1. Respiratory audit 318 referrals reviewed

2. Categories referred

3. Who would have been best to care for patient

4. Ability to care for in primary care

5. Weighted ability to care for in primary care

6. How do we investigate breathlessness to: -Reach a diagnosis -Not miss anything -Reassure the patient -Diagnosis mostly -Asthma, COPD, Bronchiectisis, Rhinitis

7. How do we Investigate Cough to: -Reach a Diagnosis -Not miss anything -Reassure the patient -Diagnosis -Reflux (most common) no diagnosis, asthma, bronchiectisis

8. Allergy When is investigation helpful? Mostly could have prevented Rhinitis and Angioedema

9. COPD -Confidence that we are doing everything possible ? Involve COPD team -Query asthma -Confidence in our own ability to investigate and rule out a diagnosis

10. Questions What more could we have done within primary care? What areas could a lead GP take on? What categories would you have felt comfortable have managing in general practice? What areas would you like guidelines on on DXS?