{"id":3902,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/edinburghcommunityrespiratoryteam\/"},"modified":"2025-08-19T15:57:04","modified_gmt":"2025-08-19T14:57:04","slug":"edinburghcommunityrespiratoryteam","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/edinburghcommunityrespiratoryteam\/","title":{"rendered":"Edinburgh Community Respiratory Team"},"content":{"rendered":"\n<p><strong>&#8220;THINK COPD, THINK CRT&#8221;<\/strong><\/p>\n\n\n\n<p><strong>The Team<\/strong><\/p>\n\n\n\n<p>The Edinburgh Community Respiratory Team (CRT) is an interface service led by Advanced Physiotherapy Practitioners.&nbsp; The team has dedicated and co-located pharmacy and psychology input.<\/p>\n\n\n\n<p>CRT has 3 main work streams:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prevention of admission and acute exacerbation support for patients in their own home with the aim of avoiding unnecessary admission to hospital<\/li>\n\n\n\n<li>Supported discharge from hospital<\/li>\n\n\n\n<li>Chronic disease management (consider first referring the patient to the <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/pulmonaryrehabilitation\/\" target=\"_blank\" rel=\"noreferrer noopener\">Edinburgh Pulmonary Rehabilitation Service<\/a>)<\/li>\n<\/ul>\n\n\n\n<p><strong>This is an Edinburgh City service and operates in the health and social care partnership boundaries. Midlothian, East Lothian and West Lothian have a similar service with their own RefHelp pages.<\/strong><strong><\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Services\nProvided&nbsp;<br><\/h4>\n\n\n\n<p>The team works Monday to Friday 8-6 and Saturday and Sunday 9-4. The service runs 365 days a year to support the management of COPD patients residing in the City of Edinburgh.<\/p>\n\n\n\n<p>The service offers<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Advanced Physiotherapy Practitioners with independent prescribing qualifications able to prescribe where appropriate, order Chest&nbsp;X-Rays and Pulmonary Function Tests and who have direct admission rights to WGH and RIE Edinburgh. We offer rapid assessment, aiming to see urgent referrals the same day they are referred or the following day as required by their clinical condition.<\/li>\n\n\n\n<li>Direct contact with respiratory consultants for urgent specialist advice on the management of complex patients<\/li>\n\n\n\n<li>Access into a dedicated Clinical Psychologist service for COPD patients, see <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/copd-psychology-service\/\" target=\"_blank\" rel=\"noreferrer noopener\">COPD Psychology Service <\/a>for more details<\/li>\n\n\n\n<li>Pharmacist independent prescriber support for medication advice, polypharmacy reviews and a domicilary visit if required<\/li>\n\n\n\n<li>Provision of anticipatory care e.g. prevention advice, education and support to carers<\/li>\n\n\n\n<li>Partnership working with acute Respiratory Nurse Specialists, Edinburgh IMPACT Team and the pan-Lothian pulmonary rehabilitation service<\/li>\n\n\n\n<li>Referral to smoking cessation services<\/li>\n\n\n\n<li>Access to voluntary sector organisation Grapevine for home visits to support patients to access benefit support <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/GrapevineCommunityRespiratorySupportService\" target=\"_blank\" rel=\"noreferrer noopener\">Grapevine Community Respiratory Support Service<\/a><\/li>\n\n\n\n<li>Patients will be assessed and considered for longer term management via our<strong> <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Resp-CRT-What-is-Lite-Touch.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Resp-CRT-What-is-Lite-Touch.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Lite Touch self referral service<\/a><\/strong><\/li>\n\n\n\n<li>Provision of education\/support\/advice to healthcare professionals regarding the management of patients with COPD in the community.<\/li>\n<\/ul>\n\n\n\n<p><br><\/p>\n\n\n\n<p><strong>C.W. &amp; L.G. 04-05-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading has-standard-black-color has-text-color has-link-color wp-elements-a0933ee625215354ecf53b47f27345ce\">Who to refer:<\/h4>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color wp-elements-8549c3a0fefbd3f9ac44e27db1f56404\"><strong>Urgent Referral Criteria<\/strong><\/p>\n\n\n\n<p>Patients with a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Primary diagnosis of COPD (on previous spirometry)<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;<strong>AND<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An acute exacerbation of COPD.