Pulmonary Rehabilitation – Portsmouth City & Hampshire

The Pulmonary Rehabilitation team provides combined exercise and education classes to patients with specific long-term respiratory conditions, such as Chronic Obstructive Pulmonary Disease (COPD), Bronchiectasis, Interstitial Lung Diseases (ILDs) and Asthma (Portsmouth City).

We run 90-minute classes twice-weekly for six weeks at venues across Hampshire. The 45-60minute exercise portion of our classes consist of a warm-up, muscle strengthening exercises, a stamina section and a cool-down, with the aim of improving your fitness so that you are better able to deal with some of the symptoms associated with your lung condition. We will not push you to do something you are uncomfortable doing and we encourage all our patients to work to their own ability and take rest if they need it.

In the 30-45-minutes of education, we cover various topics to improve knowledge on your condition and help you to have more control over the impact of your lung diagnosis more . We provide you with an education pack with all the topics that you can use for future reference with online resources to guide you too

Topics include:

• How your lungs work
• Long term lung conditions
• Why exercise
• Home exercise program and onwards community exercise options
• Airway clearance and managing continence issues
• Action planning and future care planning
• Energy conservation
• Anxiety and relaxation
• Medications
• Nutrition
• Local charity and peer support
• Benefits and pensions / Q & A

Onwards maintenance- We offer referrals onto certain exercise maintenance programmes for our patients after they have finished their 6-week course with us. We strongly encourage our patients to carry on exercising, whether that's through local referral scheme, completing their own exercise, or using our education pack to follow the set exercises at home. Exercise is a prescribed part of the management for people with long term lung conditions and is as important as the medications prescribed for these conditions. We want all of our patients to continue exercising after our course to maintain and improve their strength and stamina gains and improve the management of their condition.

How can it help?

· Help you walk further without taking as many rests

· Feel less breathless during activities such as climbing stairs, shopping and dressing

· Gives you more control over your breathlessness

· Feel more positive and in a better place with yourself

· Feel less tired and improve social interaction

· Improve your quality of life

It is a great way of helping yourself, to regain independence and feel in control of your lung condition

Locations

We work out of various venues across Hampshire so that we are more accessible and to reduce travel costs for our patients. We review our locations regularly and they are subject to change based on patient demand and feasibility.

Our current locations include: (Times may change)

Basingstoke

Tuesdays and Fridays at 10:30 – 12:00

Address: Basingstoke Sports Centre, Festival Place, Basingstoke, RG21 7LE

PLEASE NOTE! Postcode for Festival Place car park is RG21 7BA

Lee on Solent

Mondays at 10:45 – 12:15 and Wednesdays at 14:45 – 16:15

Address: Lee-On-Solent Community Association, 51 Twyford Drive, Lee-On-Solent, PO13 8JU

Paulsgrove Community Centre

Tuesdays and Thursdays at 14:15 – 15:45

Address: Paulsgrove Community Centre, Marsden Road, Portsmouth, PO6 4JB

St Swithuns

Wednesdays and Fridays at 14:15 – 15:45

Address: St Swithuns Church Hall, 105 Waverley Road, Southsea, PO5 2PL.

PLEASE NOTE! Postcode for the car park is PO5 2QZ (via Collingwood Road)

Waterlooville

Tuesdays at 10:45 – 12:15 and Thursdays at 14:15 – 15:45

Address: Waterlooville Community Centre, 10 Maurepas Way, Waterlooville, PO7 7AY

Referral criteria

How to get referred:

Your GP will refer you to us if they think you are suitable for the programme, you can ask them if PR is right for you and what’s available in your area. You may be able to bring a family member or carer with you. Some programmes will have waiting lists, so the sooner you act, the sooner you can start. If your told you’re not eligible for Pulmonary Rehab, you could try other ways of keeping active.

One you have been referred you will have a 45-minute initial assessment with a respiratory specialist, to assess how you are coping with your lung condition. This will involve a walking test, some questionnaires and a discussion with the clinician.

If suitable you will be asked to attend one of our tailored programmes. If this isn’t suitable for you, other options will be discussed.

Our team will see you up to twice a week for 6 weeks, then you will have a reassessment and discuss your onward exercise plan.

Referral criteria:

· Confirmed diagnosis of COPD/ Bronchiectasis/ILD, where daily living activities are limited by dyspnoea.

· Patients experiencing decreasing exercise tolerance

· On optimum drug therapy

· Motivated to attend and complete all sessions

Exclusion criteria:

· Breathlessness caused by other morbidity e.g. heart failure/IHD

· Recovering from a recent MI (3/12)

· Unstable blood pressure (higher than 180/100) or cardiac symptoms

· Psychiatric, cognitive or locomotor problems which would prevent participation in exercise or group

· Co-morbidities made worse by exercise

If a patient has previously attended a complete programme but their lung condition has not deteriorated and shows no educational or exercise needs, please consider other community support options – see Additional information section.

To refer patients onto our services, please complete our most up to date referral form and email it across to snhs.pulmonary-rehab@nhs.net or post to our office. Please ensure all sections are correctly filled, as this will avoid delay to patient care.