About COPD

COPD is a common debilitating and often progressive respiratory condition. It is a general term that includes conditions such as emphysema and chronic bronchitis. It is characterised by obstruction (narrowing) of the airways, which is not fully reversible. Smoking is the cause in the majority of cases. Around one million people in the UK live with COPD and it mainly affects people over 40. A flare up of COPD is one of the most common reasons for admission to acute care.

Read more about COPD >

Jim's story

A patient's perspective

We are publishing this story in memory of Jim Kirkwood, who sadly died recently. We pass on our thoughts to his family and friends.

'I’ve lived all my life with a lung condition, asthma, but it’s only the last few years I’ve known about COPD. To come to terms with living with a lung condition is a journey.' Jim Kirkwood was a patient representative on the Co-creating Health team in NHS Ayrshire and Arran and lived with COPD. He explained how the condition affected his life:

Jim Kirkwood, patient representative CCH 'You find that there’s things you can do one day then the next you just can’t do it because you’re just out of breath – your lungs are not working right for you. Not only does it affect us, it also affects our families – it’s hard for them as well.

'With COPD you’ve got to come to terms with the fact that you cannot be cured but there are many things that can be done to make life easier for you and your partner. Co-creating Health is helping people like me cope better with their condition.'

Co-creating Health consists of three inter-related programmes, designed to work together, which target the patient, the clinician and the service. For patients this is in the form of a self-management programme. It is co-delivered by patient and clinician tutors and helps people with long-term conditions build generic self-management skills and knowledge, such as problem solving and action planning, alongside those more pertinent to their condition.

Jim is a very active member of the NHS Ayrshire and Arran Co-creating Health team. He has taken part in the self-management programme, is training to be a Co-creating Health co-facilitator and has spoken at events in Ayrshire and Arran to encourage more people to take part in the initiative. His experiences of Co-creating Health have been very positive and he has found it has really helped him manage his condition.

'It has made me more aware about what’s going on. It’s given me a wee bit more confidence, as well, and you learn there are a lot of people with the same condition but also that everyone’s slightly different!

'The Co-creating Health self-management programme helps you to plan your life and daily routines: you realise what a difference it makes having an action plan, setting goals that are achievable, thinking about how important the goal is to you and helping you solve any problems you have along the way. It has allowed me to look at the way I live with COPD.

'The most important goal I set myself and achieved was to be fit enough to try and play bowls again after almost a two-year lay off!'

Just as important for patients is the great support network the initiative provides, which helps them to build their confidence – both with other patients and with their clinicians.

'It is also as simple as talking to the other people, especially people who have the same problems. The understanding you seem to have with them is far, far better than when you were talking to your mates in the pub, because we understand each other. And it’s easier to talk to somebody who not only understands but knows what you’re going through.'

Jim also noticed a difference at  meetings with clinicians. ‘I think it’s maybe a wee bit early to see major changes yet but it has changed regarding the consultation. I’m doing the talking now – I’m telling them what’s happening.’

People throughout NHS Ayshire and Arran are beginning to take notice of what is happening through Co-creating Health.  'I recently went to a Co-creating Health improvement event and it was good to learn that the top brass are listening to the people who are at the front of the ship!'

Read Hans's story: a clinician's perspecitve >

Read introduction: Co-creation in Ayrshire and Arran >

Read more about Co-creating Health >