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The clinic runs one-two times monthly and is led by Dr Paul Albert, Dr Paul Walker and Sister Paula Wainwright.

The focus of the clinic is the coordination and management of advanced COPD associated with specific situations. These include alpha 1 antitrypsin deficiency, where there is close working with the national centres at Birmingham and Coventry, and individuals with early onset and rapidly progressive COPD. The clinic team work closely with the emphysema MDT at the Liverpool Heart and Chest Hospital making referrals for lung volume reduction procedures (endoscopic and surgical) and the transplant team at Wythenshawe Hospital in Manchester.

The team run a variety of research studies including currently the BICS study looking at the benefit of the beta-blocker bisoprolol in people with COPD. This includes a cardiac sub-study delivered alongside the hospital cardiology department. Ms Nadia Lewis-Burke coordinates this study. Recent research studies included assessment of novel treatments including inhaled nemiralisib and a novel vaccine to protect against the bacteria Haemophilus influenza. In addition we have completed a large study with Imperial College examining the effect of long-term treatment with doxycycline, another study examining the effect of early retreatment of unresolved COPD exacerbations with ciprofloxacin and a study examining the benefit of home monitoring using a technique called forced oscillation.

The team work closely with the hospital and community physiotherapy teams to provide pulmonary rehabilitation both within the hospital and at various sites throughout Liverpool, Knowsley, South Sefton and Southport & Formby. There is close working with the local oxygen teams and community respiratory teams who provide admission prevention and early supported discharge for people who are exacerbating. The service is supported by our large physiology laboratory which provides complex lung physiological tests including plethysmography, field walking tests and cardio-pulmonary exercise testing.

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