Knowsley Pulmonary Rehabilitation Programme

We are part of the Knowsley Community Respiratory Service and within our service we provide Pulmonary Rehabilitation.

What is pulmonary rehabilitation?

Pulmonary rehabilitation (PR) is a 9-week programme, twice a week, consisting of physical activity and education under the supervision of a specialist therapy team to improve patient’s management of their lung condition.

The exercises are designed for people with a range of respiratory conditions including COPD, bronchiectasis, interstitial lung disease (ILD), lung transplant and asthma affecting their quality of life and daily living tasks.

What does the course involve?

When you are referred to us, you will be complete an initial assessment that takes place at different venues in the Knowsley area; the assessment will be with a physiotherapist, respiratory practitioner, or an exercise physiologist, to decide if you are suitable for pulmonary rehabilitation. During the assessment you will complete a walking test to ascertain your level of fitness and breathlessness.

Each session consists of about 60 minutes of personalised exercise tailored to your ability and created to suit your specific needs and goals, based off a walk test completed prior to starting the course. Exercise consists of both endurance and resistance-based exercises and help you manage your breathlessness. The programme will gradually progress as you feel more able.

Pulmonary rehabilitation is not just about completing exercises.

After completing the exercise class patients are provided with an educational session based on a different topic each week.

During the education sessions you will learn about:

Lung condition (anatomy, physiology, pathology) & flare-up management
Airway Clearance
Breathlessness management
Nutrition
Benefit of exercise (identifying and changing believes about exercise)
Drugs and medication, oxygen + inhaler technique
Living with a long-term respiratory condition - Relaxation and anxiety management
Local available NHS and community support for patients with lung conditions & weather
SMART goal setting & behaviour change

While completing the course patients are also offered extra opportunities such as home exercise plans, park walks and gym sessions.

Is pulmonary rehabilitation for me?

Pulmonary rehabilitation is a service that aims to improve breathlessness, exercise tolerance and overall quality of life for individuals with a long-term respiratory condition.

Breathlessness can be one of the symptoms of long-term lung conditions, it can be uncomfortable, frightening and so you may naturally try to avoid activities which make you breathless. This can lead to the viscous cycle of inactivity, thus impacting on your daily life and well-being.

Avoiding activities leads to weaker muscles, therefore increasing muscles effort and increased breathlessness.

This can then make it more difficult for you to do the activities you used to do and so may reduce your quality of life and limit your daily activities.

Pulmonary rehabilitation can be the first step to breaking that cycle with expert support from a team of physiotherapists and exercise physiologist.

How would pulmonary rehabilitation benefit me?

Pulmonary rehabilitation is very effective, with lots of research proving that it makes a real difference to patients’ lives.

After a course of pulmonary rehabilitation most people:

Can walker further and faster
Feel less breathless during routine daily activities
Sleep better and have more energy
Have improved muscle strength in arms and legs
Have fewer chest infections and admissions to hospital
Have a better understanding of their medications and inhaler devices
Have an understanding of the benefit of exercise and how to safely exercise within their limits.

Benefits of pulmonary rehabilitation

Enhance the knowledge and understanding of your respiratory condition
Manage your condition effectively
Improve knowledge of inhaled medication
Improve your strength and fitness
Help you manage your breathlessness and ultimately improve your quality of life as well as both physical and mental well-being.
Improve health related quality of life
Increase confidence
Decrease exercise related breathlessness
Reduce chest infections
Reduce risks of hospital admissions

How can I join the course?

Ask your GP, respiratory consultant, practice nurse, respiratory nurse, allied healthcare professional if you would like to be referred to our service.

You can also contact the Knowsley Pulmonary Rehabilitation team on 0151 600 1844 to speak about joining the course or for further information.

Patient Engagement Sessions

Knowsley Pulmonary Rehabilitation Team is always working towards improvement making sure patient feedback is a core component of re-shaping our service.

We hold patient engagement sessions four times per year at the following locations:

Kirkby Tower Hill, Ebony Way, Kirkby, Liverpool, L33 1XT
Prescot Gym and Soccer Centre, 119 Warrington Road, Prescot, L35 5AD

Exercise locations and venues

The PR team provides classes in five different sites across the borough; below are the locations we use to complete our PR sessions:

Kirkby Leisure Centre, 105 Cherryfield Dr, Liverpool L32 8SA
Whiston Town Hall (WTH), Old Colliery Rd, Whiston, Prescot L35 3QX
Halewood Leisure centre, Baileys Ln, Halewood, Liverpool L26 0TY
Stockbridge Neighbourhood Centre, The Whitens, Stockbridge Village, Liverpool L28 1AB
Knowsley and Leisure Culture Park, Longview Dr, Huyton, Liverpool L36 6EG

The park walks locations are:

Stadt Moers Park, Whiston on Monday, 1-2pm or 2-3pm.
Halewood Park, Halewood on Friday, 10-11am or 11am-12pm.
Mill Dam Park, Kirkby on Friday, 1-2pm or 2-3pm.

The gym venues’ locations are:

Kirkby Leisure Centre, 105 Cherryfield Dr, Liverpool L32 8SA
Halewood Leisure centre, Baileys Ln, Halewood, Liverpool L26 0TY
Stockbridge Neighbourhood Centre, The Whitens, Stockbridge Village, Liverpool L28 1AB
Prescot Soccer Centre, 119 Warrington Road, Prescot, L35 5AD

Group of patients providing feedback

Some of the comments below are from patients who have attended the Knowsley Pulmonary Rehabilitation Course.

