COPD Services at Luton and Dunstable Hospital

Services

Overview of service description and contact details

The service is jointly provided by Luton & Dunstable Hospital NHS Foundation Trust and Bedford Hospital NHS Trust.
 
Contact details for Luton & Dunstable are:

  • Fax number:  01582 718388 
  • Telephone number:  01582 497483
  • ARAS mobile number:  07535977268

The key components of integrated COPD service include:

Acute Respiratory Assessment Service (ARAS)

  • Review of exacerbating COPD Patients who are not responding to treatment

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:
    • Houghton Regis Medical Centre
    • Salisbury House surgery (Leighton Buzzard)

Pulmonary Rehabilitation

  • Suitable for patients with an MRC ≥3
  • 3 venues available:
    • L&D
    • Peter Newton Pavilion (Dunstable)
    • Tilsworth Community Hall
  • 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 (see clinic times)

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: 10/06/2013

Update due: 10/06/2014