HNY Policy and Pathway Repository - York

Referrals for patients requiring Pulmonary Rehabilitation are accepted from Physiotherapists, Consultants, GP’s, Respiratory Nurses & Practice Nurses.

None provided

Diagnosing and Treating Chronic Obstructive Pulmonary Disease (COPD) - Humber and North Yorkshire Health and Care Partnership

York Pulmonary Rehabilitation referral form

 

Inclusion criteria for Pulmonary Rehabilitation

• 18 years of age and over
• Agree to attend full programme consisting of face-to-face assessments and 12 exercise and education sessions.
• Confirmed Respiratory diagnosis.
• Optimised inhaled therapy.
• MRC score of 3 or above or exercise limitation to daily activities for MRC 2.
• Hospital admission due to respiratory exacerbation.
• Registered with a Vale of York GP surgery
   

Exclusion Criteria for Pulmonary Rehabilitation

• Under 18 years of age.
• Cognitive impairment that restricts compliance to group activities.
• Loco motor disability that would inhibit any form of exercise.
• Unstable angina/ cardiac disease.
• MI in last 3 months.
• Second and third degree heart block.
• Acute coronary syndrome.
• Recent embolism within 8 weeks.
• Abdominal Aortic Aneurysm (> 5.5cm).
• Significant aortic stenosis.
• Uncontrolled hypertension.
• Not committed to attend the full programme.
• The service is unable to accept referrals for individuals who have completed Pulmonary Rehab within the last 6 months, (this does not include individuals who have had a hospital admission with a respiratory exacerbation). The service is only able to accept referrals after 12 months of completion date if the individual’s condition has clinically deteriorated.

Pathway for Pulmonary Rehabilitation

• York and Scarborough Teaching Hospitals