Respiratory Services – Better Care Together

Cross Economy

In March 2016, the Respiratory Team of the Better Care Together programme in Morecambe Bay, delivered its service redesign proposal. The proposal sets out the planned changes in the delivery of respiratory services across Morecambe Bay as well as planned workforce changes.

The two primary aims of the Respiratory redesign were to:

  • Improve the care for patients with long term respiratory conditions (COPD, Chronic Asthma, Interstitial Lung Disease and Bronchiectasis) by providing a dedicated, specialist Respiratory service in the community; and to
  • Reduce the reliance on acute services by ensuring that the community service is equitable across the Bay area based on the requirements of the population.

The Challenge

    1. The starting position is one in which, despite pockets of excellence, overall provision is patchy and inconsistent principally due to resource and capacity issues. The current provision of specialist community services for Respiratory is fragmented partially due to having two different providers (Cumbria Partnership & Blackpool FT) but also due to opposing staffing structures.
    1. As a consequence, the timely diagnosis and treatment of patients through the health system is fragmented and inconsistent resulting in inequity of access to services and suboptimal care and missed opportunities through prevention activity. The WRaPT Team supported the redesign at this stage, by setting out a clear workforce baseline. This set out the current structure, and highlighted the large variances in staffing models that exist.

Our Approach

The Outcome


WRaPT proved invaluable in planning new Integrated Respiratory Teams across Morecambe Bay. The tool and the interactive clinical stakeholder sessions that informed it brought clarity and a shared understanding of existing services, highlighting variation and potential for improvement. WRaPT helped to demonstrate the benefits of integrating local hospital, community and primary care roles and teams, consistent with the core principles of Better Care Together.

Robert Sumpter, Workforce Workstream Lead, Better Care Together

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The WRaPT team is available to support your organisation with workforce transformation using the WRaPT Tool. Simply contact the team to discuss further: