pcrs brand guidelines 120718 · 2018-07-16 · desnaon for professional advice. consider use of...

Inspiringbestpracticeinrespiratorycare

Summaryofvisualidentityelementsandsampleapplications

Draft 12th July2018

PCRSBrandGuidelines


TheNewPCRSLogo

● Thenewlogoisarepresentationofwholepersonrespiratorycarewithapositiveelementofcommunityatitsheart.

● ThenewnamefortheorganisationisPCRS,renderedwithoutthe‘UK’now,exceptforinthedomainnameandinlegalcircumstances.

● Thetwooptionsshownillustratethelogoonawhitebackgroundandwithawhitemargin.Thisistobeusedwherestandoutagainstacolourbackgroundisneeded.Thelogoshouldneverbeusedoverimagery,orwithdropshadowsoronbackgroundcoloursoutsidethoseoftheprescribedpalette.

● Thereisaclearspaceareatobeobservedandaminimumsizeofnomorethan1cmsqonline.

MasterLogoonWhite MasterLogoAgainstColour

MonoLogoinBlack MonoLogoinMonoGrey1

MinimumClearSpace

MinimumSize/Favicon


Typography

● We’vedevelopedatypographictoolkitforPCRSofcomplimentaryfontsthatworkacrossallmedia.

● ThelogotypefontforPCRSisAveriaSerifLibre.ThisisacontemporaryseriffontthatconfersmodernityandgravitasequallytothePCRSbrand.Itisonlytobeusedwithinthelogo.

● TheHeadlinefontforallmaterialsisAvenirMediumandHeavyasthestrongerweightforemphasis.

● TheBodycopyfontforallmaterialsisHelveticaNeueLightforPCRUandMediumandBoldasthestrongerweightsonlineandforemphasis.

● ThedefaultfontforemailsandslidematerialsisCalibri.

● Fontuseshouldbekeptsimple.Avoiditalicsandallcaps.Usedifferentsizesandweightstocreateeffectivetypographyandnavigationofread.

PCRS Inspiring best practice in respiratory careThe Primary Care Respiratory Society

PCRS ThePCRSlogotypeismadeallthemoredistinctivebyusingafontwhichhascharacter.WhilethisfontispartofPCRS’svisualidentityitisonlytobeusedwithinthelogotypeitself.

WhenthePCRSstraplineappearsalongsidethelogotype,AvenirHeavyandMedium,whichisthePCRSHeadlinefont,areusedincombination.Thiscreatesaclean,effectivestraplineusingdifferentpointsizes.

Avenir Heavy Avenir Medium

Averia Serif Libre

Helvetica Neue Medium Helvetica Neue Regular

ThesetwoweightsofHelveticaNeueindifferentpointsizes’alongwithAvenirastheHeadlinefont,arecapableofcreatingatypographichierarchyandallthedifferentiationofreadthatisnecessarytomakelargeamountsofbodycopyeasytoread.NeveruseALLCAPS-thisistheequivalentofshouting.Avoidtheuseofitalicswhereverpossible.Initialcapitalsshouldbeusedintitlesexceptforadverbs/conjunctivewordslike‘to’or‘and’whichshouldremaininlowercase.Toemphasistext,useaheavierweightoradifferentsizeweightifyouarestackingtext,asshowninthestraplineexampleabove.

CalibriCalibriisthedefaultfontforinternaldocumentsandemails.Itisastandardfontthatcanworkacrossallemailoperatingsystems.CalibriisnotbetousedasasubstituteforAvenirandHelveticaNeueonanyonlinematerialsordocumentationotherthanintheseinstances.Aswiththeotherfonts,usedifferentweightsorpointsizesforemphasis.Avoidhighlightingtextinothercoloursandkeeptypographicvariationstoaminimum-twoweightsplustwodifferentpointsizesideallyatmost.

Helvetica Neue Light


ColourPalette

● WehavedevelopedandextendedthePCRScolourpalettesoitcanbeusedasacorevisualidentityelementacrossdigitalcommunicationsforPCRU,internallye.g.forslidedecksandforchartsanddatagraphics.

