Chronic Obstructive Pulmonary Disease: Secondary care clinical audit 2017: Working together
The purpose of the report is to outline the main messages and key recommendations from the clinical component of the National Chronic Obstructive Pulmonary Disease (COPD) Audit Programmes secondary care clinical audit. This report’s audience includes; healthcare professionals; NHS managers, chief executives and board members; service commissioners; policymakers; voluntary organisations; patient support groups, COPD patients and their families/carers; and the public.
The continuous audit, which captures the process and clinical outcomes of treatments in patients admitted to hospital in England and Wales with COPD exacerbations, launched on 1 February 2017. This report, which is the first report post launch of continuous data collection, presents the results of the cohort of patients discharged between the audit’s launch date and 13 September 2017.
This report summarises data from 36,341 hospital admissions entered by 182 hospitals in England and Wales (median 263 admissions per hospital). It highlights improvements in the timing of acute medical care, respiratory specialist review and completion of discharge. However, COPD care remains very variable. The time to delivery of non-invasive ventilation (NIV), prescribing of oxygen and recording of spirometry requires particular attention, as does identification of current smokers and delivery of in-patient smoking cessation pharmacotherapy. There remain far fewer discharges at the weekend. These should become key targets for clinicians and managers for improvement in 2018.
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