Back in work after AL, digesting the #PulmonaryRehab guidance....
Ive worked in rehab for many years and im passionate about what we do and the life changing ability of #rehab. Here are my thoughts.....

There is no 1 way to rehab a patient successfully (1/10)
The guidance is helpful if services are planning f2f groups- however many will struggle.
Small venues make social distancing a challange and will significantly restrict numbers - adding to the backlog.
Shared venues with councils etc will create further IC problems (2)
Lack of abilty to offer one way systems and lack of equipment (3)
There seems to be a huge missed opporunity to champion #digital delivery and how this can support services. This seems stark in the #covid #postcovid era with no mention of #innovation - this seems to go against the grain (4)
Further local lockdowns will again disrupt #servicedelivery of f2f groups
We need to look at #digital options to ensure #sustainability and provide #continuity of care (5)
We all know how important #pulmonaryrehab is for patients - but only a very small proportion of pts currently benefit from it. We need to be doing all we can to widen access to treatment - not restricting it further (6)
Many pts are relucant to attend groups due to months if #shielding - effective #digital support can help with this (7)
The worst thing we can do is to do nothing - there is nothing more harmful than being #sedentary - this is the message we need to get across to pts (8)
This is an #opportunity to re-think how we delivery services to widen access, have #digital support (this is a key aspect) and follow #nhs englands long term plan by looking at new models of care
We need to #publish our data to support new delivery methods (9)
Innovation will always be ahead of evidence (10)
Please feel free to RT and DM me if you agree / dont agree with me!
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