British Lung Foundation - COPD Pathway

To use the COPD pathway

If using a desktop or laptop with a mouse drag the pathway or use the mousewheel to navigate. For tablet users swipe to navigate left to right. Click on items in the pathway to find out more information.

A guide to the symbols

Public awareness
Quality accessible info
Signpost to GP
Family, friends and carers, screening
Symptom recognition
Empower patient to ask
Pneumonia
and Flu vaccine
Smoking
cessation
Diagnosis
Diagnosis
confirmed
Emotional
support
Timely
Sensitive
Diagonistic
Competencies
Understanding severity
Media
Effective self-management
embedded
Signposting outside
the NHS
Signposting
Support in
community
Self-help
opportunities
Psychological
issues
Anxiety
and depression
Social care
Know your
‘normals’
Diagnosis to
self-management
seamless
Comprehensive
self-management
plan
Peer-led
self-management
training
Goal
setting
Education for
non-medical
practice staff
Advice on early
recognition of
exacerbation including:
self-management,
age of patient and
rescue medication
Therapy according
to NICE
Smoking
cessation
Concordance to
medication
Inhaler
technique
Pharmacy/
MUR service
Pharmacology
education
New medicine
service
Peer
support
Managing other LTC:
osteoporosis,
heart failure,
arthritis,
diabetes etc.
Annual
review
Pulmonary rehab
after hospital admission
Available to all
who need it
Pulmonary
rehabilitation
Not all
exacerbations
are avoidable
Exacerbation
management plan
Rescue meds
and written plan
Tell GP when
meds used
Monitor
and review
Psychological
services
Community
support
Access to specialist
respiratory services
if appropriate
Smoking
cessation
Prescription on clinical
and lifestyle - not cost
Ambulatory
O2
Oxygen assessment
and review
Patients’
lifestyle needs
Needs based on
busiest day
Community-based
HOS AR service
Home assessment
- social life
O2 and
ambulance
service
Personal
health
budgets
Social
care
Palliative
care
Key
worker
Respiratory
specialist
team
Pulmonary
rehab
Prescription on clinical
and lifestyle - not cost
Ambulatory
O2
Hospital
admission,
ESD
NIV
Community
NIV
GP
Social care
Two-week
post-discharge
review
Support in
community
Respite care
Hospices
District
nurses
Palliative
care
Bereavement
support
Carer's
assessments
Wills
Advanced
directive
End of
life