- If you are unsure whether you should refer then please contact the team to discuss on 0800 012 1858
- Please complete the patient details fully
- The NHS number is important to us as we are unable to register the patient without this
- Spirometry results need to be within the past 12 months, and please attach a copy of the graph. This is to ensure that patients have an identified respiratory diagnosis by quality assured spirometry.
- Referrer details – we will contact you if we are unsure or have further questions
- All patients will be individually assessed prior to the programme by the Pulmonary Rehabilitation staff and given detailed information about what to expect.
Inclusion Criteria:
- Proven diagnosis of COPD (FEV1 <80%, FEV1/FEVC <70%, on COPD register)
- MRC Scale 3 and above
- Optimum medical management has been achieved
- Patient willing to participate in the programme and understanding its aims
Exclusion criteria:
Untreated or severe mental health problems
Unstable cardiovascular system
Recent myocardial infarction (in the past six weeks)
Severe uncontrolled hypertension
Unable to carry out exercise/walk
Uncontrolled metabolic disorder
Poor motivation
MRC Dyspnoea Scale:
Grade 1 I only get breathless with strenuous exercise
Grade 2 I get short of breath when hurrying on the level or walking up a slight hill
Grade 3 I walk slower than people of the same age on the level because of breathlessness or have to stop for breath when walking at my own pace on the level
Grade 4 I stop for breath after walking 100 yards or after a few minutes on the level
Grade 5 I am too breathless to leave the house, or breathless on dressing or undressing