Chronic obstructive pulmonary disease (COPD) is a long-term respiratory condition (most commonly chronic bronchitis and emphysema) that is among the top five causes of death, leading to 24,000 deaths a year. It is also the second most common cause of hospital admissions with direct NHS healthcare costs of £800 million. As COPD has no cure, effective symptom management is essential.
myCOPD is a web based application accessible on almost any device that connects to the internet. It is a self-management programme that helps patients manage their condition more effectively, through education, symptom tracking, inhaler technique coaching and pulmonary rehabilitation, 24-hours a day. It also enables clinicians, local healthcare providers and CCGs to access a dashboard to monitor and manage their patients remotely at an individual and population level, monitor exacerbation burdens in real-time and review potential inequalities in health care to plan support services effectively.
Launched in January 2015, and joining the NHS Innovation Accelerator in July 2015, myCOPD has proven to correct 98% of patient inhaler errors without clinical involvement, doubled the rate of recovery from acute exacerbations, provided the same outcomes as class-based pulmonary rehabilitation classes, improved patient symptom scores and reduced time in delivering the annual review by 50%. A CCG with an average COPD population of 5,000 patients would expect to make savings in the first year alone of over £200,000. To-date myCOPD is being used nationally with CCGs, hospitals, community teams and primary care. All delivering myCOPD to patients who are newly diagnosed with COPD, patients being discharged from hospital, patients at their annual review and for those unable to attend class-based pulmonary rehabilitation.
There are a further 45 CCGs that have already expressed interest in adopting myCOPD in 2017/18 as it becomes available via the new Innovation and Technology Tariff.
Patient feedback: myCOPD
“Last year, before using myCOPD I had 12 exacerbations, this year I have had two. I now know when and how to take my medication, when to use my rescue pack and I perform my rehab exercises most days. I know far more about my COPD than before. I rely on my doctor far less than before”