Trafford Clinical Commissioning Group (CCG) tendered a borough wide HOS-AR/COPD service to contribute to its overall aims to improve respiratory

outcomes for its patients. Specifically, Trafford CCG sought to reduce premature deaths from COPD and other respiratory diseases and decrease unnecessary emergency demand on secondary care by improved diagnosis, treatment and management, which is accessible and meets the expectations of both patients and the public in Trafford in respect of their experience of the service.