Introduction During COVID-19, pulmonary rehabilitation as we know it ceased to exist. The service needed to adapt rapidly to the requirements of the patient group, while complying with government isolation guidelines. Most groups moved online, but with little time to evaluate the service. What can we learn from this roll out to ensure practitioners continue to deliver a safe and effective pulmonary rehabilitation service. Aim To explore the opinions of physiotherapist and respiratory nursing specialists’ on how pulmonary rehabilitation has changed due to COVID-19 and the impact on future service delivery. Methods A qualitative design was used to gain in-depth understanding of lived experiences. Forty nine participants completed the online survey of 14 open ended questions, and a four-stage thematic analysis used to identify emergent themes. Findings Three main themes were identified- a need for best practice, a need for patient centred care, and acknowledging the emotional stressors of COVID-19 on vulnerable patients. Conclusion Patients should be offered both online and face-to-face options for pulmonary rehabilitation, to promote patient centred care; providing options to participate in effective rehabilitation without physical or emotional restriction; and to increase staff training to enable practitioners to provide the increasingly complex and holistic service required.