)