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The Croydon Respiratory team (CRT) is a multidisciplinary service, integrated across Croydon University Hospital and the Community. The service provided by CRT aims to improve outcomes for patients with COPD. Activities include hospital avoidance. In-patient work includes implementing the COPD Discharge bundle and identifying patients appropriate for earlier discharge through a Facilitated Discharge Scheme. Patients are followed up by telephone and face to face reviews in the patient's home and in practitioner-led clinics. CRT also provides the home oxygen service assessment and review (HOS-AR) and Pulmonary Rehabilitation in four locations in the community. CRT has also developed a service in the community to support GP surgeries in diagnosing and managing patients with COPD.