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National COPD Audit Programme secondary care organisational audit 2017COPD secondary care organisational audit 2017 - data description file

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The full name of the participating hospital. Adult medical emergencies to the hospital in 2016 Emergency respiratory coded admissions to the hospital in 2016 Emergency COPD coded admissions to the hospital in 2016 Does the hospital have a dedicated respiratory ward Proportion of total emergency COPD coded respiratory admissions discharged from the dedicated respiratory ward(s) in 2016 Number of medical beds Number of dedicated respiratory beds Number of designated level 2 beds on dedicated respiratory wards Does the hospital have a high dependency unit (HDU)? Hospitals with high dependency units (HDUs): is it a medical HDU? Hospitals with high dependency units (HDUs): a mixed medical/surgical HDU Hospitals with high dependency units (HDUs): a respiratory HDU Hospitals with high dependency units (HDUs): 'other' selected Hospitals with high dependency units (HDUs): 'other' answer Number of HDU beds Number of general operational intensive care unit (ICU) beds, suitable for COPD patients Hospitals with a system of early warning detection Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: none Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Monday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Tuesday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Wednesday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Thursday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Friday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Saturday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Sunday Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: Monday to Friday only Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: 7 days a week Hospital availability of an ICU outreach service for critically ill patients, who require ICU management: overnight Contribution to the acute intake rota: Consultant acute physicians Contribution to the acute intake rota: Consultant geriatricians Contribution to the acute intake rota: Respiratory consultants Contribution to the acute intake rota: Other medical consultants Contribution to the acute intake rota: Medical specialist registrars(SpRs)/specialty trainees Consultant acute physicians with an interest in respiratory medicine Frequency at which patients on the admissions ward are reviewed by a senior decision maker (SpR or above): weekdays Frequency at which patients on the admissions ward are reviewed by a senior decision maker (SpR or above): weekends Staff posts in hospital respiratory teams: FY1 Staff posts in hospital respiratory teams: FY2 Staff posts in hospital respiratory teams: CT1/CT2 Staff posts in hospital respiratory teams: ST3 and above Staff posts in hospital respiratory teams: Associate specialist Staff posts in hospital respiratory teams: Staff grade Staff posts in hospital respiratory teams: Respiratory physiologist (lung function technician) Staff posts in hospital respiratory teams: Respiratory nurse consultant Staff posts in hospital respiratory teams: COPD nurse Staff posts in hospital respiratory teams: Other specialist respiratory nurse Staff posts in hospital respiratory teams: Specialist respiratory physiotherapist Staff posts in hospital respiratory teams: Research registrar/fellow Staff posts in hospital respiratory teams: research nurse Staff posts in hospital respiratory teams: Respiratory consultant Staff posts in hospital respiratory teams: Other Staff posts in hospital respiratory teams: other details Number of unfilled vacancies in hospital teams: FY1 Number of unfilled vacancies in hospital teams: FY2 Number of unfilled vacancies in hospital teams: CT1/CT2 Number of unfilled vacancies in hospital teams: ST3 and above Number of unfilled vacancies in hospital teams: Associate specialist Number of unfilled vacancies in hospital teams: Staff grade Number of unfilled vacancies in hospital teams: Respiratory physiologist (lung function technician) Number of unfilled vacancies in hospital teams: Respiratory nurse consultant Number of unfilled vacancies in hospital teams: COPD nurse Number of unfilled vacancies in hospital teams: Other specialist respiratory nurse Number of unfilled vacancies in hospital teams: Specialist respiratory physiotherapist Number of unfilled vacancies in hospital teams: Research registrar/fellow Number of unfilled vacancies in hospital teams: Respiratory consultant Number of unfilled vacancies in hospital teams: Other Number of unfilled vacancies in hospital teams: Other details Hospitals that run their own pulmonary rehabilitation (PR) service Inpatient dietetic services in hospitals, available for COPD patients, and number of WTEs allocated to the medical wards to run the service Inpatient dietetic services in hospitals, available for COPD patients, and number of WTEs allocated to the medical wards to run the service: other free text Smoking cessation services available in hospitals, and number of WTEs provided to run the service Smoking cessation services available in hospitals, and number of WTEs provided to run the service: other free text Availability of smoking-cessation pharmacotherapy: Our hospital has no pharmacy Availability of smoking-cessation pharmacotherapy: Nicotine replacement therapy Availability of smoking-cessation pharmacotherapy: Varenicline Availability of smoking-cessation pharmacotherapy: Bupropion Availability of on-site palliative care service available for COPD patients, and number of WTEs provided to run the service Availability of on-site palliative care service available for COPD patients, and number of WTEs provided to run the service: other free text Does your hospital operate a respiratory take separate from the rest of acute medicine? On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : none On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Monday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Tuesday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Wednesday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Thursday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Friday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Saturday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Sunday