<\/li>\n<\/ul>\n\n\n\n<p><strong>AND<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&nbsp;Who are residents of the&nbsp;City of Edinburgh (within the health and social care partnership boundary).<\/li>\n<\/ul>\n\n\n\n<p class=\"has-standard-black-color has-text-color has-link-color wp-elements-6c74a855f74e5ea25382c81830751229\"><strong>Routine Referral Criteria<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with frequent exacerbations not currently at risk of admission<\/li>\n\n\n\n<li>Patients with general deterioration in function due to their COPD<\/li>\n\n\n\n<li>Supported discharge patients.<\/li>\n\n\n\n<li>Consider first referring the patient to the <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/pulmonaryrehabilitation\/\" target=\"_blank\" rel=\"noreferrer noopener\">Edinburgh Pulmonary Rehabilitation Service<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Primary diagnosis of Asthma, Bronchiectasis, Lung Cancer, Interstitial Lung Disease, Cystic Fibrosis, Suspected TB<\/li>\n\n\n\n<li>Diagnostic uncertainty<\/li>\n\n\n\n<li>Patients who GP feels cannot be managed safely at home \u2013 <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/home-vs-hospital-respiratory-crt-management-of-acute-exacerbations-of-copd.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/home-vs-hospital-respiratory-crt-management-of-acute-exacerbations-of-copd.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">(see&nbsp;home vs hospital)<\/a><\/li>\n\n\n\n<li>Patients with reduced consciousness or confusion<\/li>\n\n\n\n<li>Patients who are not residents of the City of Edinburgh.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p><strong>Urgent Referrals<\/strong><\/p>\n\n\n\n<p>All urgent referrals MUST be called through the on-call mobile number<a> <\/a>07826894067.&nbsp;Please note this is a professional line only. This is not to be given to patients.<\/p>\n\n\n\n<p>An electronic SCI gateway referral must then be completed.<\/p>\n\n\n\n<p>Urgent referrals from Primary Care will be triaged and visited the same day if required.<\/p>\n\n\n\n<p><strong>Routine Referrals<\/strong><\/p>\n\n\n\n<p>Routine referrals do not need to be discussed with the on-call team.&nbsp; A referral should be sent via Sci-gateway.&nbsp; These patients will be triaged and offered an appointment as capacity allows. Please note at busy times we run a waiting list for non-urgent reviews.&nbsp; &nbsp;&nbsp;<\/p>\n\n\n\n<p>Both urgent and routine referrals require completion of an electronic referral via SCI Gateway. Select&nbsp; AHP \u2013 Physiotherapy &gt; Edinburgh \u2013 Astley Ainsley Hospital &gt; LI Community Respiratory Team<\/p>\n\n\n\n<p>The SCI Gateway referral form requests the patients Clinical Frailty Score. Please see&nbsp;<a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Clinical-Frailty-Score.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Clinical Frailty Score.pdf<\/a>&nbsp;for&nbsp;information on this scoring system.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>COPD: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/chronicobstructivepulmonarydisease\/\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic Obstructive Pulmonary Disease <\/a><\/p>\n\n\n\n<p>Respiratory: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/\" target=\"_blank\" rel=\"noreferrer noopener\">Respiratory <\/a><\/p>\n\n\n\n<p>Spirometry: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/spirometry\/\" target=\"_blank\" rel=\"noreferrer noopener\">Spirometry \u2013<\/a><\/p>\n\n\n\n<p>RIE Hot Clinic: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/rierespiratoryhotclinic\/\" target=\"_blank\" rel=\"noreferrer noopener\">RIE Respiratory HOT Clinic <\/a><\/p>\n\n\n\n<p>SDEC: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/admissionsurgentcare\/samedayemergencycaresdec\/\" target=\"_blank\" rel=\"noreferrer noopener\">Same Day Emergency Care (SDEC) <\/a><\/p>\n\n\n\n<p>Oxygen Therapy: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/oxygentherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Oxygen Therapy <\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>CRT Poster: <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Respiratory-Community-Respiratory-Team-Poster-frm-Intranet-Sep18.