● Thenewcolourpalettehasbeendesignedasacolourspectruminwhichallcoloursbalanceoneanother.

● Colourisasignpostingtoolthatlendsvibrancytothebrand.

● Inkeepingwithonlinedesignprinciples,thesecoloursmustalwaysbeusedflat.Theyshouldnotbeusedasgraduations,withdropshadowsorusedwithothervisualembellishments.

● Iftintsarerequired,50%or25%ofoneoftheoriginalcoloursshouldbeused,asshownhere.

50%tintpalette

25%tintpalette

Monopalette

DarkBlue PCRSBlue NavyBlue PCRUBlue MidBlue LightBlue LightAqua

Teal Turquoise LimeGreen Olive Tan Orange Straw

#06253E #003A56 #153B64 #0C4C83 #597F9B #8EBCD5 #96CFD8

#38727C #589392 #BAC154 #819239 #CB822C #EB7D23 #F2C24B

Black Mono1 Mono2 Mono3#000000 #232323 #7A7A7A #B5B5B5


ColourChart

Old Colour Palette (Black Hole Branding)

PCRS core colour #003A56

Local Nurse Group Core colour #00babe

Local Nurse Group Secondary Colour #94d6da

Local Nurse Group Core colour #00babe

Local Nurse Group Secondary Colour #94d6da

Respiratory Leaders Group Core colour #0e4e96

Respiratory Leaders Group Secondary Colour #00c0f3

Practice Membership Core colour #76b043

Practice Membership Secondary Colour #bdd753

EConnect Membership Core colour #f6891f

EConnect Membership Secondary Colour #ffce34

● ThiscolourchartshowstheRGB,CMYKandHexcodesforeachofthecolours,togetherwithnotesonhowtheyareusedacrosscommunicationsmaterials.


Shapes

● Combinationofshapesandcolourstogetherareapowerfulvisualidentityelement.ForPCRS,we'reusingsimpleshapescombinedwithflatcoloursthroughoutandforchartsandgraphs.

● Shapesshouldeitherbeasolidcolourorhaveasimplekeylineofaminimalpointwidthwithaclearbackground.

● Shapescancontaineithersquareedgesorroundedcorners.

● Dropshadows,blurredshapesandotherembellishmentsshouldbeavoided.Thefocusissimple,assuredandcleandesign.

● Textcoloursshouldbeblackorwhite,orcorecoloursasappropriate.Avoidusinghighlights,italics,allcapsorotherdecorativedevices.

● Avoidallcomplicatedshapes,sticktosimpleformstocreateaboldimpression.Usewhitespacetokeepdesignsclean.


SecondaryNavigationandImagery

● ThenewPCRScolourpaletteisusedtocreateabalancedvisualsignpostingsystemonlineinsecondarynavigation.

● ThesesixbuttonshighlightcoreareasofPCRSactivity,blendingcomplimentaryimageryandflatcolourtogether.

● AlltheimageryusedhereisroyaltyfreebutmustbecreditedonPCRSWebsiteTermsandConditionspage.

● Ifimageryisused,itshouldbeusedincombinationwithflatcolourshapes,astheyarehere.

● Avoidoverlayingtextontoimagery.

● Donotusecut-outsorunusualshapes.Instead,useimagerysimplyonitsown,withathinkeylineorasashapewithcolourasthesegraphicsshow.Donotuseimagesasbackgrounds.

ClinicalLeadershipImage PhotobyrawpixelonUnsplash https://unsplash.com/photos/w9YHKTK-wLo

AffiliatedGroupsImagePictureSourceoffice-1209640_1920.jpg

PCRUImagePictureCreditVisceralBusiness

AnnualConferenceImagePhotobyrawpixelonUnsplashrawpixel-310778-unsplashv2.jpg

MembersDirectoryImagePicturebyJonTysononUnsplashjon-tyson-520972-unsplash.jpg

ProfessionalDevelopmentImage PhotobyrawpixelonUnsplash rawpixel-602153-unsplash.jpg

Clinical Leadership

Affiliated Groups

Annual Confe rence

Members Di rectory

Professional Development

https://unsplash.com/photos/NUU7KWvpxsw?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText

https://unsplash.com/@rawpixel?utm_source=unsplash&utm_medium=referral&utm_content=creditCopyText






SupportingGraphics

● ThecorePCRSgraphicsofthelungandstethoscopehavebeenredrawn.Theycanbeused,wherenecessary,forvisualrelief.

