New remote monitoring service for people with Chronic Obstructive Pulmonary Disease (COPD) in north Lambeth

Lambeth Together partners are expanding support for residents with chronic obstructive pulmonary disease (COPD) as part of our shared commitment to bring more care closer to home.

The North Lambeth Primary Care Network (PCN), in partnership with Guy’s and St Thomas’ NHS Foundation Trust, is launching a new proactive care service for people in north Lambeth living with chronic obstructive pulmonary disease (COPD).

The service will support up to 150 patients at a time and is designed to help identify problems early, provide support at home, and reduce the risk of avoidable flare ups and hospital visits. The service is delivered in partnership with Doccla, who support NHS proactive and virtual care services.

This new model of care reflects our ambition to shift more specialist support into neighbourhood and community settings, enabling people to stay well for longer and maintain their independence. It also demonstrates how Lambeth Together partners are delivering on the priorities outlined in the NHS 10‑Year Health and Care Plan, including more personalised, preventative care and better use of technology.

An older woman sits at a table checking her blood pressure with an electronic monitor. She is wearing a pink patterned top. A tablet lies on the table beside her. She appears calm and focused.

Dr George Verghese, Clinical Director, North Lambeth PCN said: “We’re really pleased to be offering this NHS-backed Doccla service for our patients with COPD. It gives us a safe, proactive way to stay connected with people at home, helping patients identify and manage flare‑ups early and stay well in our community”

Dr Shaheen Khan, Deputy Medical Director, Integrated and Specialist Medicine, Guy’s and St Thomas’ NHS Foundation Trust added: “We’re excited by the opportunity to work in partnership to support the care of people in their own homes. By using a combination of senior clinical expertise and technology we can do even more to support our local population.”

About the new service

The new remote monitoring service is for north Lambeth residents with chronic obstructive pulmonary disease (COPD) who would benefit from extra support to stay well at home. Eligible patients will be contacted directly by their GP practice and invited to join, in line with national NHS guidance on proactive and virtual care. This service works alongside existing NHS support and does not replace usual care.

The offer includes regular check‑ins, at‑home monitoring devices and tailored advice to help people manage their condition confidently and avoid unnecessary hospital visits. Anyone invited to take part will receive clear information from their GP and the service team on how to enrol. More about how proactive care works across the NHS is available on the NHS website. If urgent medical help is needed at any time, patients should continue to use NHS 111 or emergency services as usual.

More information

You can also find out more about the services being provided at www.doccla.com/proactive

If you have questions, you can contact the Doccla service team on 0808 175 0832 (select option 4) or email doccla.support@nhs.net

If you receive care from Guy’s and St Thomas’ Respiratory Medicine Team, that team is still there to support you, and you can still contact the COPD help line on the usual telephone number. Please refer to GSTT Respiratory Medicine services for more details.

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