British Thoracic Society

Association of Respiratory Nurse Specialists

Association of Chartered Physiotherapists in Respiratory Care


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We would like to acknowledge that this guidance has been written on behalf of the Royal College of Speech and Language Therapists (RCSLT) by the members of the respiratory forum network which comprises: (in alphabetical order)

Karen Esposito, Highly Specialist Speech & Language Therapist, Sheffield NHS Teaching Hospitals Foundation Trust (Royal Hallamshire Hospital, Sheffield);

Jemma Haines (Chair), Principal Respiratory Speech & Language Therapist & Airways Services Lead, Lancashire Teaching Hospitals NHS Foundation Trust (Royal Preston Hospital, Preston);

Siobhan Lillie, Senior Specialist Respiratory Speech & Language Therapist, Lancashire Teaching Hospitals NHS Trust (Royal Preston Hospital, Preston);

Carmel McNamee, Highly Specialist Speech & Language Therapist, Bolton NHS Foundation Trust (Lever Chambers Centre for Health, Bolton);

Nicola Pargeter, Principal Speech & Language Therapist, Heart of England NHS Foundation Trust (Birmingham Heartlands Hospital, Birmingham);

Sandra Robinson, Highly Specialist Speech & Language Therapist, Leeds Teaching Hospitals NHS Trust (St James’s University Hospital, Leeds);

Authors’ editor: Dr SJ Fowler, Clinical Lecturer in Respiratory Medicine and Honorary Consultant, University of Manchester and Lancashire Teaching Hospitals NHS Foundation Trust;

Special acknowledgement goes to the following who helped with the development of this paper: Dr A Mansur, Respiratory Physician, Birmingham Heartlands Hospital Dr A Vyas, Respiratory Physician, Lancashire Teaching Hospitals NHS Foundation Trust.