On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : Monday to Friday inclusive On which days does your hospital operate a system of specialty triage of cases to respiratory medicine? : 7 days a week On which days is there an on-call respiratory consultant available? : none On which days is there an on-call respiratory consultant available? : Monday On which days is there an on-call respiratory consultant available? : Tuesday On which days is there an on-call respiratory consultant available? : Wednesday On which days is there an on-call respiratory consultant available? : Thursday On which days is there an on-call respiratory consultant available? : Friday On which days is there an on-call respiratory consultant available? : Saturday On which days is there an on-call respiratory consultant available? : Sunday On which days is there an on-call respiratory consultant available? : Monday to Friday inclusive On which days is there an on-call respiratory consultant available? : 7 days a week On which days is there an on-call respiratory SpR/specialty trainee available? : none On which days is there an on-call respiratory SpR/specialty trainee available? : Monday On which days is there an on-call respiratory SpR/specialty trainee available? : Tuesday On which days is there an on-call respiratory SpR/specialty trainee available? : Wednesday On which days is there an on-call respiratory SpR/specialty trainee available? : Thursday On which days is there an on-call respiratory SpR/specialty trainee available? : Friday On which days is there an on-call respiratory SpR/specialty trainee available? : Saturday On which days is there an on-call respiratory SpR/specialty trainee available? : Sunday On which days is there an on-call respiratory SpR/specialty trainee available? : Monday to Friday inclusive On which days is there an on-call respiratory SpR/specialty trainee available? : 7 days a week On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : none On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Monday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Tuesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Wednesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Thursday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Friday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Saturday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Sunday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : Monday to Friday inclusive On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the MAU/admissions ward? : 7 days a week On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : none On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Monday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Tuesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Wednesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Thursday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Friday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Saturday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Sunday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : Monday to Friday inclusive On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the respiratory ward(s)? : 7 days a week On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : none On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Monday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Tuesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Wednesday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Thursday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Friday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Saturday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Sunday On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : Monday to Friday inclusive On which days does a senior decision maker from the respiratory team (SpR or above) undertake a ward round of new COPD patients on the other ward(s)? : 7 days a week On which days is a respiratory nurse(s) available to review COPD patients? : none On which days is a respiratory nurse(s) available to review COPD patients? : Monday On which days is a respiratory nurse(s) available to review COPD patients? : Tuesday On which days is a respiratory nurse(s) available to review COPD patients? : Wednesday On which days is a respiratory nurse(s) available to review COPD patients? : Thursday On which days is a respiratory nurse(s) available to review COPD patients? : Friday On which days is a respiratory nurse(s) available to review COPD patients? : Saturday On which days is a respiratory nurse(s) available to review COPD patients? : Sunday On which days is a respiratory nurse(s) available to review COPD patients? : Monday to Friday inclusive On which days is a respiratory nurse(s) available to review COPD patients? : 7 days a week Patients with access to a respiratory nurse Patients with access to a respiratory nurse: other detail On which days is a physiotherapist(s) available to review COPD patients where necessary? : none On which days is a physiotherapist(s) available to review COPD patients where necessary? : Monday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Tuesday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Wednesday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Thursday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Friday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Saturday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Sunday On which days is a physiotherapist(s) available to review COPD patients where necessary? : Monday to Friday inclusive On which days is a physiotherapist(s) available to review COPD patients where necessary? : 7 days a week Which patients have access to a respiratory physiotherapist? Which patients have access to a respiratory physiotherapist? : other detail Presence of a named lead clinician responsible for the NIV service In which setting(s) is non-invasive ventilation (NIV) given? : NIV not available In which setting(s) is non-invasive ventilation (NIV) given? : MAU/admissions ward In which setting(s) is non-invasive ventilation (NIV) given? : A&E/ED In which setting(s) is non-invasive ventilation (NIV) given? : Respiratory ward In which setting(s) is non-invasive ventilation (NIV) given? : General ward In which setting(s) is non-invasive ventilation (NIV) given? : HDU In which setting(s) is non-invasive ventilation (NIV) given? : ITU In which setting(s) is non-invasive ventilation (NIV) given? : Other In which setting(s) is non-invasive ventilation (NIV) given? : other detail Contents and availability of an NIV monitoring chart : No NIV monitoring chart Contents and availability of an NIV monitoring chart : Initial blood gases Contents and availability of an NIV monitoring chart : Subsequent blood gases Contents and availability of an NIV monitoring chart : Time of application Contents and availability of an NIV monitoring chart : Initial NIV pressures Contents and availability of an NIV monitoring chart : Subsequent NIV pressures Availability and content of training programmes for staff who provide NIV : No training programme for staff providing NIV Availability and content of training programmes for staff who provide NIV : Not known Availability and content of training programmes for staff who provide NIV : Indications for NIV Availability and content of training programmes for staff who provide NIV : Initiation of NIV Availability and content of training programmes for staff who provide NIV : Nursing patients on NIV Hospital participation in the British Thoracic Society (BTS) NIV audit : Not participated Hospital participation in the British Thoracic Society (BTS) NIV audit : 2013 Hospital participation in the British Thoracic Society (BTS) NIV audit : 2012 Hospital participation in the British Thoracic Society (BTS) NIV audit : 2011 Hospital participation in the British Thoracic Society (BTS) NIV audit : 2010 Does your hospital have an oxygen policy in place? Does your hospital have paper prescriptions or electronic prescribing? Does the medication chart/record have a designated place in which to prescribe oxygen? Is there a monitoring chart that allows the following to be recorded? : No Is there a monitoring chart that allows the following to be recorded? : Target saturation Is there a monitoring chart that allows the following to be recorded? : Actual saturation Is there a monitoring chart that allows the following to be recorded? : Amount of oxygen administered Does the hospital have an oxygen training programme in place, and what does it cover? : No Does the hospital have an oxygen training programme in place, and what does it cover? : Not known Does the hospital have an oxygen training programme in place, and what does it cover? : • Prescription of emergency oxygen for doctors Does the hospital have an oxygen training programme in place, and what does it cover? : • Monitoring of emergency oxygen for nurses and other health professionals How many of your respiratory trainees (ie ST3 or above) have accessed the BTS e-learning module on emergency oxygen? Based on your answer to 4.6 and 1.16 (total number of ST3 and above) the proportion of respiratory trainees accessing the BTS e-learning is: Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : No Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Smoking cessation advice Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Assessment of suitability for pulmonary rehabilitation Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Written COPD patient information Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Satisfactory use of inhalers demonstrated and understood Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Confirmation of follow-up arrangements after discharge Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Other Are COPD discharge bundles used for COPD patients discharged from your hospital following exacerbation, and if so which elements of care do they cover? : Other details Does your hospital have access to a team that undertakes integrated care of patients with COPD? : No – no access to team undertaking integrated care of patients with COPD Does your hospital have access to a team that undertakes integrated care of patients with COPD? : Yes – hospital based team Does your hospital have access to a team that undertakes integrated care of patients with COPD? : Yes – community based team Does your hospital have access to a team that undertakes integrated care of patients with COPD? : Yes – single team that works across the primary/secondary care interface Does your hospital have access to a team that undertakes integrated care of patients with COPD? : Not known How many days a week does it operate? : Monday How many days a week does it operate? : Tuesday How many days a week does it operate? : Wednesday How many days a week does it operate? : Thursday How many days a week does it operate? : Friday How many days a week does it operate? : Saturday How many days a week does it operate? : Sunday How many days a week does it operate? : Monday to Friday only How many days a week does it operate? : 7 days a week What services are provided and by whom? : other What services are provided and by whom? : other details What services are provided and by whom? : Out-reach Early/Supported discharge : Service not provided What services are provided and by whom? : Out-reach Early/Supported discharge : Hospital based team What services are provided and by whom? : Out-reach Early/Supported discharge : Community based team What services are provided and by whom? : Out-reach Early/Supported discharge : Single team that works across the primary/secondary care interface What services are provided and by whom? : In-reach Early/Supported discharge : Service not provided What services are provided and by whom? : In-reach Early/Supported discharge : Hospital based team What services are provided and by whom? : In-reach Early/Supported discharge : Community based team What services are provided and by whom? : In-reach Early/Supported discharge : Single team that works across the primary/secondary care interface What services are provided and by whom? : Admissions avoidance : Service not provided What services