Pulmonary Rehab Patient feedback graphic

Jane, Condition: COPD

“Definite improvement without a doubt, I must be able to walk at least 6 times further since the classes. I’ve even bought some weights, steps, and a pedal bike which I try to use 3 times a week at home. I went from struggling to lift 0.5kg in the first session, to now lifting 3kg at home during exercise. My breathing has definitely improved. I didn’t know much about COPD beforehand, the educational classes after were very beneficial. It improved my inhaler technique. The diet education was also very helpful in what to eat and what not to eat. Very interesting to listen to other to see what experience they have had in the past. It’s good to know you’re not on your own. I would definitely recommend one million percent. It gets you moving and gives you motivation, no one was pushed or forced to do anything, just very supportive and encouraging.”

Graham, Condition: COPD

“Very good very helpful and the people were all very friendly. The sessions helped with my walking; I can now walk at least 25% more than I could before the classes. I would 100% recommend. Absolutely nothing to lose and everything to gain.”

James, Condition: bronchiectasis

“The exercise class was beneficial, low key and no pressure to do the exercises if you feel uncomfortable. The exercises overall fine. Walking the dog is now easier. Really good as a group activity. The Staff were informative, courteous, and helpful.”

Mark, Condition: COPD

“Excellent very rewarding and informative. I’ve carried on with the exercise by trying to go to the baths 2-3 times a week and I’ve lost a bit of weight. The 3 months access to the fitness centre is worth it, that alone would of cost me £40-£50 which makes you want to make use of it while you have it. All good wasn’t a bad part of it. Definitely would recommend, it’s an eye opener.”

Joan, Condition: COPD

“When I first joined the class, I didn’t see how using dumbbells and a bike would help with my COPD, I didn’t think it would work. I was very surprised to see how much I’ve improved and how it’s helped my breathlessness. Before I did the course, I struggled with my breathlessness getting dressed. Now I can get dressed and make the bed before I feel breathless at all. It has made household tasks much easier. I found the education helpful, from the education sessions I asked for an Aerobika which has helped clearing my chest so much. I would recommend. Waiting for my induction for the 3-month activity for life. I will definitely continue doing the exercises whilst I have the 3 months free access and I’m even thinking of getting a membership when it finishes. "

Margarot, Condition: COPD

“The exercises are definitely beneficial, they keep pushing you by stepping up your exercises when they feel you can do more, which is really good. The staff are always there and happy to help if you’re finding anything difficult. I struggled to walk before starting the classes, but my walking has improved since. The classes are beneficial; I found the mental health session very interesting. I think because it gives people a chance to open up about their experiences. A lot of people find it beneficial knowing they aren’t on their own with how they feel. I would recommend to anyone with a lung condition, I have already recommended to a family member in the hopes they would see the same benefits I did.”

Aiden, Condition: COPD

“The exercises were very helpful. Before the classes I couldn’t walk properly, I’d struggle to go out. Since doing the exercises I’ve seen a massive improvement in my mobility and walking distance. I learnt how to use inhalers, what foods to eat and about mental health. Sometimes new people would come to the class worried about different things, it's really good to see other people who are further down the line in the programme giving advice and helping others from their experiences. I would recommend everybody to go the classes, sometimes you think because you have this condition a long time you know everything about it. This class teaches you how to do everything properly so you can manage your condition better.”

Team Charter

Please follow the link to read our Charter for our Pulmonary Rehabilitation Team.

Team Ethos, Culture and Approach

Ethos

Our ethos and character are created through the individuality of our staff and their relationships with each other.
We aim to build commitment and a high performing team by:
- Understanding the strengths and passions of our staff.
- Promoting autonomous practice amongst staff.
- Clearly defining responsibilities for each member of the team.
- Creating engaging and challenging work.
- Building a culture of trust for staff.
- Reward success and quality work.
- Eliminate the fear of failure.

Culture

Our team culture is a set of shared values, beliefs, and behaviours. We aim to have open communication and a commitment to personal and professional growth. We work as a team with inclusivity and flexibility to celebrate the diversity of our staff and patients.
Psychological safety for all. We create a safe environment where staff can ask questions and raise concerns.
Respect for our patients and each individual team member.
Recognition of achievements.
We treat one another as we would like to be treated ourselves.
Help to grow individual strengths, enabling the growth of creativity.
Strive for transparency within the team.
Promote effective leadership.
Share common goals and work together to achieve them.

Approach

We aim to uphold core values and behaviours which underpin the service.
We operate with an open, caring and person-centred approach and treat our team members and patients with dignity and respect.
- Placing the patient at the centre of all that we do.
- A model involving a team of professionals with complimentary backgrounds and skills, working together towards specific goals, measures and successes.
- Define a clear, common goal.
- Promote a culture that facilitates teamwork.
- Pool expertise and identify strengths.
- Avoid micromanagement.
- Give effective team coaching and feedback.

External resources

Breathing Point Website

Below are some useful links on these topics from Asthma and Lung UK:

Travelling with a lung condition

Travelling with a lung condition – abroad or in the UK – may seem daunting and off putting but this does not need to be the case.

Journeys may prove more difficult if you require oxygen.

The Asthma and Lung UK website provides more information about travelling with a lung condition.

Meet the Team

KCPRS Pulmonary Rehab Bikes