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
- 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.
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.
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.
Community 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.
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.
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.
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.
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).
Contact us
Dr Maxine Hardinge
Secretary: 01865 225234
Email: maxine.hardinge@ouh.nhs.uk
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
To arrange to attend Pulmonary Rehabilitation sessions please contact:
Blackbird Leys Office
Tel: 01865 904215
Links
Video
Looking After Your Lungs in Oxfordshire - Pulmonary Rehabilitation Programme - Oxford Health YouTube
Last reviewed:27 November 2023