Pulmonary Rehabilitation

The Pulmonary Rehabilitation Service provides programmes of education and exercise for patients with Chronic Obstructive Pulmonary Disease (COPD) across the county.

Description of Service

The programmes consist of tailored exercise for each individual and a comprehensive educational programme.  The focus is on improving physical fitness, exercise tolerance, breathlessness management, quality of life and mood state.

Elements of the Service

  • The patient has an initial assessment, and if suitable participates in a group exercise and education class.  Each session is two hours long and patients attend two sessions a week for eight weeks, followed by a final assessment.
  • At any stage of the service patients can be signposted where necessary to other healthcare providers, to support their attendance on the programme and to improve their ongoing management.

How to be referred?

Referrals are accepted from:

  • The Countywide Community Respiratory Team
  • Secondary Care Respiratory Team
  • Respiratory Physiotherapists
  • GPs
  • Nurse Practitioners and Practice Nurses
  • Case managers
  • Complex Case Managers and Allied Health Professionals

Referral forms can be faxed or posted.

Locations of Service

  • Pilgrim Hospital in Boston
  • Johnson Community Hospital in Spalding
  • Skegness Hospital
  • Marisco Medical Practice in Mablethorpe
  • The Recreation Hall in Louth County Hospital
  • Trentside Unit, John Coupland Hospital in Gainsborough
  • Moorlands Community Centre in Lincoln
  • Screddington Village Hall near Sleaford
  • The Community Centre in Market Deeping
  • Roughton Village Hall near Woodhall Spa

Waiting times for the rehabilitation classes vary depending upon location.

Patient Support Groups

Two Patient Self Support Groups have been set up in Mablethorpe and Holbeach St Johns.  Breathe Easy support groups are now running in Lincoln, Grantham and Sleaford.

Pulmonary Rehabilitation - Case Scenario

Jack is 69 years old and was referred to Pulmonary Rehabilitation by his Practice Nurse. He was diagnosed with Chronic Obstructive Pulmonary Disease (COPD) in 2003. He lives with his wife, daughter and grandson, but his mobility had by now reduced to approximately 50 metres before his breathlessness was forcing him to stop. As well as breathlessness on exertion, he also presented with a cough and a wheezy chest. He was on all appropriate inhaled medication for his condition along with tablets for other health problems.

Jack had a history of being a heavy smoker of 30-40 a day for 55 years and had no intention of quitting when he was referred, however by the time he came to pulmonary rehabilitation, he had tried to quit on a number of occasions and was seeking further help. Jack had also mentioned to the assessor that he felt "down" a lot of the time.

Jack commenced the eight-week programme, of individually tailored exercise and education, and showed a strong commitment to the course, attending all of the 15 sessions provided. At the end of the programme, despite just getting over a chest infection, he completed a further assessment. The walking tests and questionnaires were repeated and showed tremendous improvements in walking distance, quality of life and mood state. Jack thought the course was "brilliant" and went away from the group a much fitter, happier man with a better understanding and self-management of his condition.

Pulmonary Rehabilitation Patient Quote

Jack had this to say about the Pulmonary Rehabilitation Programme:

I have no hesitation in recommending the 'COPD' Pulmonary Rehab course to anyone. The change it has made to me cannot be described. All involved could not have tried harder to help all those that attended. A five star rating is too low !!!!