Pulmonary Rehabilitation

We are now taking referrals for Locala services. We are working hard to ensure the majority of our services will start to get back to normal from September, but some will take a little longer due to restrictions in response to COVID.  Once your referral has been received, it will be reviewed and a decision made about your possible treatment or care. You will then be contacted by the appropriate team with the relevant information.  At the moment this is taking longer than usual. We understand this has been difficult time for everyone and are grateful for your patience.

Pulmonary Rehab from GPs, Acute Trusts and patients

Criteria
Please note: this form is for patients registered with Greater Huddersfield CCG only


GP Practices in Greater Huddersfield Pulmonary Rehabilitation Service

Referral criteria

• respiratory disease
• independently mobile and no transport required
• must be able to commit to attending Pulmonary Rehabilitation for 16 sessions over 8 weeks
• must be motivated to attend and make changes to their lifestyle
• are happy in a group environment and will actively participate in the programme
• have a MRC score of 3 or greater

Exclusion criteria. Please contact to discuss if required.

• Acute Left Ventricular Failure (LVF)
• Acute cardiac event within last 3 months
• Uncontrolled cardiac arrhythmia/angina
• Cerebral Vascular Accident/neurological incident within last 3 months
• Pulmonary embolus/Deep Vein Thrombosis within last 3 months not receiving treatment
• Abdominal Aortic Aneurysm (AAA) > 5.5cm or any AAA with uncontrolled BP
• Aortic stenosis
• Surgery within 6 weeks
• Acute/current psychotic episode
• Alcoholism affecting life
• Any medical problems preventing exercise or compliance with programme
• Attending other rehab programme
COVID-19
Referrers from acute settings should provide this information to best of their ability. Not doing so can slow the process down considerably.
COVID-19 status
Referrer Details
If contact details are incorrectly input where mandatory the referral cannot be processed



Patient Details
If contact details are incorrectly input where mandatory the referral cannot be processed

Overseas visitor?
Patient has consented to information sharing?*

Patient Condition Information
All questions marked with a * should be answered


If not recently recorded in the patient's record, what is the current Medical Research Council Dyspnoea Score Chart (MRC)?


Is the patient receiving long term oxygen or ambulatory therapy?*



What You Need To Do Next
Supporting documents required with this referral



For any issues with this referrla form please contact Locala Single Point of Contact – 0300 304 5555

Now you have completed this form, please remember to click 'Submit'.


If you do not receive an email acknowledgement your referral has not been submitted. Please check that all details are correct, mandatory fields completed and re-submit.