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Respiratory conditions are some of the most frequent reasons for hospital admission, many of them preventable. 

Bradford Breathing Better (BBB) – a programme across Bradford district aims to raise awareness of earlier diagnosis, improve clinical management and support self-management of respiratory disease. With the support of this programme, we will make sure individuals have the correct therapy, understand what their medication and how it works. We will provide people who have a respiratory disease with the tools and techniques to feel confident to manage their condition well.

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. Our key work streams include improved management (including self care) of chronic obstructive pulmonary disease (COPD) and asthma. We will also focus on the 'clinical' element of smoking cessation and, working with colleagues in public health, we want to increase the number of people quitting smoking  and improve the uptake of flu and pneumonia vaccinations in our at risk population. This programme will improve outcomes for our patients, by making services accessible, reducing health inequalities and ensuring we provide patients with quality care.

We have held a number of patient events, the results of which are driving our programme, and we are looking to develop patient-led Breathe Easy Groups across Bradford to ensure our local population have peer/social support as well as clinical support.

Effective interventions and resources

The following simple strategies will help people look after their own health and provide the necessary resources to do so, which should result in a reduction in people going to hospital as an emergency:

Indicators and outcomes

Reported number of emergency/non-elective admissions for all respiratory related conditions

Note: results to be confirmed

Work across our CCG is focusing on improving services relating to respiratory conditions with a view to improving on the reported 2,610 emergency admissions for all respiratory related conditions in 2017/18. It is suggested that for every 100 patients diagnosed with COPD, there are an estimated 15 emergency admissions every year. Similarly, for people with asthma, for every 100 people with asthma, there are 4 emergency admissions each year.

Annual review, asthmatics

Note: results to be confirmed

Education and support are seen as key to people looking after their health.  At their annual review people are encouraged to consider the development of a joint care plan, based on that individual and how they manage their condition safely. We want to make these checks an integral part of patient care, making sure that everyone has a care plan, is offered and accepts smoking cessation where appropriate, and has access to inhaler techniques.

Annual review, COPD

Note: results to be confirmed

For people with COPD, education and support are seen as key to them looking after their own health. 

At their annual review, people are encouraged to consider the development of a joint care plan based on their condition and how they can manage their condition safely. We want to make these checks an integral part of patient care, making sure that everyone has a care plan, is offered and accepts smoking cessation where appropriate, and has access to inhaler techniques.