COPD Services at Bedford Hospital

Services

Overview of service description and contact details

The service is jointly provided by Bedford Hospital NHS Trust, Luton & Dunstable Hospital NHS Foundation Trust.

Contact details for Bedford Hospital are:

Telephone Number: 01234 355122 extension 233
Respiratory Nurses: Fax number: 01234 792077; Telephone number: 01234 795859  
Pulmonary Rehab: Fax number : 01234 795855
ARAS b: 01234 730343

Bedford Hospital ICOPD Service Details and Contacts

The key components of integrated COPD service include:

Acute Respiratory Assessment Service (ARAS)

  • Review of exacerbating COPD patients who are not responding to treatment- Direct Tel: 01234 730343

Early Support Discharge Scheme (ESD)

  • Patients who admitted to hospital and are identified as suitable for discharge home with support from the ICOPD team. They remain under the care of the hospital until fit for full discharge
  • ICOPD will work as multi-disciplinary team and refer to relevant agencies to enable safe  discharge and help prevent re-admission

Intervention Clinics

  • Run by Respiratory Nurse Specialist/Physiotherapist and supported by Chest physicians and lung Physiologists
  • Following referral, ICOPD team will ensure patients are seen in most appropriate setting (community or secondary care).
  • Community Venues:
    • Priory Medical Centre, Clapham
    • Wooton Vale Health Centre
    • Shefford Health Centre
    • Highlands Surgery, Flitwick

Pulmonary Rehabilitation

  • Suitable for patients with an MRC ≥3
  • 3 venues available:
    • Jubilation Centre, Bedford
    • Sandy Village Hall,  Sandy
    • Flitwick Village Hall, Flitwick
  • Twice a week, for 7 weeks
  • Run by specialist Physiotherapist and Respiratory Nurse Specialist
  • Early Post-Exacerbation drop in programs run at the  L&D
  • Domiciliary Pulmonary Rehabilitation available

Respiratory Exercise Group

  • Step up from PR Programme (BHT): Every Mon/Wed

Who to Refer

Intervention Clinics

Suitable  for specialist assessment and diagnosis and interventions (see referral criteria)

Pulmonary Rehabilitation

Suitable for patients with an MRC ≥3

People who have had 2 or more hospital admissions in the last 6 months

People who have had 2 or more exacerbations in the last  6 months

People who  have an inability to cope with (2 or more of the following):

  • Panic attacks
  • Reduced confidence
  • Increased anxiety
  • MRC dyspnoea >2

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Who not to Refer

People with:

  • Symptomatic Cardiac Failure
  • Hypertension (systolic > 240mg, diastolic>120mg
  • Uncontrolled/brittle asthma
  • Myocardial Infarction within 6 weeks
  • Severe/uncontrolled epilepsy
  • Unstable angina
  • Tachycardia (>120bpm at rest)


Last updated: 06/08/2012

Update due: 06/08/2013