Providers are encouraged to be innovative and generate new ideas and approaches to providing a greater range of choice as evidence emerges of benefit as far as possible and practicable.

Patients need choice and emerging evidence of alternative models should facilitate this.

Providers are encouraged to be innovative and generate new ideas and approaches to providing a greater range of choice as evidence emerges of benefit as far as possible and practicable.

Patients need choice and emerging evidence of alternative models should facilitate this.

The high-level objectives of the service are: - To promote and embed pulmonary rehabilitation as an essential component in the management of patients with chronic respiratory disease and integrated with other health care services - To improve understanding amongst health professionals of which patients will benefit and should be referred to pulmonary rehabilitation - To reduce health inequalities through unwarranted variations in access and outcomes of care - To provide a timely, safe and clinically effective intervention in alignment with the British Thoracic Society (BTS) Quality Standard - To improve patients' health-related quality of life, breathlessness management, functional and maximum exercise capacity and thus reduce disability and handicap associated with chronic respiratory disease - To ensure patients' have a positive experience - To contribute to the National Asthma and Chronic Obstructive Pulmonary Disease (COPD) Audit Programme (NACAP) on pulmonary rehabilitation - To have quality improvement projects based upon national quality improvement targets (using data from run charts) and locally initiated projects To offer patients a choice of options to include digital/remote programmes and face to face or a combination of both - To improve completion rates from pulmonary rehabilitation for eligible patients (as a minimum to be in line with quality improvement targets outline in the NACAP pulmonary rehabilitation Audit) - To be either fully accredited or underway in the pathway of accreditation by the Royal College of Physicians (RCP) Pulmonary Rehabilitation Services Accreditation Scheme (PRSAS) A pulmonary rehabilitation service is designed to meet the needs of key patient populations with chronic respiratory disorders.

Pulmonary rehabilitation shall be offered to: - Patients with a confirmed diagnosis of COPD or other chronic respiratory disease (This group includes but is not limited to COPD, asthma, Idiopathic pulmonary fibrosis (IPF), interstitial lung disease (ILD) and bronchiectasis) - Patient who have an MRC score of three or more as per the NICE guidelines and QOF indicators - Patients who have either recently had an exacerbation of COPD requiring a hospital admission or whose functional baseline has significantly altered and is not following the expected recovery path.