We are a service that cares for patients who have a suspected or confirmed diagnosis of respiratory disease, including Chronic Obstructive Pulmonary Disease (COPD), asthma and bronchiectasis or pulmonary fibrosis.  

We aim to monitor and manage patients to prevent further deterioration and complications. We also aim to provide education and support in the community that prevents admission to hospital and reduces the length of any hospital stays.

We manage and treat patients according to the severity of their disease. Patients with a respiratory condition that is stable will be managed by their GP. Patients who have difficulties with their respiratory conditions can be referred directly to the Rapid Response Respiratory Service (RRRS.) Patients can also be referred directly for a course of pulmonary rehabilitation if required. Patients who are not stable and require rapid assessment will be referred to the Nottingham University Hospital NHS Trust (NUH) Respiratory Assessment Unit (RAU).

We also give all our patients a pink card. This is a way of directing ambulances directly to the NUH RAU where patients in distress are seen by the respiratory team. Referral for the Pink Card is initiated by the GP, Community Matron or the RRRS service. 

Patients whose condition is serious but stable are referred to the RRRS.  Intensive assessment, close monitoring and proactive management of the patient’s condition will be provided in order to prevent further deterioration.  Patients are treated effectively and discharged after a maximum period of three weeks, extended only after advice from a consultant.  If after three weeks patients are still not stable then patients will either be referred onward to a secondary care consultant or discharged back to their GP.    

Patients who have been managed by RRRS are referred to the Respiratory Education Advice and Diagnostic Service (READS) team to receive more information and advice about their disease.  A care plan will be initiated or existing plan will be reviewed. Pulmonary rehabilitation will be offered as well as spirometry testing and interpretation.  Referrals are accepted via the RRRS team, specialist community team, directly from a GP as well as the as the NUH RAU.

Patients who are diagnosed as unstable will be referred to the NUH RAU unit.  Once the patient is stabilised, early supported discharge to the RRRS or READS may be appropriate. If this isn’t required the patient is discharged back to their GP.
We employ Discharge Communication Co-ordinators to ensure that patients are well informed of the services available to them on discharge from hospital in order to help reduce re-admission rates.

The Integrated Respiratory team provides support for patients on Long Term Oxygen Therapy (LTOT) as well as Ambulatory Oxygen. 

  • Respiratory Rapid Response Service (RRRS): Referrals will be accepted from GPs, Community Matrons, Community Nursing teams and NUH.
  • Respiratory Education Advice & Diagnostic Service (READS): Referrals will be accepted from GPs, Community Matrons, Community Nursing teams and NUH.
  • Respiratory Assessment Unit - NUH: Referrals will be accepted via NEMS and the Pink Card navigation system and via the RRRS.

Referrals can be made for patients who meet the service criteria by clinicians only. Please contact Nottingham Health and Care Point on 0300 131 0300 and selecting Option 1, then Option 5 or using our online referral form.

Existing patients can contact the service on 0115 8833622

The service is available 7 days a week, 365 days a year from 8.00am to 7.00pm. Patient must be aged 18 years and over and be registered with a NHS Nottingham City Clinical Commissioning Group GP.