Table 1.

Components of an integrated respiratory service.

Multidisciplinary team meetings	Weekly in patient (n = 2)
	Yes (n = 7)
Community clinics	Yes (n = 4)
	Hospital based (n = 1)
	No (n = 2)
	Not at the moment (n = 2)
Virtual clinics	Email service (n = 1)
	Yes (n = 2)
	MDT meeting (n = 1)
	Virtual ward round (n = 1)
	No (n = 4)
Education for community staff	Yes (n = 9)
Domiciliary visits	Yes (n = 9)
Producing clinical guidance for avoidance/other pathways	Yes (n = 9)
Supporting quality assured spirometry	Trained (n = 1)
	Provide training and education (n = 7)
	Yes within rehab (n = 1)
Respiratory reviews in acute medical unit	Yes (n = 6)
	No (n = 2)
	Covered by colleagues (n = 1)
Oxygen assessment service	Yes (n = 6)
	On caseload only (n = 1)
	Nurse run service (n = 1)
	For COPD patients only (n = 1)
Smoking cessation service	Yes (n = 4)
	Referrals (to hospital service, or smoking cessation service, n = 3)
	Input from charity in clinics (n = 1)
	Linked to local authority services (n = 1)
Advance care planning	Yes (n = 7)
	Part of a clinic (n = 1)
	Yes (joined by community palliative care team for MDT (n = 1)
Other roles	Clinical ethics committee, drugs and therapeutics committee (n = 1)
	Inpatient ward round for inpatients – 3 times a week (n = 1)
	Care planning conference, (plus mental health, psychiatrist, social worker, medical team OT and patient plus family + plus GP) (n = 1)