Consultation Together for Health – A Respiratory Delivery Plan – A Delivery Plan up to 2016 for NHS Walesand its partners

 Start of consultation:21/10/2013

End of consultation: 09/01/2014


Respiratory disease is the cause in 1 in 7 of all deaths in Wales; the third largest cause of death for both women and men in Wales. At the same time, 1 in 7 adults in Wales reports being treated for a respiratory condition. As with a number of other health conditions, lifestyle factors can increase the risk of getting a respiratory disease. Diet and weight are contributory factors, but smoking continues to be the main risk factor. Whilst helping make people aware of these risks, it is important to encourage individuals to take responsibility for their own actions to shape their own health, and reduce the risks of respiratory disease.

Full involvement in the care, patient education and co-production of personalised care needs to be part of the patient’s care pathway to achieve the best for the patient. This plan sets out the main actions needed to be implemented to improve healthcare outcomes for patients and to ensure improvements are delivered to all the people of Wales wherever they live and whatever their socio-economic situation. This plan is one of a number of delivery plans that sets out to improve healthcare outcomes for the people of Wales and Welsh Government are asking for views as part of this consultation process.

TheDelivery Plan establishes outcomes needed to improve respiratory health care in Wales. It sets out high level actions to support their effective delivery in the following areas;

  • Preventing poor respiratory health People to be aware how to live healthy lifestyles, make healthy choices and minimise their risk of poor respiratory health and understand the consequences of not doing so
  • Detecting respiratory disease quickly Respiratory disease to be detected quickly where it does occur
  • Delivering fast, effective treatment and care People to receive prompt, effective treatment and care for their respiratory condition so that they have the best chance of optimising their quality of life and improving survival, reciprocated by patients taking responsibility for lifestyle choices that positively contribute to their treatment and care
  • Supporting living with poor respiratory health People to be placed at the heart of respiratory health care with their individual needs identified and met so that they feel well supported, informed and able to manage the effects of poor lung health
  • Improving Information Patients, health professionals and service planners will have access to appropriate information to help them make informed decisions about care and treatment. The public, the NHS, the third sector and the Welsh Government will have access to information on the outcomes of NHS Care
  • Targeting research The Welsh Government and NHS Wales continues to promote the research base and ensure appropriate access to clinical trials which can lead to better outcomes for patients Each Local Health Board is required to develop local delivery plans setting out how they plan to achieve the respiratory health care outcomes established in this document.

Ian Jones

Assistant Secretary


Annex A – Consultation Response Form

Respiratory Health Delivery Plan Consultation Response Form


ConsultationResponse Form Your name:     Ian Jones, Assistant SecretaryOrganisation (if applicable): North & Mid Wales Association of Local CouncilsEmail / telephone number: cqtcclerk@connahs-quay.co.uk01244 819420Your address: Quay Building, Fron Road, Connah’s Quay, Flintshire CH5 4PJ
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Returning this form

This consultation runs from 21 October until 9 January. Please send your responses to us by the deadline of the 9 January 2014.

You can send your completed response forms to us by e-mail, to majorhealthconditionspolicyteam@wales.gsi.gov.uk, or by post, to Major Health Conditions Policy, Health Quality Division, Welsh Government, Cathays Park, Cardiff, CF10 3NQ.

1. Are the areas covered within the draft Respiratory Health Plan comprehensive and relevant?
Yes but relevant and linked disorders are not specifically mentioned eg upper respiratory tract infection (common cold) however, infections of specific organs of the upper respiratory tract such as sinusitis, tonsillitis, otitis media, pharyngitis and laryngitis are also considered upper respiratory tract infections. Lower respiratory tract infection is pneumonia, an infection of the lungs which is usually caused by bacteria, particularly Streptococcus pneumoniae in Western countries.
2. Is the vision for respiratory health services right?
Yes it must have high priority given it is the cause of 1 in 7 deaths in Wales.
3. Are the challenges for respiratory health services appropriate?
To deliver long term sustainable improvements in respiratory care services is very challenging to all services involved. Those stated seem most appropriate.
4. Are the draft population indicators correctly identified?
4. a) If no, please identify the population indicators that you suggest need to be removed, added or amended.the emphasis is on reduction of smoking  to 16% by 2010does not state what the current percentage of the population smoke so it is unclear what the target level reduction is.
Population indicator/s to be amended:percentage of the population that smoke
5. Have we correctly identified the outcomes that should be prioritised?
6. Have we correctly identified the actions that should be prioritised?
Yes however early diagnosis is critical to long term improvements in respiratory care, therefore steps to be taken to encourage patients to attend for checks.
7. Do the health care experiences in Annex  1 show how improving respiratory health care will contribute to people of all ages in Wales enjoying good physical health?
8. Are the assurance measures, in Annex 2, for the NHS to report on to the Welsh Government each year going to capture the effectiveness of NHS respiratory health care across Wales?
Difficult to assess
9. Are there any critical issues not covered in the draft Plan?
10. How might the draft Plan be improved?
There should be a very high emphasis on the ‘awareness campaign’ as many groups and individuals may be unaware of respiratory disorders eg the impact of COPD and indeed what COPD and other respiratory diseases are. Also other matters other than smoking that can affect the lung functions eg obesity, age, lifestyle etc.
11. We have asked a number of specific questions. If you have any related issues which we have not specifically addressed, please use this space to report them.