|Patient selection||Lung function testing at initial outpatient appointment for all patients|
|Assessing demand||Piloted via standard PR before setting up bespoke oncology physiotherapy led service|
|Evidence base for elements of the programme||Based upon standard COPD optimisation (PR, smoking cessation and optimised inhaled therapy)|
|Funding||Utilised pre-existing resources (PR, oncology outpatient physiotherapy and smoking cessation clinic)|
|Duration of programme||Referrals made as early in the patient pathway as possible, with a target duration of at least 2 weeks|
|Choice of exercise programme||Mixture of aerobic and resistance exercises to moderate intensity, based upon standard PR|
|Accessibility||Telephone follow-up and/or local PR referral offered for those with difficulty attending.|
Use of a smart phone-based app proposed for future expansion.
|Choice of outcome measures||Validated functional measures, 6-min walk test and 5 times sit to stand.|
Physiological tests FEV1 and DLCO; insufficient capacity to undertake pre- and post-pre-hab CPET testing.
Quality of life measure with validated cost-effectiveness component EQ-5D-5 L.
|Patient engagement||Service promoted by both chest physicians and thoracic surgeons with physiotherapist led telephone follow-up for non-attenders.|
Physiotherapy appointments scheduled to coincide with other appointments such as scans
Telephone follow-up offered to enhance engagement.