The Respiratory department provides specialist respiratory care for patients with conditions affecting the respiratory tract.
This includes asthma, chronic obstructive pulmonary disease (COPD), lung cancer, respiratory infections and bronchiectasis, pneumonia, pneumothorax, pleural disease, pulmonary embolus and respiratory failure and a non-invasive ventilation service.
Integrated Respiratory Service (IRT)
We are a team of specialist nurses and physiotherapists that provide a seven day in reach and outreach service for patients with respiratory disease in East Cheshire. The service provides supported early discharge for patients admitted to hospital with exacerbation of COPD and a rapid response service for patients at home to avoid hospital admission.
We provide five nurse led clinics a week either in the hospital or the community for oxygen assessment and general Respiratory reviews. We offer an advice line for patients and healthcare professionals. Patients can also be supported at home as appropriate. We accept referrals from hospital consultants, GPs, physiotherapists and nurses.
How do I refer/access the service?
The team operates a ‘single point of referral’ system. This means if you are referred you can have access to any of the services offered without having to have a new referral.
Those patients, who attend the oxygen assessment clinic or have been seen at home by one of the respiratory team before, can contact the team directly for advice when symptoms worsen.
How to contact us
The Integrated Respiratory Service operates from Macclesfield from 8.00am – 6.00pm seven days per week.
The Macclesfield Team is based at:
New Alderley House
Macclesfield District General Hospital
Telephone: 01625 663380
It is important for patients with lung disease to look after themselves and their general health. There are many things that they can do to keep well.
- Stop smoking: Stopping smoking helps to slow down the rate of lung function decline and is a proven effective intervention. It is considered a part of the patient’s treatment plan and should be offered to all who smoke. Support and advice is available as listed in the useful resources section.
- Exercise: Keeping active is extremely beneficial in many ways. Although breathlessness on effort can be uncomfortable, it is not necessarily serious. If there is any doubt about exercise then it is important to discuss the concerns with a health care professional. Walking at a steady pace with frequent stops if you become breathless (stop until breathing gets back under control) is a good way to gently exercise. The aim is to have 20-30 minutes per day. Trying to increase the amount walked every day leads to improvements in symptoms.
- Breathing exercises: Breathing can be much more efficient if more use is made of the diaphragm (muscle that lies between the lungs and abdomen). It is best to ask for some advice about the correct breathing exercises to do from a physiotherapist or the respiratory team.
- Eat well: Keeping weight correct and maintained for height is essential as we use more energy and oxygen to carry the extra weight and this increases breathlessness and decreases activity. People with lung disease need more energy to breathe so getting too thin means they get more tired, are more prone to infection and they lose their muscle strength and tone. It is very important to seek advice if losing weight as a dietician referral may be required.
- Self Management: It is important that the person with COPD and other lung conditions knows how to recognise when they are developing infection and/or a worsening of symptoms. Most patients’ with COPD should have a rescue pack of antibiotics and steroids at home to take when symptoms develop and contact numbers for advice and support.
- Influenza and Pneumococcal vaccinations: These vaccinations have been proven to benefit patients with lung disease. The GP practice normally invites the patient to attend for flu vaccination annually and in most cases the pneumococcal vaccination is required only once.
- Going on holiday and flying: Some patients may require oxygen in flight if travelling by aeroplane so in these cases a fitness to fly test is required. Contact the IRT for further information.
- Understand the medications: It is important that patients understand and have been shown how to use their inhalers properly. Medication use and the reasons for use should always be explained by the health care professional.
- Government allowances: Patients with lung disease may be entitled to governmental financial support. Contact the Benefits Agency or the Department for Works and Pensions website www.dwp.gov.uk for more information.