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Patients
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i) Appropriate referral to the BIS
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ii) Diagnosis of COPD/COAD
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iii) Aged 18 years or over
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iv) Any patient who does not meet any of the exclusion criteria
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Carers
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i) The informal carers of patients specified above, who can be significant others, relatives, friends or neighbours
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ii) Aged 18 years or over
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iii) Any carer who does not meet the exclusion criteria
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Exclusion criteria
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Patients/carers
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i) Any patient/carer unable to give informed consent
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ii) Any patient living outside of Cambridgeshire PCT, West Essex PCT, East & North Hertfordshire PCT, or Suffolk PCT
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iii) Any patient who has previously had access to BIS
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iv) Any patient/carer who is demented or confused
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v) Any patient/carer with learning difficulties
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vi) Any patient/carer from other vulnerable groups (e.g. head injury, severe trauma, and mental illness)
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