NICE COPD Quality Standard 10: Research Scans

In order to support the AHSN NENC to improve patient outcomes the Collaborating for Better Care Partnership set out to arm health care leaders with evidence about effective strategies to implement four of the thirteen quality statements comprising NICE Quality Standard 10 for COPD. Four research scans were commissioned to identify existing best practice  in relation to these quality statements.

Quality Statements addressed by the commissioned research scans

Statement 2: People with COPD have a current individualised comprehensive
management plan, which includes high-quality information and
educational material about the condition and its management,
relevant to the stage of the disease.

Statement 3: People with COPD are offered inhaled and oral therapies, in
accordance with NICE guidance, as part of an individualised
comprehensive management plan.

Statement 11: People admitted to hospital with an exacerbation of COPD and with
persistent acidotic ventilatory failure are promptly assessed for, and
receive, non-invasive ventilation delivered by appropriately trained
staff in a dedicated setting.

Statement 13: People with advanced COPD, and their carers, are identified and
offered palliative care that addresses physical, social and emotional
needs.

Copies of the four individual reports are now available:

COPD: implementing NICE Quality Standard 10, Statement 2

COPD: implementing NICE Quality Standard 10, Statement 3

COPD: implementing NICE Quality Standard 10, Statement 11

COPD: implementing NICE Quality Standard 10, Statement 13

Each report summarised the published literature describing:
  • The extent to which current clinical practice reflects the quality statement
  • Barriers which prevent wholescale implementation of the quality statement
  • Effective interventions to implement the quality statement results from an implementation science perspective
The content of the research scans indicated that current approaches to implementation generally:
  • Do not reflect current understanding of the levers required for success and sustainability, an assessment of the barriers to change or attempts to overcome those barriers.
  • Are rarely evidence based
  • Are not formally evaluated