Chronic obstructive pulmonary disease (COPD)

i Concluded

This means the HIT is no longer active

This work stream aims to build on existing initiatives to provide new evidence to reduce local admissions which are currently 25 per cent above national average.

  • Work stream lead: Sarah Purdy
  • Other HIT members: James Calvert, Jonathan Benger, Melanie Chalder


  • To develop an increased understanding of the levels of severity and risk at presentation
  • To create an agreed strategy for reducing and managing acute admissions across Bath, North Somerset and South Gloucestershire
  • To reduce avoidable admissions as a result of evidence-based interventions including smoking cessation
  • To strengthen pulmonary rehabilitation and intensive patient education on self-management and follow-up
  • To reduce readmissions due to systemisation of acute care episodes to reduce variability and increase standards of practice
  • To develop, pilot and evaluate interventions based on integration of care within and between primary and secondary care
  • To develop systems for earlier diagnosis to reduce lifetime care costs and improved patient outcomes


An exploratory study utilising system dynamics to understand the use of unscheduled secondary care services by adults with chronic respiratory disease. Funded by Avon Primary Care Research Collaborative. Led by Melanie Chalder.

An evaluation of the effectiveness of ‘care bundles’ as a means of improving hospital care and reducing hospital re-admission for patients with chronic obstructive pulmonary disease (COPD). In collaboration with the British Thoractic Society. Funded by the National Institute for Health Research, Health Service and Delivery Research. Led by Sarah Purdy.