• Run by Royal United Hospital, Bath.
  • Aimed to improve the service patients with COPD receive so that patients can be discharged earlier and both patients and their carers are adequately supported in the community.
  • The main focus of the project was the implementation of the COPD discharge bundle, created to remind staff of the support that patients need prior to discharge. 

Royal United Hospital aimed to further develop their service for patients with COPD, so that patients can be discharged earlier and both patients and their carers are adequately supported in the community.

The main objectives for the project were:

  • patients receiving Non-Invasive Ventilation (NIV) for COPD exacerbations cared for on the Respiratory Ward within 24 hours of use of NIV
  • emergency oxygen prescribed and appropriately administered for patients with COPD
  • improving patient education through the use of patient information leaflets, inhaler training guides and appointments for smoking cessation/pulmonary rehabilitation
  • improving communication with primary care when patients leave hospital to prevent unnecessary re-admission
  • recognising the importance of special nutritional needs for these patients by ensuring nutrition screening is undertaken and patients with a low body mass index receive dietetic input or nutritional supplements during their hospital stay.

They created a COPD discharge bundle to remind staff of the support patients need prior to discharge. This included:

  • a referral to the Healthy Lifestyle Service
  • a follow up appointment with the GP
  • attendance at pulmonary rehabilitation clinics
  • use of inhalers
  • information leaflets on how to stay healthy.

As part of the project, the team worked to improve the information on COPD for carers and increased the involvement of carers at consultations. They used shadowing and patient questionnaires to ensure patients and carers input into the improvements.

Who was involved?

A multi-disciplinary project team from the respiratory ward led the project. Their success depended on close partnership with teams providing complimentary services like the ‘Impact Team’ who provide a ‘hospital at home’ service for people with COPD and work to prevent hospital admissions.

Further reading

Blog

Patient and Family-Centred Care: practical tools to improve patient experience

4 June 2014
Blog

With the challenges currently facing the NHS, leaders at all levels across organisations need to...

You might also like...

Blog

Putting health tech into practice

Blog

What is required for tech implementation in the NHS to be successful, and how should this shape our...

Blog

COVID-19 recovery: opportunities for building a relational approach to quality improvement

Blog

Public health specialty registrar Dr Esther Kwong reflects on her personal experience of using...

Event

Webinar: The Health and Care White Paper unbound

Event

Watch back as our panel critically assessed the major proposals set out in the government's February...

Kjell-bubble-diagramArtboard 101 copy

Get social

Despite government promising to 'fix the crisis in social care once and for all', no plan to reform the sector has… https://t.co/IINgDPTJXv

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more