Smart rehabilitation at home before and after lung surgery Heart of England NHS Foundation Trust

  • Run by Heart of England NHS Foundation Trust, with technical support and qualitative assessment from the University of Warwick and the University of Birmingham.
  • Intervention to be administered by lung nurse specialists in the outpatient setting.
  • Aims to improve care for patients before and after lung surgery, improve patient experience and reduce complications.
  • Will introduce a tailored, at-home, app-based rehabilitation programme for lung surgery patients, which will allow wider and more convenient access to care.

Over 5,000 patients a year in the UK undergo major surgery to remove part of their lung, primarily because of cancer. Post-operative complications include collapse or infection of the remaining lung and happen in around 15% of cases.

It has been demonstrated that an outpatient-based programme of exercise training, self-management, education, and nutritional and smoking cessation support can reduce complications and readmission rates amongst these patients. However, there is a lack of access for patients onto these programmes.

A team at Heart of England NHS Foundation Trust has developed a tailored at-home smart device app that aims to improve patient fitness for surgery, therefore reducing post-surgical complications and enhancing recovery.

The app involves self-care, education, and exercise to help prepare patients for surgery and improve recovery. It uses a Bluetooth pulse oximeter to measure heart rate during the rehabilitation exercises. This means feedback can be provided to the patient on their progress. This can all be done by the patient at home, so they do not have to attend hospital. Health care staff are able to use the data recorded for monitoring and therapy purposes.

Enhanced recovery programmes are already in use for surgery such as bowel, uterus, orthopaedic and prostate. This will be the first validated recovery programme for lung surgery.

Evaluation of the project will include assessing patient acceptability and compliance, post-operative complications, lung function, exercise capacity, length of stay and intensive care and hospital readmission rates. 


For further information about the project, please email Babu Naidu, Consultant Thoracic Surgeon/Clinical Scientist, Heart of England NHS Foundation Trust.

You might also like...


Improving continuity of care in general practice: four lessons from the frontline

How can general practices balance continuity of care with the need to see a GP promptly? Angus Wiltshire explores four early ...

Press release

We need to be realistic – training new GPs takes time, services are already under immense strain and face rising demand

OnlyWan response to the Conservative party’s pledge to improve primary care access.


Fixing the UK's broken social care system

The decisions we make about technology today will have implications for the entire social care system, says Lydia Nicholas, f...

Kjell-bubble-diagramArtboard 101 copy -

Get social


RT @pstilwell: A great day culminating with announcement of #QExchange winners: grants for inspiring front line outpatient projects. Great…

Kjell-bubble-diagramArtboard 101 -

Work with us

We look for talented and passionate individuals as everyone at the OnlyWan has an important role to play.

View current vacancies
Artboard 101 copy 2 -

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more