IMPACT Project (Improving the Management of Patients' Assigned COPD Treatment)
The purpose of the "IMPACT" Project is to ensure a proactive approach to the management of patients with COPD within North Norfolk. Recent research nationally has demonstrated an increase in unplanned hospital admissions owing to pneumonia, particularly in patients taking high doses of inhaled corticosteroids (ICS). Importantly, whilst these drugs are used to reduce exacerbations in COPD, their use should be targeted more specifically at those patients most likely to benefit.
In each participating Practice, a mentored COPD review clinic will be conducted by a GPwSI (GP with Specialist Interest) or specialist nurse practitioner alongside the Practice's own respiratory practice nurse. The focus will be to ensure patients with COPD have their therapy optimised, pulmonary rehabilitation programmes undertaken (if applicable), and a self-management plan put in place.
The aim of the proposed improvements in managing patients' COPD treatment, is to deliver better self-care and self-management of their condition, a reduction in episodes of exacerbations, increased awareness of the risks associated with high dose ICS and better management of the use of ICS combination therapy so as to deliver improved patient safety in terms of side effects, such as cataracts, osteoporosis, diabetes and pneumonia.