● Keepallgraphicsclearandsimpleinlinewiththeprinciplesofthenewbrand.Aswithhospitalsignage,clarityandconsistencyhavemoreusefulnessinwayfindingthanavarietyofgraphics.

● Aswithsecondarynavigation,imagerycombinedwithflatcolourcanbeused.ThePCRSlogomustnotbeplacedontopofanyimagery,butitcanbeplacedontopofflatcolour.

● Buttonshapesworkbestwhentheyareflatrectangles,notrounded.

PCRS Committee Email

Primary Care Respiratory SocietyInspiring best practice in respiratory care

The Primary Care Respiratory SocietyInspiring best practice in respiratory care

Your helpful primary resource for all your respiratory care needs Find us at www.pcrs-uk.org

Respiratory Leaders Programme

Coming Soon!

Local Nurse Groups

OldGraphics

NewGraphics


PCRS Email

http://www.pcrs-uk.org


CopyandToneofVoiceGuidelines

TheaimofPCRScopyandtoneofvoiceguidelinescanbesummedupinonesentence-Conveycontemporaryauthorityinahumanway.

Overall,PCRS’toneofvoiceshouldbeassured,confidentandposiJve.

Contemporaryauthorityisaboutbeingrelaxed,notbeingformalorstuffy.WriinginahumanwaymeansPCRScommunicatesasfriendlyadvisors.

Weshouldneverpatronisingreader,use‘adulttochild’language,ormakeassumpionsaboutwhatreaders’need.Beaccessible,andnotclosedtodiscussion.

WewantallPCRScontenttobewrijensothatitisregardedasusefulandposiJve.Thedesiredresponsefromreadingcontentisitwillreinforcepeople’spercepionthatPCRSprovidesvaluableinformaion,theyenjoybeingpartofPCRSasasocietyandmembernetworkandpotenialmembersandotherstakeholderswillbeajractedtoPCRSasanorganisaiontheycanengagewith.

ThePCRSName

PCRShasagreedtochangethewayitsnameisrenderedtoPCRS,insteadofPCRS-UK,inallcases.Theonlyareaswherethisdoesnotapplyarethewebsiteurlwhichispre-determinedandinlegalinformaionwherethelistedcompanynameistobeused.

WriJngStyle

CopystyleisacoreelementofcontentmanagementanditplaysanextremelyimportantandpersuasiveelementwithinPCRSbrandcommunicaionThereareafewprinciplestobearinmindwhenwriingcopythatwillhelptocreatetheassociaionswewantreaderstohave.

KeepitBrief

Goodwriingcutsoutanythingnotnecessarytoconveythepoint.Lessismore,leanandeffecivecopywriingissomethingyourreaderswillappreciate,soconsiderwhatneedstobeinaheadlineandfindeconomicwaystocommunicateinformaionhoweveryoucan.

Forexample,headlinesshouldbesuccinct.Itmakesthemeasytorememberandsearchable.Inthecaseofthisheadline–‘IsyourpracicereadyforPulmonaryRehabilitaionWeek16-24thJune?’Thedatedoesn’tneedtobeintheheadline.Aninterestedreaderwilllookattheariclewheredetailedinformaioncanbepresentedasawhole.

TalktotheReader

Writeasifyouaretalkingtothereader,notmakingannouncementsasanimpersonalorganisaion.ThiswillhelppeopleengagewithPCRSanddevelopcontentappeal.

