Developing an integrated respiratory team in NHS Dumfries and Galloway

11 March 2021
Volume 30 · Issue 5

I have been the Lead Nurse for a growing team of nurse specialists since 1997 and in 2005 I developed my role further to become Respiratory Nurse Consultant, completing my MSc in respiratory care in 2008. I embarked on a part-time PhD in September 2014 with the University of Edinburgh, which I completed in spring 2021. My research interests are telemedicine and teleconsultation in sleep medicine service delivery.

NHS Dumfries and Galloway is a remote and rural health board in south-west Scotland and our Integrated Respiratory Team (IRT) provides a region-wide service covering 2500 square miles, a population of 149 500 with 45% of the population living remotely from the largest settlement of Dumfries. The Respiratory Managed Clinical Network developed a ‘spend to save initiative’ that was approved by the Integrated Joint Board in April 2018 with funding to expand the existing respiratory nurse specialist and pulmonary rehabilitation teams. We wanted to provide more same-day early supported discharges (ESDs), reduce lengths of stay, develop admission avoidance (AA) and provide better access to pulmonary rehabilitation (PR) across the region.

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