Bradford Breathing Better
Find out about the Bradford Breathing Better programme, why it's one of our priorities and how we are performing on our aims for the project.
The aim of the NHS Five Year Forward View is to support people with long-term conditions to manage their own health effectively, while reducing demand on NHS services.
The Bradford Breathing Better Programme was launched on 25 January 2017 with the aim of improving the pathway of care from diagnosis, ensuring improved management of respiratory diseases with a view to reducing avoidable hospital admissions. This programme is focused on two respiratory conditions; chronic obstructive pulmonary disease (COPD) and asthma. This is because these respiratory conditions result in large numbers of what are considered to be avoidable admissions to hospital.
People with COPD or asthma provided with the right care, at the right time can be helped to manage their conditions without the need for a hospital admission. By working to improve the management of people with respiratory conditions we aim to:
It is suggested that between 10-40% of people are non-compliant with both drug and non-drug-regimes and poor compliance to medication contributes to the overall management of these conditions. The reasons behind non-compliance are varied, however among the reasons is the complex nature of the drug regime, the chronic nature of the disease and inadequate inhaler techniques.
We are focusing on COPD and asthma because:
In Bradford the prevalence of asthma is above the national average and the prevalence of COPD is rising. We have higher emergency admissions, higher mortality and higher spend that other areas of the country.
Asthma is responsible for large numbers of hospital admissions, the majority of which are emergency admissions. For every 100 people on the asthma disease register there are an estimated four emergency admissions each year with each admission costs on average £1,500. In addition, it is suggested that some 12,000 people remain undiagnosed with asthma across the whole of the district of Bradford, [source: Respiratory Health in Bradford and Airedale, March 2016, Bradford MDC]
COPD is responsible for large numbers of non-elective hospital admissions – some of which are avoidable. It is suggested that for every 100 people on the COPD disease register there are an estimated 15 emergency admissions each year. Each admission costs on average £2,000.
Bradford Breathing Better was launched in January 2017 at an event attended by around 60 GPs and nurses and other healthcare staff from across Bradford. Going forward, this programme will ensure that good practice is spread and improvement achieved by following a similar model to the Bradford Beating Diabetes and Bradford’s Healthy Hearts programmes which have already achieved considerable success and recognition. A programme board is to be established and a lead is to be appointed. Each GP practice is to identify its own practice respiratory lead.
Improvements will be made by concentrating on four areas:
The planning stage for Bradford Breathing Better (BBB) is underway and will be rolled out in 2017/18. This programme aims to raise awareness for earlier diagnosis, improve clinical management and support self-management of respiratory disease. The work will involve strong partnership working across primary care, secondary care and the voluntary and community sector, as well as organisations such as The British Lung Foundation and Asthma UK.
By working to improve the management of people with respiratory conditions we will improve patient experience, reduce health inequalities and reduce spend through reducing the number of preventable hospital admissions. This programme will help us to realise some Quality, Innovation, Productivity and Preventions savings which will be identified through the reduction in avoidable hospital admissions for COPD and asthma
We will link work looking at support for children and young people with asthma to the Bradford Breathing Better programme in 2017/18, looking for opportunities to develop our links into schools and other community based settings.
Bradford Breathing Better programme was initiated in 2016/17 and over the next few years will focus on Chronic Obstructive Pulmonary Disease and Asthma which are the two respiratory conditions resulting in the largest number of non-elective admissions to hospital. The aim of the Bradford Breathing Better programme is to improve the pathway of care and to improve the patients’ experience.
We also aim to: