1. National COPD Audit Programme
Professor Mike Roberts
National COPD Programme Clinical Lead      

2. Three Key Audit Workstreams
Primary Care
RCP/RCGP/PCRS
Noel Baxter
Acute Hospital Care
BTS
Robert Stone
Pulmonary Rehabilitation
Mick Steiner
Pilot of PREMS feasibility BLF/ All 3 audits linked data by NHS number
HES ONS MRIS IMD PDEW
National COPD Audit Programme

3. Secondary care - Recruitment and reach in England & Wales
Secondary care key messages :
There have been good improvements in the organisation and delivery of care over time; and patients still get better care from respiratory teams.
However, access to specialist care, access to evidence-based interventions, and clinical care processes (such as documentation of key information at admission and discharge, oxygen prescribing, and NIV) still have room to improve.
Number of sites
Number of patients
Clinical data
199/200 sites
(182 = England
17=Wales)
13 414
Organisational data
198/200 sites
(181 = England
n/a

4. Pulmonary rehabilitation- Recruitment and reach in England & Wales
Pulmonary rehabilitation key messages :
The standard of care in pulmonary rehabilitation services is varied, and there is under-referral from both primary and secondary care.  The drop-out rate for patients is also high: out of every 100 patients referred for PR, only 42 complete it.
Number of programmes (out of 230 identified programmes)
Number of patients
Clinical data
210 (195 = England
15=Wales)
7413
Organisational data
224 programmes
(205 = England
19 = Wales)
n/a

5. Primary care - Recruitment and reach in Wales
Primary care key messages :
There should be better recording of the diagnosis and treatment of COPD on the patient records, and COPD patients should be offered high value interventions.
Number of patients: 48,029
Please note that the Primary care Wales report has not yet been published.

6. QI National Patient organisation engagement NICE Quality Standards
Care Quality Commission
Best Practice Tariff
Pulmonary Rehabilitation accreditation
Welsh Respiratory Improvement Group

7. QI Local
Local reports benchmarked to national and gold standard practice
Each Chief Executive to produce a QI report
Web repository of QI plans
Trainee QI toolbox
Reports linked to improvement resources
Sharing good practice event
Engage our patients!

8. How can we better support you to achieve improvement?
Discussion….