"The Respiratory Transformation Partnership is very exciting because it is ambitious. It's about improving outcomes for everybody living with respiratory disease across the country and of course with a specific focus on asthma and COPD to begin with. And while that scale may seem intimidating, the fact that it is a partnership bringing together clinicians, commissioners, industry partners, in fact everybody involved in the delivery and indeed patients in the receipt of care, we have that opportunity to bring about skill change. So I think if we're going to bring about meaningful change we really need to work together collaboratively across the system. But really if we break that down we think about the different people across the system with different resources with different skills and expertise and if we bring all of those together we create really powerful and potential to drive change for the benefit of our patients. So we've been very fortunate in Hull to benefit from pathway transformation funding last year and then we had a successful bid against this year. And that came at a time where we had all of the building blocks that we required to really create an end-to-end digitally enabled and collaborative risk-based pathway for our patients with both asthma and COPD. We've been working to deliver work streams on early and accurate diagnosis, to locally enhanced services, to support primary care, to deliver the diagnostic tests in the neighbourhood close to patients' homes, to deliver case finding programs linked to our lung cancer screening work, to identify people living with undiagnosed COPD who are at risk of adverse events. And for those living with COPD using data within the electronic health records to identify those that are at risk of adverse outcomes, to proactively offer them access to care and equipping those clinicians who are delivering that care to deliver guideline recommended care that benefits from the whole integrated team."