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Headline

Most GPs not planning on doing spirometry training despite NICE guidance

Comment

NICE is a guideline and not law, its not part of GMS either so its up to practices if they want to do it or not, some GP practices don't provide the service at all and refer to respiratory clinics. Some CCGs pay practices to perform spirometry so if you are not being paid you need to speak to your CCG as to why not. the CCG should pay for the training and certification. if not just start referring them all to respiratory teams and once they are overwhelmed the CCG will come back to you and start paying for it. they may try a private provider for a while but then when this fails it will come back to you - at this point wack up your charges so you make a profit. as it is there is no clinical evidence annual spirometry makes any clinical difference to the management of your COPD patient and is pointless. many nurses with spirometry training and certification have no idea how to manage copd patients ( been a locum for 3 years all over the UK and its bad out there) so the money would be better spent on training them on how to look after these patients properly, on which inhalers to use and when, how to recognise heart failure, mini pulmonary emboli or pulmonary hypertension - which is regularly missed -and how to use an inhaler properly. if the spirometry does not meet BTS guidelines send it back and get it done again or don't bother in the first place. i will wait till some one insists i have to do it, wait for them to provide the training and they pay for it. your a mug if you pay for it yourself.

Posted date

27 Mar 2019

Posted time

2:11pm

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