Lung Health @home – Horizon scanning

Lung Health @home – inviting systems to share innovative practice and promising approaches

Lung Health @home (a newly established area of work) is seeking examples of innovation and new approaches being used to support people with a lung condition.

Part of NHS @home, Lung Health @home aims to support more people to manage their lung condition at home and increase access to pulmonary rehabilitation (PR) for people with moderate to severe breathlessness. This work is being led by the Clinical Policy Unit and NHS @home with a range of partners, including the Academic Health Science Networks (AHSNs). As part of this approach, we are collaborating with a wide range of stakeholders, including the respiratory networks and Transformation Directorate to align priorities and build on existing workstreams.

We are particularly keen to hear about approaches that have increased access and uptake of PR and increased access and participation in supported self-management activity, education, exercise, or other supported activity for people with a lung condition. This could include (but is not an exhaustive list):

Use of approaches and/or technology to support referral and assessments for PR, such as asking patients to complete questionnaires ahead of the assessment process to reduce time in the appointment with the clinician
Examples of optimising the workforce in the pathway to reduce pressure and increase capacity for clinical staff, such as utilising Exercise Therapists, Advanced Care Practitioners, Care Coordinators, Social Prescribing Link Workers, and Health and Wellbeing Coaches
Examples of a system-wide approach, such as those using community diagnostic hubs and referrals from targeted lung health checks (for diagnosis and PR)
Interventions and/or digital tools that increase access and participation in supported self-management, education, exercise, and other activities, such as text messaging with information about appointments, self-management, preparing for appointments, and remote monitoring
Prioritisation of patients on the waiting list for PR
Interventions that reduce health inequalities and increase access to PR and/or community-based self-management support

Healthcare professionals and respiratory teams can share examples of innovative practice by completing the below form. The Lung Health @home delivery partners will follow-up on areas of interest to understand more about/learn from their approach. Findings will inform the next steps of the Lung Health @home approach and support the sharing and development of tools and resources.

Please note that in this phase of the work (phase 2) we are looking for innovations that include rigorous evidence, so they can be included in a 'Community of Practice'. We will not be providing the level of follow up or testing with innovators as was included in Phase 1, please be as detailed as you can in your description of your innovation / approach.

Findings will inform the next steps of the Lung Health @home approach and support the sharing and development of tools and resources.

For more information on Lung Health @home visit our FutureNHS page (login required) or for questions about this process contact england.home@nhs.net.

Protecting your data
Please note, your responses will be kept confidential by the Lung Health @home delivery partners (NHS England, SWAHSN, Mtech Access, Kaleidoscope, UCLPartners) in adherence with the General Data Protection Regulation and Data Protection Act 2018. The Lung Health @home delivery partners will only contact you to follow-up on information you have shared relating to this current approach or any of its future work.

Under the General Data Protection Regulation you have a number of rights. For further information on these rights, including the circumstances in which they apply, see the Guidance from the UK Information Commissioner’s Office on individual rights under the General Data Protection Regulations. If you would like to exercise any of these rights in relation to this project, at any time, please email us at lunghealth@swahsn.com.

1. Do you have any examples of innovative practice in relation to increasing access and uptake of Pulmonary Rehabilitation (PR)?

Please include as much information as you think is relevant, such as:

Name of the services
Who delivers the services
Which patients are eligible and how they access these services
Feedback from patients
How these services are funded

2. Do you have any examples of innovative practice in relation to increasing access and uptake of supported self-management activity, education, exercise, or other supported activity for people with a lung condition?

Please include as much information you think is relevant, such as:

Name of the services
Who delivers the services
Which patients are eligible and how they access these services
Feedback from patients
How these services are funded

3. Are the services and/or innovative practices you have used in your innovation DTAC compliant?

Please enter an 'other' value for this selection.

4. Is there anything else you would like to tell us about the services you have described, or any other relevant services you are aware of?

5. If you have any supporting information or documents you would like to share, please upload them here.

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6. Please confirm your details:

Name *This question is required.

Role *This question is required.

Organisation *This question is required.

Contact email address *This question is required. This question requires a valid email address.

Contact number

7. Do you consent to your details being used by the Lung Health @home delivery partners for the purposes of your involvement in this approach?

This may include a short conversation about the service developments you are aware of or involved in, invitations to engagement workshops, interviews and, for the purposes of disseminating findings related to this programme of work. *This question is required.

8. Do you consent for details about your innovation via this submission form to be included in full on the Lung Health @home FutureNHS page, we will also upload this information to an external facing website (once developed) in order for patients to access this information.

We will not contact you to clarify details, so the information you provide will be viewed as complete and accurate.