Abstract
A less hospital-centric approach to healthcare with specialists working nearer to patients in the community has been strongly advocated in several recent publications. In the field of respiratory medicine a team approach to the care of those with long-term respiratory conditions has been in practise for decades with such integrated approaches being shown to significantly improve outcomes. This approach is now gaining momentum with an increasing number of UK respiratory specialists undertaking sessions outside hospitals. Specific suggestions regarding the scope of this work, training, mentorship and governance have now been suggested by the specialist British Thoracic Society.