TY - JOUR T1 - Pulmonary rehabilitation referral and uptake from primary care for people living with COPD: a mixed-methods study JF - ERJ Open Research JO - erjor DO - 10.1183/23120541.00219-2019 VL - 6 IS - 1 SP - 00219-2019 AU - Frances Early AU - Patricia Mary Wilson AU - Christi Deaton AU - Ian Wellwood AU - Hena Wali Haque AU - Sarah Emma Fox AU - Azka Yousaf AU - Oliver D. Meysner AU - James R. Ward AU - Sally J. Singh AU - Jonathan Paul Fuld Y1 - 2020/01/01 UR - http://openres.ersjournals.com/content/6/1/00219-2019.abstract N2 - Pulmonary rehabilitation (PR) for people with COPD leads to clinically significant improvements in quality of life and exercise capacity [1]. In England and Wales, UK, in 2013–2014, only 15% of eligible patients were referred (51% from primary care), of whom 31% did not attend assessment [2]. We aimed to generate a theory-informed understanding of enablers and barriers to PR referral and uptake from primary care.Healthcare service and patient barriers contribute to low referral to and uptake of pulmonary rehabilitation (PR). Solutions should support skilled clinician–patient conversations and span primary care–PR boundaries to prevent disjointed working. http://bit.ly/2PVKHZfThe authors thank the patients and their families who took part in this study, and those who contributed to the PPI work that supported the design and development of the study. The following were members of the study steering committee with project oversight of the study: Ruth Barlow (Provide Community Interest Company), Lianne Jongepier (NHS North East Essex Clinical Commissioning Group), Mike McKevitt (British Lung Foundation), Sally Singh (University Hospitals of Leicester NHS Trust) and Jenna Stockwell (British Lung Foundation). We also thank the Clinical Research Networks Eastern and Noclor North Thames who supported recruitment in primary care. Delivery of this work was supported by the Cambridge Biomedical Research Centre. ER -