The Greenwich Pulmonary Rehabilitation (PR) Service consists of 0.1 WTE team lead, 1.0 WTE band 6 split between 2 part time staff, a fixed term 3 month contract band 5 physiotherapist and 1.0 WTE rehab assistant.
The driver behind the project was to address the issue of the suspension of our face to face supervised PR classes (4 sessions per week at local leisure centres) during the COVID pandemic. With a mounting waiting list and an expectation that we would not be able to return to business as usual, we had to adapt.
Our primary objective was to design a programme that was effective, safe and that patients would enjoy.
A secondary objective alongside the Oxleas QI team was to increase patient completion rates over a 3 year period.
Current completion rates for the Greenwich Pulmonary Rehab programme was low at 40%.
The end point of the project was to be able to confidently offer increased patient choice on how to access PR.
There is an ongoing national challenge to manage patient drop out rates, which are multifactorial in nature. The redesign and delivery of a virtual programme could address problems such as: difficulties travelling to the class, poor weather conditions and psychological challenges where patients feel unable to leave their home to attend.