{"id":4352,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/pulmonaryrehabilitation\/"},"modified":"2025-10-30T12:27:05","modified_gmt":"2025-10-30T12:27:05","slug":"pulmonaryrehabilitation","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/pulmonaryrehabilitation\/","title":{"rendered":"Pulmonary Rehabilitation"},"content":{"rendered":"\nPulmonary Rehabilitation<\/title>\n\n\n\n<p>Pulmonary Rehabilitation is a supported self-management programme, based in a variety of venues (hospitals, health centres and community\/leisure facilities), which aims to support people living with a chronic lung condition to better manage their symptoms. Programmes take place over a 6-week period, usually in small groups. Sessions include an individualised exercise programme where participants exercise at their own pace. The education sessions give advice on several topics including managing breathlessness, chest clearance, inhaler technique and wellbeing. The programme is run by physiotherapists and occupational therapists supporting people to stay well at home.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Programmes in Edinburgh City are based at Leith Community Treatment Centre, Wester Hailes Healthy Living Centre.<\/li>\n\n\n\n<li>Programmes in West Lothian take place in St John’s Hospital, Bathgate Primary Care Centre and Strathbrock Partnership Centre (Broxburn). <\/li>\n\n\n\n<li>Programmes in East and Midlothian run in East Lothian Community Hospital, Midlothian Community Hospital, and Fraser Centre, Tranent.<\/li>\n<\/ul>\n\n\n\n<p>It is useful to identify which site the patient would prefer.<\/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\">Who can refer:<\/h4>\n\n\n\n<p>Any health professional may refer a patient to the Pulmonary Rehabilitation Service.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients should be willing & motivated to attend an outpatient programme in a small group setting.<\/li>\n\n\n\n<li>Patients should be able to participate in a self-management programme (this includes exercise and education).<\/li>\n\n\n\n<li>Patients should be able to make their own way to the venue and be able to walk independently +\/- walking aid.<\/li>\n\n\n\n<li>Patients <strong>must<\/strong> have a confirmed respiratory diagnosis of COPD, Bronchiectasis or Interstitial Lung Disease. For any other lung condition please contact the team to discuss.<\/li>\n\n\n\n<li>Patients should be clinically stable (see below).<\/li>\n\n\n\n<li>Patients should have had their medications optimised.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with Asthma are not routinely accepted. <\/li>\n\n\n\n<li>Patients who have had an MI or significant neurological event in the last 3m.<\/li>\n\n\n\n<li>Patients with unstable angina, tachycardia or other significant cardiac problems.<\/li>\n\n\n\n<li>Patients with SBP >180mmHg, DBP >100mmHg or SpO2 <92% at rest.<\/li>\n\n\n\n<li>No significant orthopaedic, neurological or cognitive\/psychiatric impairment restricting their mobility.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p><strong>Via Sci Gateway (preferred referral method):<\/strong><\/p>\n\n\n\n<p>Edinburgh referrals – Leith Community Treatment Centre \u2013 Pulmonary Rehab<\/p>\n\n\n\n<p>East and Midlothian – Midlothian Community Hospital \u2013 Pulmonary Rehab<\/p>\n\n\n\n<p>West Lothian – St John’s Hospital \u2013 Pulmonary Rehab \u2013 L Pulmonary Rehabilitation<\/p>\n\n\n\n<p><strong>Via post or email (if Sci Gateway not available) including a copy of the completed referral form below:<\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PR-referral-form-2025.doc\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PR-referral-form-2025.doc\" target=\"_blank\" rel=\"noreferrer noopener\">Pulmonary Referral Form 2025<\/a><\/p>\n\n\n\n<p><strong>Via post:<\/strong><br><strong>Edinburgh <\/strong>referrals should be sent to:<br>Lothian Pulmonary Rehabilitation Team<br>Physiotherapy Department,<br>Leith Community Treatment Centre,<br>12 Junction Place,<br>Leith<br>EH6 5JA<br>Tel: 0131 536 6372<br><strong><\/strong><br><strong>East\/Midlothian <\/strong>referrals should be sent to:<br>Lothian Pulmonary Rehabilitation Team<br>Midlothian Community Hospital<br>70 Eskbank Road<br>Bonnyrigg<br>EH22 3ND<br>Tel: 07500 765919<br><strong><\/strong><br><strong>West Lothian <\/strong>referrals should be sent to:<br>Lothian Pulmonary Rehabilitation Team<br>Physiotherapy Department<br>St Johns Hospital<br>Livingston<br>Tel: 01506 522070<\/p>\n\n\n\n<p><strong>Via e-mail:<\/strong><\/p>\n\n\n\n<p>E-mailbox address for all areas:<strong>   <a href=\"mailto:ecps.prphysio@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">ecps.prphysio@nhslothian.scot.nhs.uk<\/a><\/strong><\/p>\n\n\n\n<p>Please inform the patient that they are being referred to pulmonary rehabilitation and provide him\/her with an information sheet if possible: <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/e21_pulmonary_rehabilitation-PIL.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/e21_pulmonary_rehabilitation-PIL.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">e21_pulmonary_rehabilitation.pdf<\/a><\/p>\n\n\n\n<p><\/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<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PR-referral-form-2025.doc\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/PR-referral-form-2025.doc\" target=\"_blank\" rel=\"noreferrer noopener\">Pulmonary Referral Form 2025<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.blf.org.uk\" data-type=\"link\" data-id=\"www.blf.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">Respiratory PE British Lung Foundation (www.blf.org.uk)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/www.chss.org.uk\" data-type=\"link\" data-id=\"www.chss.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">Respiratory PE Chest, Heart and Stroke Scotland (www.chss.org.uk)<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Pulmonary Rehabilitation Pulmonary Rehabilitation is a supported self-management programme, based in a variety of venues (hospitals, health centres and community\/leisure facilities), which aims to support people living with a chronic lung condition to better manage their symptoms. Programmes take place over a 6-week period, usually in small groups. Sessions include an individualised exercise programme where<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4364,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[583],"class_list":["post-4352","page","type-page","status-publish","hentry","category-pulmonary-rehabilitation"],"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\/rehabilitation\/pulmonary-rehabilitation\/\" rel=\"tag\">Pulmonary Rehabilitation<\/a>","rttpg_excerpt":"Pulmonary Rehabilitation Pulmonary Rehabilitation is a supported self-management programme, based in a variety of venues (hospitals, health centres and community\/leisure facilities), which aims to support people living with a chronic lung condition to better manage their symptoms. Programmes take place over a 6-week period, usually in small groups. Sessions include an individualised exercise programme where","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4352","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=4352"}],"version-history":[{"count":10,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4352\/revisions"}],"predecessor-version":[{"id":25651,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4352\/revisions\/25651"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4364"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}