Respiratory Health
Implementation Group

A new era in healthcare

Working together to improve respiratory health across Wales, with positive engagement, the wider workforce and the public to achieve our vision.

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A RHIG Documentary

A New Era in Healthcare


Work Stream Lead - Simon Barry



Despite Wales having a relatively low prevalence of tuberculosis (TB) compared to other parts of the United Kingdom, such as London and Birmingham, the management of TB cases, contact tracing and controlling outbreaks can place a significant demand on local services.

Work Stream Lead - Aneurin Buttress

Sleep Services


Sleep disordered breathing is a common condition with the vast majority of cases due to obstructive problems, and only a minority due to intrinsic sleep problems such as narcolepsy.

Work Stream Lead - Katie Pink



Asthma is a common inflammatory disorder of the airways and the prevalence in Wales is amongst the highest in the world.

Work Stream Lead - Ben Hope-Gill

Interstitial Lung Diseases


The Interstitial Lung Diseases (ILD) are a diverse group of conditions which include Idiopathic Pulmonary Fibrosis (IPF), sarcoidosis, hypersensitivity pneumonitis and connective tissue disease-associated lung disease.

Work Stream Lead - Dr. Marion Lyons


Most people who get the flu will have mild illness, will not need medical care or antiviral drugs, and will recover in less than two weeks.

Work Stream Lead - Helen Fowles



Chronic cough is defined as one lasting more than eight weeks. It is reported in 10-20% of adults and is more common in females and obese patients.

Work Stream Lead - Iolo Doull


Bronchiolitis is the most common cause for lower respiratory tract infection during the first year of life, and accounts for majority of hospital admissions during this period.

Work Stream Lead - Ramsey Sabit



COPD is a chronic progressive disease of the airways associated with high morbidity and mortality.

Work Stream Lead - Jamie Duckers

Chronic Lung Sepsis


Bronchiestasis (BE) is a disease characterised by irreversible dilation of one or more bronchi. Current estimates suggest 30-60,000 patients suffer from BE in the UK

Work Stream Lead - Alina Ionescu

Pleural Disease


Pleural disease is a common condition; according to the British Thoracic Society pleural disease guideline of 2010 it affects 3000 people per million of population every year

Work Stream Lead - Nicola Perry-Gower

Pulmonary Rehabilitation


This work stream is focussed on expanding self-management and exercise to people affected by lung conditions.

Work Stream Lead - Sara Fairbairn

Non Invasive Ventilation

Non Invasive Ventilation (NIV) has significant evidence for use in the acute setting and in the domiciliary setting in appropriately selected respiratory patients.

Work Stream Lead - Ian Williamson

Lung Cancer

Lung cancer is one of the most common cancers in Wales. There are around 2,400 new cases in Wales every year. It kills more men and women than any other form of cancer.

Work Stream Lead - Mel Jefferson

Palliative Care

Palliative care has been defined by the World Health Organization as ‘an approach that improves the quality of life of patients and their families facing the problems associated with life limiting illness

Work Stream Lead - Rebecca Richards

Value Based Care

Work Stream Lead - Claire Hurlin



Long Term Oxygen Therapy (LTOT) is a widely used treatment that improves survival in patients with Chronic Obstructive Pulmonary Disease (COPD) and severe hypoxaemia.

Work Stream Lead - Keir Lewis

Respiratory Research


Work Stream Lead - Keir Lewis


Smoking causes over 80% of COPD and lung cancer and causes or worsens all other respiratory conditions.

Work Stream Lead - Simon Barry


Current data collected by Health Boards on patients waiting for out-patient review is generally those waiting greater than 6 months.

Epidemiology and Burden of COPD


In this video, we explore the huge size of the COPD problem, and the burden of disease to both the individual and the healthcare economy.

Prevalence and Demographics of Asthma in Wales


In this video we explore the prevalence of Asthma, which is particularly high in Wales, and the likelihood of undiagnosed asthma.

Overview of Smoking Cessation Services


In this video, we provide an overview of smoking cessation services available in Wales and outline the smoking cessation targets for Wales.

Predisposing Risk Factors for OSA


In this video, Dr Adrian Kendrick explores the predisposing risk factors for Obstructive Sleep Apnoea.

Check your Equipment

Passing your Spirometry OSCE 1


Step 1 is to CHECK your equipment. In this video, Laura will talk you through the process of checking your spirometry equipment before you bring a patient into the testing environment.

Importance of Calibration Verification


Why do we use reference equations?


Basic Interpretation Algorithm


Atrial Premature Beats

Pre-excited Atrial Fibrillation


In this video, Su discusses a common arrhythmias that problems in ventricular pre-excitation; atrial fibrillation. Su also explains the difference between pre-excited AF and ventricular tachycardia, which looks very similar on ECG.

Early Repolarisation Syndrome


Coronary Artery Disease Introduction


Unipolar vs bipolar pacing


Anatomy of the Upper Airway


Sleep Deprivation


Understanding the Oxygen Dissociation Curve


In this video, Dr Adrian Kendrick uses the oxyhemoglobin dissociation curve to explain how the patient’s resting oxygen levels can impact the extent of their desaturation during an apnoea.

Obstructive Sleep Apnoea


In this video, Dr Adrian Kendrick provides an insight into what happens during an obstructive apnoea.

OSA and driving


Interpreting Overnight Pulse Oximetry


In this video, Dr Adrian Kendrick identifies the considerations to interpreting overnight pulse oximetry.

Sleep Diary


OSA and Heart Disease


Sleep hygiene


Overnight Oximetry Guidelines


In this video, Dr Adrian Kendrick discusses the different guidelines used for overnight sleep studies.

Panels 1 to 3 of the 9 Panel Plot

CPET Webinar One


In this webinar, Karl and Laura will introduce the cardiopulmonary exercise test, and discuss Panels 1, 2 and 3.

Panels 4 to 6 of the 9 Panel Plot

CPET Webinar Two


In this webinar, Laura and Karl will discuss panels 4, 5 and 6 of the 9 Panel Plot.

Panels 7 to 9 of the 9 Panel Plot

CPET Webinar Three


In this webinar, Laura and Karl will discuss panels 7, 8 and 9 of the 9 Panel Plot.

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