COPD Winter-Qual
Research type
Research Study
Full title
An interview study exploring patient, healthcare professional and commissioner experiences of a risk-based, integrated COPD care model in accordance with the COPD Winter Approach.
IRAS ID
353733
Contact name
Michael G. Crooks
Contact email
Sponsor organisation
Hull University Teaching Hospitals NHS Trust
Duration of Study in the UK
0 years, 4 months, 1 days
Research summary
Chronic obstructive pulmonary disease (COPD) is a common lung disease closely linked to smoking. COPD is a typically progressive condition where patients develop worsening symptoms of shortness of breath and cough. Hull and the East Riding of Yorkshire have an integrated care service for COPD patients which involves collaboration between primary care, community, and secondary care services.
The Hull and East Riding COPD service received funding from NHS England to try a new risk-based, integrated care model focused on identifying and supporting patients in the community who may be “high-risk” when it comes to their COPD. This model aimed to align with NHS England's 'Winter COPD Approach'.
Within this model, the Primary Care Network (PCN) takes an active approach to risk stratifying their patients, inviting high-risk patients for review, and working with integrated COPD services to optimise their care. This would include discussion in a COPD Multidisciplinary Team Meeting (MDT) and referral to appropriate services such as smoking cessation or pulmonary rehabilitation. Patients identified as high-risk would have access to a digital service that provides them with self-management support, as well as the opportunity to self-refer to the virtual ward in the event of a flare-up of their COPD.
We aim to explore the experiences of patients receiving risk-based, integrated COPD care, as well as the experiences of clinicians delivering care in this way. We will do this by interviewing patients, clinicians and commissioners. Data from these groups will be analysed thematically to gain insight into the patient and clinician experiences of the risk-based, integrated COPD care model. This study will contribute towards the mixed-methods evaluation of the risk-based, integrated care mode aligned with the NHS England COPD Winter Approach, identifying facilitators and barriers to its scaled implementation and delivery.
REC name
North West - Greater Manchester South Research Ethics Committee
REC reference
25/NW/0040
Date of REC Opinion
30 Jan 2025
REC opinion
Further Information Favourable Opinion