Abstract
BackgroundWe report baseline data on the organisation of COPD care in UK NHS hospitals participating in the National COPD Resources and Outcomes Project (NCROP).MethodsWe undertook an initial survey of participating hospitals in 2007, looking at organisation and performance indicators in relation to general aspects of care, provision of non-invasive ventilation (NIV), pulmonary rehabilitation, early discharge schemes, and oxygen. We compare, where possible, against the national 2003 audit.Results100 hospitals participated. These were typically larger sized Units. Many aspects of COPD care had improved since 2003. Areas for further improvement include organisation of acute care, staff training, end-of-life care, organisation of oxygen services and continuation of pulmonary rehabilitation.ConclusionKey Points: positive change occurs over time and repeated audit seems to deliver some improvement in services. It is necessary to assess interventions such as the Peer Review used in the NCROP to achieve more comprehensive and rapid change.
Highlights
We report baseline data on the organisation of Chronic Obstructive Pulmonary Disease (COPD) care in UK NHS hospitals participating in the National COPD Resources and Outcomes Project (NCROP)
Specific areas of care still required attention and so, in tandem with publication of the results, the audit team undertook a series of feedback meetings to Regional Thoracic Society meetings, in the hope this might lead to change
The NCROP is a collaborative study between three partner organizations, the Royal College of Physicians of London (RCP), The British Thoracic Society (BTS) and the British Lung Foundation (BLF) and is running over a 4 year period
Summary
We report baseline data on the organisation of COPD care in UK NHS hospitals participating in the National COPD Resources and Outcomes Project (NCROP). We designed the National COPD Resources and Outcomes Project (NCROP) to go a step beyond audit alone in assessing how a Peer Review Intervention might affect (page number not for citation purposes). The NCROP is a collaborative study between three partner organizations, the Royal College of Physicians of London (RCP), The British Thoracic Society (BTS) and the British Lung Foundation (BLF) and is running over a 4 year period. It has three phases, the first of which, an initial survey of participating Units, we report here. Phases 2 and 3, the Peer Review intervention and repeat of the baseline assessment, will be reported later
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