Breathing Well respiratory audit report (NRAP)

Reports | Published: 11 Jul 2024

The National Respiratory Audit Programme (NRAP) has published Breathing Well, an assessment of respiratory care in England and Wales. This report is based on people with asthma and chronic obstructive pulmonary disease (COPD) admitted to hospital with an exacerbation between 1 April 2022 and 31 March 2023, and on people with COPD assessed for pulmonary rehabilitation between 1 March 2022 and 31 March 2023.

In addition to shining a spotlight on healthcare improvement through timely access to optimal care, it contains a number of key findings as well as the following recommendations:

  • Integrated care boards and local health boards should ensure they achieve 100% service participation and services achieve a minimum 50% case ascertainment in NRAP audits by May 2026
  • All people with COPD and asthma who smoke, and smokers who are parents of children and young people with asthma, should be offered evidence-based treatment and referral for tobacco dependency
  •  All people with asthma and COPD discharged from hospital after an acute event should have a current self-management plan
  •  All patients requiring pulmonary rehabilitation should have timely access to intervention, in line with recommendations from NICE and the British Thoracic Society’s clinical statement on pulmonary rehabilitation.

Read the full report: You can read the report by clicking on the button below (note that this report was updated and republished on 19 July 2024).

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Breathing Well respiratory audit report (NRAP)