Components of a good diagnostic service
Currently, there is no standard COPD diagnosis pathway with a number of different models across the country. Currently, one service model does not fit all locations due to a number of factors including:
- population demographics
- staff skill mix
- resources of both trained, qualified staff and equipment
- funding arrangements
- access to full pulmonary function testing
However, it is evident that the following components should be included in all models:
Spirometry is one component of diagnosis and is being undertaken in a number of different service models by different staff with varying expertise. Through the programme of work, different grades of staff have been observed performing spirometry - from Agenda for Change Band 2 to GP Practice Partners and the workstream project teams have expressed that pay is not necessarily significant to the quality of spirometry; it is the skills and competency of the individuals that is important.
More information
For more information about accurate diagnosis, please contact:
Zoe Lord
National Improvement Lead
Lung Improvement Programme
NHS Improvement
Mobile: 0772 176 1744
Email: zoe.lord@improvement.nhs.uk