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. 2021 Apr 19;16:1035–1049. doi: 10.2147/COPD.S293048

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© 2021 Barker et al.

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Schematic of the final co-designed model of care. *Research Physiotherapist to ask participant re: preference for outpatient PR location, and when referral to outpatient PR may be acceptable to participant; Research Physiotherapist to identify availability for the preferred class at proposed start date. +Deliver education topics alongside home-based exercise training using PR education pack/presentations and HIRS self-management plan; begin education with pacing, breathing control, positions of ease, anxiety management, self-management plan, smoking cessation, inhaler technique and airway clearance. ^Research Physiotherapist to refer participant into outpatient PR if/when the participate consents to the referral; the same referral and triaging process to be followed when refereeing participants into an outpatient PR programme as usual care; continue the home-based exercise training programme until the outpatient PR class begins. ~Research Physiotherapist to provide copy of home-based exercise training programme to outpatient PR; PR Physiotherapist to complete short pre-PR assessment; PR Physiotherapist to complete a short post-PR assessment at the end of the after 8 weeks of outpatient PR programme.

Abbreviations: COPD, chronic obstructive pulmonary disease; HaH, hospital at home; HIRS, Hillingdon Integrated Respiratory Service; PR, pulmonary rehabilitation.