are provided and by whom? : Admissions avoidance : Hospital based team What services are provided and by whom? : Admissions avoidance : Community based team What services are provided and by whom? : Admissions avoidance : Single team that works across the primary/secondary care interface What services are provided and by whom? : Pulmonary rehabilitation : Service not provided What services are provided and by whom? : Pulmonary rehabilitation : Hospital based team What services are provided and by whom? : Pulmonary rehabilitation : Community based team What services are provided and by whom? : Pulmonary rehabilitation : Single team that works across the primary/secondary care interface What services are provided and by whom? : Oxygen assessment service : Service not provided What services are provided and by whom? : Oxygen assessment service : Hospital based team What services are provided and by whom? : Oxygen assessment service : Community based team What services are provided and by whom? : Oxygen assessment service : Single team that works across the primary/secondary care interface What services are provided and by whom? : Medicines/chronic disease management : Service not provided What services are provided and by whom? : Medicines/chronic disease management : Hospital based team What services are provided and by whom? : Medicines/chronic disease management : Community based team What services are provided and by whom? : Medicines/chronic disease management : Single team that works across the primary/secondary care interface What services are provided and by whom? : Nebuliser service : Service not provided What services are provided and by whom? : Nebuliser service : Hospital based team What services are provided and by whom? : Nebuliser service : Community based team What services are provided and by whom? : Nebuliser service : Single team that works across the primary/secondary care interface What services are provided and by whom? : Smoking cessation advice : Service not provided What services are provided and by whom? : Smoking cessation advice : Hospital based team What services are provided and by whom? : Smoking cessation advice : Community based team What services are provided and by whom? : Smoking cessation advice : Single team that works across the primary/secondary care interface Is there a pulmonary rehabilitation service available to COPD patients discharged following exacerbation? If yes to 5.4: is it available within 4 weeks of hospital discharge? Is there a regular MDT meeting for patients with COPD : No If a regular MDT meeting for COPD patients is held, which staff attend? : Respiratory consultant If a regular MDT meeting for COPD patients is held, which staff attend? : GP If a regular MDT meeting for COPD patients is held, which staff attend? : Hospital-based respiratory/COPD nurse If a regular MDT meeting for COPD patients is held, which staff attend? : Community-based respiratory/COPD nurse If a regular MDT meeting for COPD patients is held, which staff attend? : Respiratory physiotherapist If a regular MDT meeting for COPD patients is held, which staff attend? : Dietician If a regular MDT meeting for COPD patients is held, which staff attend? : Community matron If a regular MDT meeting for COPD patients is held, which staff attend? : Palliative care specialist If a regular MDT meeting for COPD patients is held, which staff attend? : Thoracic surgeon If a regular MDT meeting for COPD patients is held, which staff attend? : Other If yes to 5.5: How frequently does the meeting occur? Please select the option that provides the patient with their NIV, even if they receive their NIV treatment at home Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : No Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Integrated care respiratory physician Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Respiratory physician Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Respiratory nurse specialist Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Nurse consultant Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Respiratory physiotherapist Is there specifically funded sessional time devoted to developing integrated respiratory services in your area, and if so what is the designation of the individual(s) responsible for developing these services? : Other Presence of a local integrated care pathway for managing COPD patients All patients with COPD exacerbation who remain in hospital should be managed on a respiratory ward. All patients with COPD exacerbation who remain in hospital should receive a specialist respiratory opinion within 24 hours. Respiratory wards should be staffed to run at least 1 Level 2 bed where NIV can be administered, commensurate on demand and the size of hospital. ICU outreach services should be available 24 hours, 7 days a week. All hospitals should have a fully funded and resourced smoking cessation programme delivered by dedicated smoking cessation practitioners. At least 1 WTE per week of smoking cessation support, commensurate with the size of the hospital, should be delivered to patients through individual and group sessions. All hospitals should make spirometry results, normally available on lung function laboratory software, accessible from every computer desktop via their IT department’s browser system/intranet. There should be a data sharing agreement between hospital and primary care IT services that ensures general practice spirometry data are made universally available. Each acute hospital or trust should nominate a respiratory clinical lead for discharge care and integrating services, this individual having designated time within their job plan and responsibility for establishing discharge bundles within their organisation, improving the transfer and quality of discharge information to primary care teams, liaising with the existing CCG respiratory programme group or, where such a group is absent, forming one. Hospitals should develop an improvement plan, agreed by the MDT and supported formally at Trust board and CCG level, based upon the recommendations within the national and their site-specific report.
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