BeImmediatelyHelpful

Framearicleandemailheadingsusefully.Posingchallengingquesionsmayhavea‘yes/no’answerandclosedownacion.Offerusefuladvice‘Howtogetreadyfor’,forexample,andsignpostittoo,e.g.‘Newinformaionabout…’

Goingbacktoourearlierheadlineexample,‘IsyourpracicereadyforPulmonaryRehabilitaionWeek16-24thJune?’thisisaquesionthatprompts‘yes/no’answersinthemindofthereader.Instead,beimmediatelyhelpfulbyframingtheheadlineasusefulinformaion‘HowtoGetYourPraciceReadyforPulmonaryRehabilitaionWeek’,asanalternaive.Considerlessofafearmongeringelementwithinthetoneofvoicei.e.‘therearejusttwodaysleosoactnowtosecureyourplace’simplyinbold.

AvoidJargonOverload

Clinicalinformaioniscomplexandprecise.MakinglightworkofcomplicatedinformaioniswherePCRScanbemostusefulandbeseenasavalued‘goto’desinaionforprofessionaladvice.Consideruseoftextandterminology,referencingitbutnotrelyingonitattheexpenseofbeinghuman.Makeitaccessibleandapproachableforthereaderasmuchasyoucan.

StreamlinePunctuaJonAsMuchAsPossible

Deletecolonsandavoidallcaps.Instead,useiniialcaps.Exclamaionswork,butonlyinsmalldoses.Theyshouldbeusedsparingly.Eitherthewordscandothejob,oranexclamaionpointwill,butnotboth,andnotooen.


Gridsandformats

● Gridsmaintainconsistencyandbuildupacoherentpresentationstyle.Alwaysuseagridtodesigninformation

● Textshouldbealignedandrangedleftasadefault.Avoidcenteringtext.

● Bulletpointsshouldbeusedat75%sizetotextweight.TheycanbeusedinvariousprescribedcoloursbuttryandkeeptoPCRUBlueasshownhere.

● Donotuseanyotherbulletpointgraphicsstyles.Donotuseanybackgroundwallpapersorgraphics

● Alwayssegmentslidetemplatepageswithanappropriateheaderareaandfooterasshownhere.

● Thistemplateandthepagesoverleafshowsomeexampleapplicationsthatareareferenceforhowtodevelopgridsandformats.

Clinical Leadership


Examplelayout

• Brandreview

-ShowedPCRStobeperformingwellbut(alongsidewebsitemappingandreviewof analytics)reinforcedwecoulddomuchbetter.-Highlighted‘issue’withourname.

• InputfromPCRSExecutivetoguidedevelopmentofcreativebrief-Moreconfident,innovative,dynamic,forwardthinkingwhilstretainingpeoplefocus.

• CreativebriefagreedwithCS/NBplusPMB&AJS

• Threecreativeroutesexplored -Typographical-Human-Leadershipinrespiratorycare

Clinical Leadership


Tablesexample

Clinical LeadershipDelegaterecruitment-registrations

Event 2018 2017 2016 Notes

Detailshere 250 219 186 Detailshere

Detailshere

Detailshere

Detailshere

Detailshere

Detailshere

Detailshere

Detailshere

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Detailshere

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Detailshere

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Totals XXX XXX XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX

XXX


Applications

Clinical Leadership


Website-HomePageDesign

Clinical LeadershipBefore After

Thebackgrounddesignshownhereisoneoption,dependingofhowpagedesignswillbedevelopedonatestsite.Thebluecolourbackgroundhelpsthecontentpagedesignitselftostandout.Tomakeanyfinaldecisionsthesedesignsneedtoberenderedandviewedonvariousdevices.WerecommendroundelbuttonstocomplimentthePCRSlogo.


Website-BasicNodePageDesign



Website-NewsNodePageDesign


Theactivepagelinkishighlightedinorangesopeopleknowwheretheyare.

Thisalsoapplies,ifpossibletotheurlthreadshownwheneachpageisloaded.

Asign-uplinktoInTouchhasbeenincluded.


Website-CommitteePageDesign


Inspiring best practice in respiratory carePCRS

The Primary Care Respiratory Society

This website is for healthca re pr ofessionals only

Sear ch

About Us Community ResourcesConditions Events Contact Us Login Join

Executive Committee

Home / About Us /Executive Committee

Helen Ashdown Noel Baxter Clare Cook Stephen Gadzuko

Valerie Gerrard Katherine Hickman Steve Holmes Duncan Keeley

Vikki Knowles Vincent Mak Oonagh Potts Iain Small

Sanjay TannaC arol Stonham

How We W ork

Trustees

Education Commitee

Service Development

PCRU Committee

Respiratory Leaders

Policy Forum

Regional Leads

Local Groups

Respiratory Resea rchers

Keep In TouchSign up to our fortnighly Newsletter

Your Questions Answe red

Clinical Leadership

Af filiated Groups

Primary CareRespiratory Update

Annual Conference

Members Dir ectory

ProfessionalDevelopment

Executive Team Info rmation

Terms of Refer enceRole DescriptionFor other PCRS policy documents and company papers please click her e

If you are inter ested in applying for the PCRS Executive

Applying for Committee MembershipElection Application Form (please make su re you a re logged in first)

Management of ch ild ren and y oun gpe opl e ( CYP) with ast hm a: A clinica laudit report.. .20th Ju ne- 12:0 0pm

Mo re...

Point of ca re mic rospir ometry tofacilitate the COPD diagnosticpr ocess in primary ca re...22nd May 2018 - 12:00am

Join

Member Login

Corporate Sponsors Website T erms & Conditions

PCRS (The Primary Care Respiratory Society is a registered charity (Charity No 1098117) and a company limitedby guarantee registered in England (Company No 4298947) VAT Registration No 866 1543 09.

Registered Office PCRS Miria House 1683b High Street, Knowle, Solihull, West Midlands B93 0LLTelephone +44 (0)1675 477600 Facsimile +44 (0) 1361 331811 Email [email protected]

Management Advice

Treatment Advice

Accr editation Advice

Join us at the PCRS Annual Confe rence 2019

P C RS


Website-CommitteePageDesign(alternative)



Website-ResourcesPageDesign


Inspi rin g best practi ce in respiratory carePCRSThe Primary Care Respiratory Society

This website is for healthca re p rofessionals only

Search

About Us Community ResourcesConditions Events Contact Us Login Join

Resou rces / Treatment Guidelines COPD Going for GOLD

Clinical Leadership

Affiliated Groups

Primary Ca reRespiratory Update

Annual Conference

Members Directory

ProfessionalDevelopment

Tr eatment guidelines for COPD - Going for GOLD?’ is a consensus based article, that sets out a simple treatmentpathway based on the predominant characteristics of COPD for an individual - whether symptoms or exacerbations- distilled from curr ent guidelines. The article has been developed by a group of clinicians working with and in primary care, facilitated by integrated care consultant, Vince Mak, GPs, Duncan Keeley and Kevin Gruffydd Jones and practice nurse, Carol Stonham

Gold article only_REV_March2018.pdfAuthor(s): Vince Mak, Kevin Gruffydd-Jones, Duncan Keeley, Car ol StonhamClinical Area: COPDListing Status: Curr entDerivation: PCRS Produced / PCRS CollaborationCategory: Clinical resource or information

Management of children and youngpeop le (CYP) with as thma: A clin icalaudit report...20th June- 12:00pm

More...

Point of care microspirometry tofacilitate the COPD diagnosticprocess in primary care...22nd May 2018 - 12:00am


PCRU-Cover

Clinical LeadershipBefore After Option 1 After Option 2

www.pcrs-uk.orgPrimary Care Respiratory Society

Spring 2018Issue 14

PCRS

Edition Highlights

Asthma Guidelines in Practice

Respiratory tract infectionsand antibiotic prescribing

Appropriate use of rescuepacks

Stepping down ICS in COPD

Primary Care Respiratory Update Primary Care Respiratory Update


PCRS

Edition Highlights





Spring 2018Issue 14

PCRSbrandingismoreovertandplacedwheretherewillbegreateralignmentwithlayoutfordigitaleditions.TheEditionnumberingsystemhasbeenadaptedtoalignwithdigitaldownloads.PCRUBlueisbeingusedforthecoverandinternallysothereismorecongruencewithothermaterialse.g.slidedecks.Thetwocoverlayoutoptionscreatetheopportunitytovarythelayoutofimagerywhilstinkeepingwiththeoveralldesign.


