Lung disease is latest Government priority for NSF
Management of patients with chronic obstructive pulmonary disease (COPD)
is set to come under scrutiny following the announcement that a new national
service framework is to be developed.
Plans for the national service framework (NSF) for COPD were set out by Secretary of State for Health Patricia Hewitt earlier this week. She said that the proposed NSF would seek to provide greater treatment choices for patients with COPD, to reduce inequalities in treatment and to improve standards of care.
An external reference group made up of health care professionals, service users, carers and health service managers will be established to develop the NSF. It will be jointly chaired by Peter Calverley, president of the British Thoracic Society, and Sue Hill, chief scientific officer at the Department of Health.
The announcement coincided with publication of a report by the Healthcare Commission calling for action to improve services for people with chronic lung conditions. The commission says that care for people with COPD has traditionally been given a low priority and that more accurate diagnosis and a more structured approach to care is needed.
The report concludes that primary care organisations and respiratory teams in hospitals need to develop new initiatives to reduce hospital admissions. “Initiatives should be integrated across primary and secondary care to take advantage of opportunities for early intervention to prevent readmission,” it states.
The British
Thoracic Society has also published a report this
week. Its report considers the burden of lung disease in the UK.
MeReC Bulletin
The management of COPD is reviewed in the latest issue of the MeReC Bulletin. It recommends that long-acting bronchodilators are used when patients continue to have symptoms despite use of short-acting bronchodilators or if patients have at least two exacerbations of COPD each year. Inhaled corticosteroids should be reserved for patients with moderate or severe disease and use of combination inhalers should be considered on an individual basis (2006;16:17). |
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