Adult Cardiorespiratory Enhanced and Responsive Service (ACERs)

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The Adult Cardiorespiratory Enhanced and Responsive Service offers two main services: Respiratory and Heart Failure.



ACERS Respiratory Service is a 7 day service, based at Homerton University Hospital and St Leonards Hospital that provides care and support to anyone living in City and Hackney with a diagnosed chronic lung disease.   ACERS Respiratory is a multidisciplinary Team consisting of Nurses, Physiotherapists, Psychologists and Support workers, who provide the following services:

Hospital at home, which includes:

  • Admission avoidance
  • Early Support discharged
  • Remote monitoring and management of patients with suspected or confirmed COVID-19 - for patients with confirmed respiratory diagnosis

Cardiorespiratory Rehabilitation

  • Pulmonary Rehabilitation
  • Cardiac Rehabilitation
  • Integrated breathlessness rehabilitation – for people with Respiratory & chronic Heart failure

Respiratory Case Management

  • Optimisation of disease management and medication
  • Disease education and self-management plans
  • Coordinate My Care plans development and support

Home Oxygen Service Review and Assessment

  • For anyone requiring oxygen therapy irrespective of primary diagnosis
  • Long Term Oxygen Therapy
  • Ambulatory Oxygen Therapy
  • Palliative Oxygen Therapy

Outpatient Respiratory Physiotherapy

  • Provision of airway clearance programmes and review for patients with Bronchiectasis – including trial of hypertonic saline and devices to help maximise chest clearance
  • Assessment and management of Dysfunctional Breathing Patterns
  • Assessment and management of Chronic Cough

Clinical Psychology (internal referrals only)

  • Assessment and management of anxiety related breathlessness
  • Management and supporting the adjustment related to a chronic respiratory disease
  • Management and support of Respiratory Frequent Attenders


Heart Failure

  • Provides care in the Community to optimise medications, monitor symptoms and reduce the risk of a hospital admission
  • Provide Specialist Nursing input if patients are admission to hospital, throughout their admission
  • Facilitate the discharge process and act as the liaison between secondary and primary care
  • Cardiac rehabilitation—part of treatment for patients with coronary heart disease and helps patients to manage self-manage their condition.
  • They have clinics across city and hackney and also do home visits.
  • The team are able to provide education as requested.
  • 5 day service Mon-Fri 8-6pm.



Eligibility criteria


See the Homerton website for inclusion critera.

How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: Email

Editable PDF / Word document Download Form

Referral methods: Email


ACERS Community Heart Failure Nurses

Provided By

Service Feedback

Contact Name

Debbie Roots (Head of ACERS)

Email Address



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Pathways View All

Related Services

Oximetry @home

A monitoring service designed to allow GP’s to care for their COVID + patients in the community.

Primary and Secondary Care Communications During Covid

HAMU, Emergency Department, Geriatrician, Duty Doctor

ACERS Community Heart Failure Service During Covid

During the COVID-19 pandemic, the heart failure nursing team continues to provide the service in an altered capacity.

Enhanced Discharge Monitoring Service

To allow GPs to care for patients who have been discharged to via the Enhanced Discharge Pathway who have SpO2 readings of between 91% - 92%

Mobile Respiratory Diagnostic Hub Pilot

The Diagnostic Hub is still in its pilot stage

Care at Home Monitoring and Assessment Service

This service provides GP’s with a one off reading to enable the GP to decide how best to support/manage patients presenting with Covid-19

General Services

Community Services



Practitioner Education


Referral Management

Social Care

Last updated: Sep 29th, 2023
Review date: Sep 11th, 2024