myCOPD: Southend Hybrid PR Model

Southend CCG PR team remapped their patient pathway to open up a hybrid option for their PR patients.

The team carried out an internal evaluation, which consisted of 3 arms. All patients had an initial centre-based assessment, then were given the option to go into 1 of the 3 groups.

1. Centre-based option (SUHFT/Hockley/Canvey/St Luke’s Church) – face to face sessions and tailored exercise:

• Initial centre-based assessment
• 12 sessions, supervised by a physiotherapist, combining exercise and education over 6 weeks
• Attendance is twice weekly
• myCOPD licence or BLF materials
• Priority access for current inpatients with a respiratory-related exacerbation
• Assessment session on completion to measure improvement
• Personalised exercise plan on discharge

2. Hybrid option – Get both face to face sessions and tailored exercises, and myCOPD:

• Initial centre-based assessment
• 6 supervised exercise sessions over 6 weeks combined with additional exercise and education accessed at home via MyCOPD app (or BLF materials if no internet access)
• Attendance is once weekly
• Assessment session on completion to measure improvement
• Personalised exercise plan on discharge

3. Home-based option – Just exercise from myCOPD – regular phone calls:

• Initial centre-based assessment
• 6 supervised exercise sessions over 6 weeks combined with additional exercise and education accessed at home via MyCOPD app (or BLF materials if no internet access)
• Attendance is once weekly
• Assessment session on completion to measure improvement
• Personalised exercise plan on discharge

Interim data from this so far showed after the first 2 cohorts, completion rates of PR increased from 40% (usual model of care) to 72%. Their first digital patients had good outcomes in relation to the 6-minute walk test, with a 105 metre improvement. The average CAT score went down by 4.2, and the team increased their capacity by 113%.

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