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Respiratory-Community-Respiratory-Team-Poster-frm-Intranet-Sep18.pdf (nhslothian.scot)<\/a><\/p>\n\n\n\n<p>GOLD:&nbsp; <a href=\"https:\/\/goldcopd.org\/2023-gold-report-2\/\" target=\"_blank\" rel=\"noreferrer noopener\">2023 GOLD Report &#8211; Global Initiative for Chronic Obstructive Lung Disease &#8211; GOLD (goldcopd.org)<\/a><\/p>\n\n\n\n<p>NICE: <a href=\"https:\/\/www.nice.org.uk\/guidance\/NG115\" target=\"_blank\" rel=\"noreferrer noopener\">Overview | Chronic obstructive pulmonary disease in over 16s: diagnosis and management | Guidance | NICE<\/a><\/p>\n\n\n\n<p>Respiratory MCN: <a href=\"https:\/\/services.nhslothian.scot\/respiratory\/respiratory-managed-clinical-network-mcn\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Lothian Respiratory Managed Clinical Network (MCN) \u2013 Respiratory<\/a><\/p>\n\n\n\n<p>Asthma and Lung UK: <a href=\"https:\/\/www.asthmaandlung.org.uk\/about-us\/who-we-are\" target=\"_blank\" rel=\"noreferrer noopener\">Who we are | Asthma + Lung UK (asthmaandlung.org.uk)<\/a><\/p>\n\n\n\n<p>CHSS:&nbsp; <a href=\"https:\/\/www.chss.org.uk\/about-us\/\" target=\"_blank\" rel=\"noreferrer noopener\">About Us &#8211; Chest Heart &amp; Stroke Scotland (chss.org.uk)<\/a><\/p>\n\n\n\n<p>Smoking cessation: <a href=\"https:\/\/www.nhs.uk\/live-well\/quit-smoking\/nhs-stop-smoking-services-help-you-quit\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS stop smoking services help you quit &#8211; NHS (www.nhs.uk)<\/a><\/p>\n\n\n\n<p>Dolby Medial (home oxygen supplies): 0800833531<\/p>\n\n\n\n<p>Vocal: <a href=\"https:\/\/www.vocal.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Support for carers in Edinburgh and Midlothian &#8211; VOCAL<\/a><\/p>\n\n\n\n<p>Active Scotland: (cannot find an active link for this?<\/p>\n\n\n\n<p>My Lungs My life: <a href=\"https:\/\/mylungsmylife.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">My Lungs My Life | Patient Respiratory Self-Management Toolkit<\/a><\/p>\n\n\n\n<p>SAS Pathway: <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Resp-CRT-Scottish-Ambulance-Service-Pathway-Checklist.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Resp-CRT-Scottish-Ambulance-Service-Pathway-Checklist.pdf (nhslothian.scot)<\/a><\/p>\n\n\n\n<p>Psychology: <a href=\"https:\/\/www.wellbeinglothian.scot\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.wellbeinglothian.scot<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&ldquo;THINK COPD, THINK CRT&rdquo; The Team The Edinburgh Community Respiratory Team (CRT) is an interface service led by Advanced Physiotherapy Practitioners.&nbsp; The team has dedicated and co-located pharmacy and psychology input. CRT has 3 main work streams: This is an Edinburgh City service and operates in the health and social care partnership boundaries. Midlothian, East<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4381,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[594],"class_list":["post-3902","page","type-page","status-publish","hentry","category-edinburghcommunityrespiratoryteam"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/respiratory\/edinburghcommunityrespiratoryteam\/\" rel=\"tag\">Edinburgh Community Respiratory Team<\/a>","rttpg_excerpt":"&ldquo;THINK COPD, THINK CRT&rdquo; The Team The Edinburgh Community Respiratory Team (CRT) is an interface service led by Advanced Physiotherapy Practitioners.&nbsp; The team has dedicated and co-located pharmacy and psychology input. CRT has 3 main work streams: This is an Edinburgh City service and operates in the health and social care partnership boundaries. Midlothian, East","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3902"}],"version-history":[{"count":24,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3902\/revisions"}],"predecessor-version":[{"id":25208,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3902\/revisions\/25208"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4381"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}