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Case Study: Respiratory nursing in the community

A completely new community respiratory service designed and delivered by is helping to bring care closer to home for patients in West Lancashire.

This new way of working means that patients are now seen at clinics in the community in local health centres and in patients’ own homes if they are unable to travel, reducing the number of hospital visits for patients.

The service is managed by Sandra Bonner, Head of Specialist Services, who is a respiratory specialist nurse by background.

Sandra Bonner said: “The service has been in place since May 2017 and we have recently recruited two new nurses to support the service. We want to optimise treatment for patients and assess patients to ensure they are on the right clinical pathway and getting the right care at the right time and in the right place.

As part of the community respiratory service, we deliver the oxygen assessment service, support with end of life care, and help those patients with frequent exasperation and flare ups of chronic chest complaint. The team also offers advice to the wider clinical team including community matrons, GP practices and nursing homes.”

The expansion of community care is part of the Sustainability and Transformation Partnership’s initiative to reduce the need for all out-patient appointments to be in hospitals.