Primary Care Respiratory Update

Find us online at www.pcru-uk.org/pcru

The Primary Care Respiratory Update is publishedquarterly and distributed to members of the PrimaryCare Respiratory Society UK.

Editor

Dr Iain Small, PCRS-UK Executive, General Practitioner, Peterhead

Editorial boardDr Noel Baxter, Chair PCRS-UK Executive, LondonCarol Stonham, PCRS-UK Nurse Lead, GloucestershireSally King, PCRS-UK Education Committee and RespiratoryPhysiotherapist, GloucestershireDr Basil Penney, GPwSI in Respiratory Medicine, DarlingtonAnne Rodman, Independent Respiratory Advanced NursePractitioner and Education for Health Regional Trainer, LichfieldRuth Thomas, Senior Community Respiratory Nurse, Milton KeynesSteph Wolfe, Independent Respiratory Nurse Specialist (Primary Care)

PCRS Chief ExecutiveAnne Smith

Communications Consultant and Freelance JournalistFrancesca Robinson

Policy AdvisorBronwen Thompson

PCRS Operations DirectorTricia Bryant

Competing interests are declared to PCRS and this informationis kept on file.

The opinions, data and statements that appear in this journal are thoseof the contributors.

The publisher, editor and members of the editorial board do notnecessarily share the views expressed herein. Although every effort is made to ensure accuracy and avoid mistakes, no liability on the part of PCRS, the editor or their agents or employees is accepted for theconsequences of any inaccurate or misleading information.

© 2018 Primary Care Respiratory Society UK. All rightsreserved.

Apart from fair dealing for the purposes of research or private study,criticism or review, and only as permitted under the Copyright,Designs and Patent Act 1988, this publication may only beproduced, stored or transmitted, in any form or by any means, withthe prior permission in writing of Primary Care Respiratory SocietyUK. Enquiries concerning reproduction outside those terms shouldbe submitted to Primary Care Respiratory Society UK [email protected]

The Primary Care Respiratory Society UK is a registered charityCharity No 1098117 and a Company limited by guarantee registeredin England Company No: 4298947. VAT Registration Number866 1543 09. Registered offices: PCRS, Miria House,1683B High Street, Knowle, B93 0LL.Telephone: +44 (0)1675 477600 Facsimile: +44 (0)121 336 1914Email: [email protected] Website: http://www.pcrs-uk.org

The Primary Care Respiratory Society UK is grateful to its corporatesupporters including AstraZeneca UK Ltd, Boehringer Ingelheim Ltd,Chiesi Ltd, Johnson & Johnson Ltd, Napp Pharmaceuticals, NovartisUK and Pfizer Ltd. for their financial support which supports the coreactivities of the Charity and allows PCRS to make its serviceseither freely available or at greatly reduced rates to its members. Seehttp://www.pcrs-uk.org/sites/pcrs-uk.org/files/files/PI_funding.pdffor PCRS statement on pharmaceutical funding.

Editorial Office and Publishers

Primary Care Respiratory Society UKMiria House,1683B High Street,Knowle, B93 0LL

Tel: +44 (0)1675 477600Fax: +44 (0)1361 331811Email: [email protected]

Advertising and sales

Primary Care Respiratory Society UKMiria House,1683B High Street,Knowle, B93 0LLTel: +44 (0)1675 477600Fax: +44 (0)1361 331811Email: [email protected]

Supplements and reprints

From time to time PCRS-UK publishes supplementsto the regular journal, which are subject to review bythe editorial board.

PCRS-UK also offers licencing opportunitiesfor bulk reproduction of this journal.For further information, contact:

PCRS (Primary Care Respiratory Society UK)Miria House,1683B High Street,Knowle, B93 0LLTel: +44 (0)1675 477600Fax: +44 (0)1361 331811Email: [email protected]

Printed in the UK by Caric Print Ltd, Bournemouth, Dorset inassociation with Stephens & George Magazines Ltd. Printed onacid-free paper

PCRU-PublicationTeamPage

Clinical LeadershipBefore AfterPCRUBlueisusedinplaceofgreydividersthroughout.

