Respiratory Rehabilitation

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Respiratory Rehabilitation

This pathway is for patients with Respiratory Disease who have completed a course of pulmonary rehabilitation or have mild/ moderate respiratory disease and been assessed by appropriate health professional. The exercise course consists of a 32 week supervised programme with the aim of encouraging long-term participation in physical activity. The Welsh National Exercise Referral Scheme (NERS) has been based on best practice from the UK, current evidence base, and to operate to National Standards. The scheme has been supported by the Welsh Government (WG), working with partnership with the British Lung Foundation, University of Leicester Hospital, West Glamorgan Hospital, Loughborough University, Local Authorities (LA), the Public Health Wales (PHW) and Local Health Boards. (LHB's)

The Principal Aims of the Scheme

  • To offer a systematic and safety controlled system of referral to Community Pulmonary Rehabilitation exercise from Clinical  Pulmonary Rehabilitation.
  • To offer a systematic and safety controlled system of referral to independent exercise from Pulmonary Rehabilitation.
  • To provide a safe and effective community based exercise opportunities suitable to client base that complies with National standards.
  • To improve physical and mental health and wellbeing of patients.
  • To increase the long-term adherence in physical activity of patients.

Quality Standards

All protocols used on the scheme represent the best known practice and meet with current national guidelines of the British Thoracic Society, American Thoracic Society and The European Respiratory Society. All exercise professionals operating the scheme are trained to NVQ Level 3 have a qualification that meets occupational standard D449 working with referred patients, a Level 4 Chronic Respiratory Disease Exercise Instructor Qualification and are suitably insured and registered with Register of Exercise Professionals (REP'S).

Inclusion Criteria

The scheme is targeted at patients with Respiratory Disease that have been through a clinical pulmonary rehabilitation, or been assessed by approximately qualified health professional and meets the inclusion criteria. The inclusion and exclusion criteria are designed to ensure that clients are safe to take part in exercise and are designed to ensure that clients are safe to take part in exercise and are matched  with the correct level of exercise professional. The scheme uses suitably qualified exercise professionals and protocols to enable rehabilitation to be delivered locally and safely.    

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