Florey allows you to send questionnaires out to patients to gather data. The COPD Florey Questionnaire is used to help gather data that would be useful for an annual COPD review. Using the information gathered, clinicians can determine the most helpful subsequent steps in the review e.g. video call.


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COPD Florey content

Enrolment SMS:
Hi/Dear NAME,
I’d like you to complete some questions about your breathing condition (COPD) via the link below.
Thanks, SIGN-OFF



Please follow this link (link will autogenerate here).
You need internet on your phone (otherwise you can open the link on a computer or contact reception).
SENDER ID

First page of questionnaire:

Hi NAME
As part of your care, your GP would like to gather up-to-date information about some aspects of your COPD. It should take no longer than five minutes to complete.

Are you happy to proceed?
This survey is operated by accuRx.

Sponsored and co-developed with GSK.

Questions
What is your date of birth?
Example 8 12 1988

  • DD MM YYYY

How often do you cough?

  • 0 - I never cough
  • 1
  • 2
  • 3
  • 4
  • 5 - I cough all the time

How much phlegm to you feel you have on your chest?

  • 0 - I have no phlegm (mucus) on my chest at all
  • 1
  • 2
  • 3
  • 4
  • 5 - My chest is full of phlegm (mucus)

How tight is your chest?

  • 0 - My chest does not feel tight at all
  • 1
  • 2
  • 3
  • 4
  • 5 - My chest feels very tight

When do you get out of breath?

  • 0 - When I walk up a hill or a flight of stairs I am not out of breath
  • 1
  • 2
  • 3
  • 4
  • 5 - When I walk up a hill or flight or stairs I am completely out of breath

How out of breath do you get?

  • I only get breathless with strenuous exercise. - Medical Research Council Breathlessness Scale grade 1 - 391120009
  • I get short of breath when hurrying, or walking up a slight hill. - Medical Research Council Breathlessness Scale grade 2 - 391123006
  • I walk slower than people the same age on level ground or have to stop for breath when walking at my own pace. - Medical Research Council Breathlessness Scale: grade 3 - 391124000
  • I get short of breath after walking 100 yards or after a few minutes on level ground. - Medical Research Council Breathlessness Scale grade 4 - 391125004
  • I'm too breathless to leave the house or breathless when dressing or undressing. - Medical Research Council Breathlessness Scale grade 5 - 391126003

How much are you limited by your COPD when at home?

  • 0 - I am not limited to doing any activities at home
  • 1
  • 2
  • 3
  • 4
  • 5 - I am completely limited to doing all activities at home

How well do you sleep?

  • 0 - I sleep soundly at night
  • 1
  • 2
  • 3
  • 4
  • 5 - I do not sleep soundly because of my lung condition

How much energy do you have?

  • 0 - I have lots of energy
  • 1
  • 2
  • 3
  • 4
  • 5 - I have no energy at all

How many COPD exacerbations have you had in the past 12 months?

An exacerbation is where your breathlessness or cough got worse and you needed to take a rescue pack of seek medical attention (see here for more information)

  • Enter number

Did you go into hospital because of any COPD exacerbations?

An exacerbation is where your breathlessness or cough got worse and you needed to take a rescue pack of seek medical attention (see here for more information)

  • Yes
  • No

What is your smoking status?

  • Current smoker - 77176002
  • Ex-smoker - 8517006
  • Never smoked - 266919005

How much do you smoke? (If selected "current smoker" only)

  • <1 cigarettes or gram/day or equivalent - 266920004
  • 1-9 cigarettes or grams/day or equivalent - 160603005
  • 10-19 cigarettes or grams/day or equivalent - 160604004
  • 20-30 cigarettes or grams/day or equivalent - 160605003
  • 40+ cigarettes or grams/day or equivalent - 160606002

How many years have you smoked for?

  • Enter number

After pressing "Submit":

Thank you for completing this questionnaire. Your practice will review this information in the next 28 days and be in touch if further action is required. If you are concerned or worried about your symptoms, please contact reception to speak to a clinician.

(If selected "current smoker" only) Smoking leads to health problems such as cancer, heart disease, and strokes. The benefits of stopping smoking include: better health, more money, and cleaner air for those around you!

Do you want to stop smoking? Here is some advice on ways to quit smoking, local services and general tips: www.nhs.uk/smokefree - (also add Smoking cessation advice - 225323000)

After Completion SMS:
Thank you for submitting your answers. We will review this and get in touch if they need to. If you have any urgent queries, please contact your practice.

Response in accuRx Inbox:
COPD Team

@COPD Team patient NAME has responded:

Questionnaire : COPD - CAT, MRC Questionnaire

CAT score:
Frequency of cough:
Phlegm on chest:
Tightness of chest:
When out of breath:
Limited by COPD at home:
Quality of sleep:
Level of energy:

MRC Grade: 3

Exacerbations in past 12 months:
Admissions due to exacerbations: No

Smoking status:
How much smoked:
How many years smoked:

Reference:
CAT <10 - consider:
- Smoking cessation
- Annual influenza vaccination
- Reduce exposure to exacerbation risk factors
- Therapy as warranted by further clinical assessment

CAT 10-20 - consider:
- Reviewing maintenance therapy
- Referral for pulmonary rehabiltation
- Smoking cessation
- Annual influenza vaccination
- Reduce exposure to exacerbation risk factors
- Therapy as warranted by further clinical assessment

CAT >20 - consider:
- Referral to specialist care
- Reviewing maintenance therapy
- Referral for pulmonary rehabiltation
- Smoking cessation
- Annual influenza vaccination
- Reduce exposure to exacerbation risk factors
- Therapy as warranted by further clinical assessment


CAT user guide:
https://www.catestonline.org/hcp-homepage/clinical-practice.html

Have a look 👇

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