Thecolourblockusedisa25%tint.

ThefontusedinHelveticaNeueinvariousweightstocreateahierarchyofread.


PCRU-ContentsPage



Contents

Special Features

Editor’s Round-UpIain Small

Chair’s Perspective: Influencing ChangeNoel Baxter

Asthma Guidelines in PracticeA PCRS Consensus

The Appropriate Use of Rescue PacksFran Robinson

PCRS National Respiratory ConferenceBuilding Confidence in a Changing World28-29th September 2018,Telford International Centre

5

7

9

17

23

PCRS

Regular Features

What Else Can It Be?Doug and his BreathlessnessSteve Holmes

Getting the Basics RightManaging dilemmas in respiratory tractinfections and antibiotics prescribingKevin Gruffydd-Jones & Katherine Hickman

Supported self-management case historyChildhood asthma and respiratory infectionIain Small

Policy Round-UpBronwen Thompson

Journal Round-Up

PCRS-UK News Round-Up

Second opinionYour respiratory questions answered

Delivering Excellence Locally

Thinking differently about delivering pulmonary rehabilitation improved patients’ access toeducationFran Robinson, Karen Donaldson, Ali Brenton

Affiliated Groups

Clinical UpdateEvaluation of appropriateness of inhaledcorticosteroid (ICS) therapy in COPD andguidance on ICS withdrawal

Spring 2018 Issue 14 3

27

31

37

40

43

47

48

51

53

55

ThePCRSlogocanbeusedtopleftorifdesiredthenewstethoscopeimagecanbesubstituted.However,wewouldrecommendthelogoispreferredheresothebrandingisclearwhenbeingreadonline.

Thepicturemastheadhasbeensimplifiedtocreateamoreassertiveuseofcolourandshapethatsegmentsthepage.

Leandesignhasremovedthedottedlinestopagenumbers,andmoreairinthelayoutmakesscanningacrosstonumberseasiertodo.

ThefontusedinHelveticaNeueinvariousweightstocreateahierarchyofread.

TheEditionnumberingsystemhaschangedtoalignwithdigitaleditions.


PCRU-EditorialFeaturePage



Chair’s Perspective: Influencing ChangeNoel Baxter, PCRS Executive Chair

Spring 2018 Issue 14 7

Helpprofilepicturestostandoutwithasmallborderline.


PCRU-SecondOpinionPage



Second OpinionYour respiratory questions answered

PCRS Professional Development Develop Your Care Fitness

We know that there is a wide variation in

the standard of respiratory care provided

to patients, as demonstrated by national

reports such as the National Review of

Asthma Deaths (NRAD) and the COPD

the services

patients are engaged with/referred to but

also the level of training, educ tion and ex-

perience of the clinicians responsible for

the provision of such care.

‘Fit to Care’ is a PCRS publication aimed

at providing guidance for commissioners

and clinicians on the skills, knowledge and

training required by healthcare profession-

als working with patients with a respiratory

condition in a primary or community care

setting, irrespective of their profession.

The professional development section of

the PCRS website has now been rede-

veloped and structured around this docu-

practice and demonstrating the relevant

skills, knowledge and training required to

practice at each level. In a user-friendly for-

mat which is easy to navigate, the profes-

sional development web pages help users

review their own training requirements and

provide links to publications, resources

and relevant training opportunities to sup-

port healthcare professionals to develop

their skills and knowledge.

Try for yourself at

https://pcrs-uk.org/professional-development

How To Develop Best Practice

and training of those delivering respiratory

care and the barriers to getting additional

training. We want to get as many health-

care professionals to participate in our

-

ing respiratory care at the level to which

they are trained to do so and explore the

barriers to accessing further development

and training. Please join in and share the

survey with your colleagues and complete

the survey yourself at https://pcrs-uk.org/

– it only takes just a couple of moments.

