The feasibility of implementing clinical decision support system software in the outpatient assessment of breathlessness: Cardio-LungHealth and Everton in the Community

<title>Extract</title> Breathlessness is a common presentation to primary care yet one where a delay in appropriate investigation and diagnosis may result in adverse patient outcomes [1, 2]. The NHS England (NHSE) Adult Breathlessness Pathway facilitates a structured approach to the evaluation of breathlessness [3]. The common conditions responsible for breathlessness appear to disproportionately affect those most at risk from healthcare inequality [4, 5]. Evidence is emerging regarding the role of local football clubs in improving the health of communities especially in targeting groups traditionally deemed “hard to reach” when accessing mainstream healthcare services [6, 7]. Furthermore, as healthcare systems globally struggle to balance capacity including the provision of trained medical staff with increasing service demands, there is increasing emphasis on technology in aiding the appropriate investigation of breathlessness [8]. We report on the feasibility of implementing clinical decision support system software in order to enhance uptake of the NHSE Adult Breathlessness pathway in the setting of a weekly “one stop-shop” clinic at “<italic>Everton In the Community</italic>” (EitC), the official charity of Everton Football Club.