Care Bundles for COPD

BTS has developed COPD Admission and Discharge Care Bundles with the aim of improving care and reducing readmissions for patients admitted with acute exacerbations of COPD.

The BTS COPD admission and discharge care bundles are available for use by clinical teams. The bundle elements should not be changed but the format and presentation of the documents can be amended for local use. Please acknowledge BTS as the source.

BTS is not collecting data on care bundle use, however, use of COPD discharge bundles is audited via the National COPD Audit Programme and has been included in a new Best Practice Tariff, which commenced on 1 April 2017 and will remain in place for the financial years 2017/18 and 2018/19.    

Best Practice Tariff for Acute Exacerbations of COPD

Use of a COPD discharge bundles has been included in a new Best Practice Tariff (BPT) for Acute Exacerbations of COPD. The BPT applies to non-elective admissions to English Trusts where the primary diagnosis is AECOPD. Trusts will be eligible for a conditional top-up payment in addition to the base tariff where best practice is achieved. Best practice will be considered to have been achieved (at Trust level) where:

  • 60% of patients with a primary diagnosis of COPD, admitted for an exacerbation of COPD, receive specialist input to their care within 24 hours of admission; and
  • Where they receive a discharge bundle before discharge.

Attainment of the COPD BPT will be measured by the National COPD Audit Programme’s secondary care audit, which asks whether a BTS, or equivalent, discharge bundle has been completed for each patient. Further details on the BPT are available here

COPD Care Bundle Case Study

Birmingham Heartlands and Royal Liverpool University Hospitals have shared their experience of introducing COPD Admission and Discharge Care Bundles with aim of improving care and reducing readmissions. See the Respiratory Futures website for further details. 

October 2017

COPD Care Bundles Research Project

An evaluation of the effectiveness of ‘care bundles’ as a means of improving hospital care and reducing hospital readmission for patients with chronic obstructive pulmonary disease (COPD) This multi-disciplinary study by the University of Bristol seeks to evaluate the impact of admission and discharge care bundles for...