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Economics and the burden of respiratory disease
S8 The National COPD Resources and Outcomes Project (NCROP): action plan achievement since 2007
  1. J F O'Reilly1,
  2. N A Pursey2,
  3. C M Roberts2,3,
  4. R A Stone2,4
  1. 1Aintree University Hospital, Liverpool, UK
  2. 2Clinical Standards Department, Royal College of Physicians, London, UK
  3. 3Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
  4. 4Taunton and Somerset NHS Foundation Trust, Taunton, UK


Introduction and Objectives In 2007, 100 acute respiratory units participated in the NCROP, a randomised controlled study to assess whether reciprocal peer review could facilitate service improvement. We identified themes in desired improvements and evaluated success in meeting action plan aims.

Methods Units were paired and randomised into intervention or control arms (54:46). Intervention teams undertook reciprocal peer review in 2007 and documented action plans for service improvement. In 2010, intervention units self-assessed their progress in achieving action plans. Qualitative responses were analysed using a grouped themes approach to derive action plan themes.

Results Data were received from 41 of 54 intervention units (76%). The Abstract S8 Table 1 shows the distribution of themes and action plan outcomes.

Conclusions Action plan themes related predominantly to development of multi-disciplinary teams across primary and secondary care and to specialist service provision. Most aims were fully achieved in a third of units and partially achieved in a similar number. Palliative care plans were less prevalent although at least partially successful in two thirds. Overall change was greater than in the 1 year assessment of the NCROP audit 2008.1

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