Tender: Specialist-Led Neighbourhood COPD Risk Stratification and Community Care Model – Hull & East Yorkshire

About

Primary Care Network needed to develop and implement a specialist-led, integrated neighbourhood model of care for people living with COPD across Hull and East Yorkshire using digital risk stratification and multidisciplinary specialist review. The project will proactively identify high-risk patients, support preventative interventions, and improve timely access to specialist care in community settings in line with NHS priorities to shift care from hospitals to communities and from treatment to prevention. Participating PCNs will act as delivery partners working alongside specialist respiratory teams based at Hull University Teaching Hospital to identify, review and manage high-risk patients, build primary care capability, test feasibility and measure impact to inform future commissioning and potential wider adoption across the Humber region and beyond. A suitable provider must be a Primary Care Network or primary care organisation serving a registered population of at least 30,000 with recorded QOF COPD prevalence exceeding 2.5% and demonstrable experience meeting the needs of communities with a significant burden of respiratory disease.