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PSR MSP Process for the provision of primary care respiratory services for the identification and treatment of COPD.<br/><br/>CPV code: 85121000-6 Medical Practice & Related Services<br/><br/>This project aims to develop and implement a specialist-led, integrated neighbourhood model of care for people living with COPD across Hull and East Yorkshire. Part of the project will involve developing a risk stratification tool, utilising linked system level data held by Humber and North Yorkshire Integrated Care Board (ICB), Appendix 1 sets out the proposed data flow to support COPD Population Level Health Management.<br/><br/>By developing, testing and implementing a population health, digital risk stratification tool, the project will proactively identify high-risk patients, support preventative intervention, and improve access to specialist care within community settings, in line with NHS priorities to shift care from hospitals to communities and from treatment to prevention.<br/><br/>Primary Care Networks (PCNs) will be invited to participate as delivery partners in the implementation, ongoing development, and evaluation of the proposed model. Working collaboratively with specialist re
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