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Oxford University Hospitals NHS Foundation Trust

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Oxford COPD Service

Oxford University Hospitals, Oxford Health NHS Foundation Trust (Oxford Health), and the University of Oxford work closely together with primary care to provide integrated clinical and research excellence for patients with chronic obstructive pulmonary disease (COPD).

Multidisciplinary team (MDT)

  • Dr Maxine Hardinge, Consultant Respiratory Physician
    OUH clinical lead for COPD
  • Dr Mona Bafadhel, Senior Lecturer and Honorary Consultant Respiratory Physician
  • Mrs Jo Riley, Oxford Health Respiratory Community COPD Nursing team lead
  • Mrs Jan Turner-Wilson, Home Oxygen Service lead
    Providing specialist COPD services in hospital and the community
  • Mrs Emma Tucker, Pulmonary Rehabilitation Programme lead, Oxford Health community team.

Hospital inpatient care

OUH provides care for patients admitted with acute exacerbations to the John Radcliffe, Churchill and Horton General hospital.

For acute COPD patients requiring non-invasive ventilation (NIV), patient care and provision is made directly on the nominated respiratory ward (Geoffrey Harris Ward) at the Churchill Hospital, and also on the Emergency Admissions Unit and High Dependency Unit at the John Radcliffe Hospital.

All patients admitted with COPD are seen and have a 'COPD Discharge Bundle' completed by the Respiratory Nursing Service.

The COPD MDT provides a weekly meeting where patients (inpatients, outpatients or community patients) are discussed.

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Outpatient care

There is a dedicated weekly multidisciplinary outpatient clinic at the Churchill Hospital, attended by Dr Hardinge and Dr Bafadhel, in combination with respiratory nurses and pulmonary rehabilitation physiotherapists.

New patients are seen by the COPD specialist nurses, where education, symptom management and inhaler techniques are reviewed.

The COPD Service also holds a monthly surgical MDT with thoracic surgical colleagues to identify potential candidates for lung volume reduction surgery or endobronchial valve insertion. Selected patients may be referred for consideration of lung transplantation to Harefield Hospital.

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Community patient care

The countywide respiratory nursing service provides community nursing support to COPD patients, to prevent hospital admissions, facilitate early discharge from acute care and support palliative needs.

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Pulmonary Rehabilitation

The Oxford Pulmonary Rehabilitation (PR) Service started in 1993 and has since expanded and moved out of its hospital setting. It is now run by Oxford Health with dedicated physiotherapists and a capacity for 500 patients per year.

PR programmes are run in a variety of community and healthcare settings at:

  • Abingdon
  • Banbury
  • Bicester
  • Chipping Norton
  • Didcot
  • Oxford (OXSRAD gym)
  • Wantage
  • Witney

Local gym instructors have received training in PR, so that a selection of follow-on classes is available in the community.

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Home Oxygen Service

The home oxygen service (assessment for Ambulatory and Long Term Oxygen) provides all home oxygen prescribing in Oxfordshire, with the exception of emergency out-of-hours prescription by GPs.

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Research

The Oxford COPD Service is dedicated to improving the understanding and management of patients with COPD.

Dr Maxine Hardinge is the lead specialist clinician on the self-management and support programme in COPD (EDGE trial), funded by the Wellcome Trust Health Innovation Challenge Fund and Department of Health, using a novel tele-health platform to support the self-management of COPD patients.

Dr Mona Bafadhel has a specialist interest in the use of phenotypes of COPD to deliver personalised medicine, and has been successful in receiving £0.6 million funding from the National Institute for Health Research (NIHR) to pursue this.

As part of a COPD cohort within the Respiratory Medicine Department, Dr Annabel Nickol runs research into the physiology of iron transport and novel imaging. Dr Kyle Pattinson studies the mechanism of breathlessness using functional magnetic resonance imaging (MRI).

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Oxford COPD Service contacts

Respiratory Nursing Service

To arrange to attend inpatient respiratory nursing reviews, home oxygen assessments or domiciliary respiratory reviews with the community team, please contact:

Churchill Hospital Office

  • Tel: 01865 225472
  • Fax: 01865 337438

To arrange to attend Pulmonary Rehabilitation sessions please contact:

Blackbird Leys Office

  • Tel: 01865 904215
  • Fax: 01865 337438

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Links

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