QuestionI attended the PCRS conference in 2016 and there was a presentation by a physician who was talking about the use of blood eosinophil count as a useful criterion for inhaled corticosteroid use in patients with COPD. He also talked about its potential value in deciding whether oral steroids are appropriate for some patients when suffering an exacerbation. This spurred me on to look at the way we practice locally, as we seem to have a large number of patients accessing rescue packs with (sometimes) alarming frequency. As a colleague said, “We dish out rescue packs with antibiotics and steroids like sweeties”.

So, given the increased risk of pneumonia and other steroid-related side effects, should all patient rescue packs contain oral corticosteroids or should we be looking at each patient individually and possibly using the blood eosinophil level as a clinical marker to identify a subgroup of patients who should take prednisolone and a group for whom risk would outweigh benefit?

We could potentially reduce unnecessary long-term side effects and also make a prescribing cost saving – a ‘win-win’ situation. I've just started to look at the evidence as to whether this is a reliable enough marker and how it can be used (if at all) to make thesesort of decisions.

So, to my questions:

• Are there currently any pathways and local clinical guidelines out there that already incorporate this?• Is there any convincing data to support this strategy? In my literature review I identified the Hull & East Riding COPD pathway, but they only talk about using blood eosinophil levels as a marker to decide on withdrawal of inhaled steroids, not oral.

Answer: A debateDr Iain R Small, General Practitioner, Aberdeenshire

In brief, there is little evidence to support the use of oral corticosteroids in COPD exacerbations (Professor Alyn Morice, the physicianto whose presentation you refer, pointed this out with aplomb), but we all do it and patients seem to like them.

Working out which are 'infective' and which are 'inflammatory' exacerbations (should such differences genuinely exist) is extremelydifficult in real time, and in primary care I believe it to be almost impossible.

48 Spring 2018 Issue 14

Sectionsusea25%tint.TextisHelveticaNeueLight.


Newsletter

Clinical LeadershipNow Recommended

Your fortnightly news update from PCRS

Example text font shown is Avenir Heavy and Avenir Medium.

PCRS Inspiring the best practice in respiratory care

In Touch

Smoking rates at an all-time lowRespiratory News

Smoking rates in the UK are at an all-time low of 15.1%, reveals a new report published by NHS Digital

New guidance from fire chiefs on safe use of e-cigarettesNew guidance on the safe use of rechargeable e-cigarettes has been published by the National Fire Chiefs Council. PCRS-UK Chair Noel Baxter says this document should help allay any concerns clinicians may have about supporting patients who use e-cigarettes to stop smoking. Read the guidance in conjunction with this PCRS-UK practical resource.

New draft antimicrobial prescribing guidance sets out an antimicrobial prescribing strategy for acute exacerbations of COPD. An update to the 2010 clinical guideline on diagnosing and managing COPD in over 16s covers diagnosing and managing COPD in people aged 16 and over. PCRS-UK will be responding to the consultation. You can contribute to the PCRS response up to 24th July 2018.

NICE publishes new draft guidance on COPD

Thisistherecommendedmasthead,showingtheidealrelationshipbetweentheoverallmastheaddepth,sizeofthelogoandrelationshipofthelogotothetextheadlineandsubhead.Lookingathowemailsarerendering,werecommendsplittingthenewslettertitleandstreamlineintotwolines,asshown.Thisshouldideallybeformattedatartwork,tokeepsizeproportionsfixed,ifpossible.

Now Recommended

We’veagreedthatthenewslettertextwillberenderedinCalibriasthedefaultfont.Ontheleadsection,thecolouroftheborderframeandtheheadlinetextshouldbethesame,whichevercolourisused.Headlinesworkbetterwhenonlythesectionheadlineisincolourandbold,withsubheadsbeingrenderedinblackandboldandaslightlysmallerfontsizetocreateatypographichierarchy.


NewBrandSnapshot

Clinical Leadership



PCRS

Edition Highlights





Spring 2018Issue 14

The Primary Care Respiratory SocietyInspiring best practice in respiratory care

Your helpful primary resource for all your respiratory care needs


PCRS Email

Your fortnightly news update from PCRSPCRS Inspiring the best practice in respiratory care

In Touch

pcrs brand guidelines 120718 · 2018-07-16 · desnaon for professional advice. consider use of...

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