Pulmonary Rehabilitation

• Digital Enhanced Pulmonary Rehabilitation (DEPR)- You will attend one face to face, small socially distanced group class and one app-based (MyCOPD) session with support from our digital health assessor to discuss your progress and goals. Any COPD wellness issues will be directed to one of our clinicians.
• Face-to-Face, twice a week for 6 weeks in a small socially distanced group class.
• Virtual PR: you will be given access to MyCOPD or a written plan for a home-based PR- you will be followed up by our digital health a assessor once a week to discuss your progress and goals. Any COPD wellness issues will be directed to one of our clinicians.

Please note: All patients will be assessed by phone initially and will have a short physical assessment to gauge the most suitable activities to suit your individual needs. These are held at various sites across Islington and Haringey.

The face-to-face group exercise classes will be only in Hornsey central. This is accessible by bus and has a car park for your use.

All education and self-management will be held virtually either via the app or paper based with follow up from our digital health advisor and from the team running the programme.

• Improve your fitness to make you less breathless
• Have a better understanding of your lung condition
• Have improved confidence in your ability to manage your symptoms
• The group runs twice a week for 2 hours each session for 8 weeks. The first part is activity, tailored to your needs and the second part is a discussion about many aspects of your condition.
• These include: managing breathlessness, recognising chest infections and what to do, understanding your medicines, energy conservation and relaxation, and healthy eating.
• A number of programmes run in this area and you will be referred to the one most convenient to you.

• Respiratory diagnosis with breathlessness that limits functional ability (usually MRC 3 or  more) MRC scale
• Optimal medical management
• Able to walk 5m independently (with or without walking aids)
• Able to follow simple commands (in a group environment)
• Agrees to referral after full explanation
• Can commit to attending twice a week for 8 weeks (if not, once a week will be offered)
• The patient is able to make their own way to the venue (Please find links to taxi card / dial a ride and disabled freedom pass)

• Severe/uncontrolled Heart Failure
• Uncontrolled cardiac arrhythmias or hypertension
• Myocardial Infarct in last 6 weeks
• Unstable angina
• Any other unstable cardiac disease
• Untreated/uncontrolled Diabetes or Epilepsy
• Infection control risk e.g. untreated pulmonary TB
• Significant co-morbidities e.g. stroke, dementia, severe arthritis that render them unsafe/unable to exercise in a group setting

NOTE: If patient requires 1:1 rehabilitation please consider other community options such as Islington REACH Team/ Haringey ICTT/ discuss with team.