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Summary of Results

Health Topic:   Respiratory
Guidance:   Chronic obstructive pulmonary disease (updated)
Description:   The summary of the published clinical guideline on Chronic obstructive pulmonary disease (updated). It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Smith CJP et al (2008) The impact of the 2004 NICE guideline and 2003 General Medical Service contract on COPD in primary care in the UK QJM QJM 2008 101(2):145-153; doi:10.1093/qjmed/hcm155

Description: Data was analysed from the Health Improvement Network.The study found that following the introduction of the NICE guideline for COPD and the new QOF, there has been an increase in prevalence of COPD in general practice and a large increase in spirometry data and prescriptions for combination inhalers. The prevalence of COPD in 2003 was 1.27% and increased by 14-1.45% in 2005.

Practice appears to be in line with guidance National

Buckingham R et al (2009) Report of The National Chronic Obstructive Pulmonary Disease Audit 2008: Resources and Organisation of care in Acute NHS units across the UK Royal College of Physicians of London, British Thoracic Society and British Lung Foundation

Description: The study contains contributions from 239 'units' within 180 acute NHS trusts which equates to 98% of all NHS acute trusts in the UK. Findings of the 2008 audit were mixed in terms of service provision and guidance uptake. Significant increases of provision of specific services: early discharge programmes (44% to 59%), non-invasive ventilation (89%-97%). Serious deficiencies in provision of information to patients were found across all COPD services.

Doubts about or mixed impact in practice National

De Soyza, A et al (2010) Current COPD care in the UK; results from 180,000 patients in the POINTS database Thorax. An International Journal of Respiratory Medicine 65 (Issue Suppl 4)

Description: This audit provides information on the UK provision of Pulmonary rehabilitation (PR) for COPD against 11 quality indicators derived from NICE and British Thoracic Society guidelines. In total 239 (98%) acute trusts participated, and of these 138 (58%) had provision of PR for all eligible patients, and 76 (32%) for some but not all patients. Of 214 units, 13 programmes met all 11 quality indicators in full. Despite widespread provision of PR in the UK, the quality of programmes is variable.

Doubts about or mixed impact in practice National

De Soyza, A et al (2010) Current COPD care in the UK; results from 180,000 patients in the POINTS database Thorax. An International Journal of Respiratory Medicine 65 (Issue Suppl 4)

Description: This audit provides information on the UK provision of Pulmonary rehabilitation (PR) for COPD against 11 quality indicators derived from NICE and British Thoracic Society guidelines. In total 239 (98%) acute trusts participated, and of these 138 (58%) had provision of PR for all eligible patients, and 76 (32%) for some but not all patients. Of 214 units, 13 programmes met all 11 quality indicators in full. Despite widespread provision of PR in the UK, the quality of programmes is variable.

Doubts about or mixed impact in practice National

Yohannes A M et al (2011) Pulmonary rehabilitation in the United Kingdom Chronic Respiratory Disease 8(3) 193-199

Description: This audit provides information on the UK provision of Pulmonary rehabilitation (PR) for COPD against 11 quality indicators derived from NICE and British Thoracic Society guidelines. In total 239 (98%) acute trusts participated, and of these 138 (58%) had provision of PR for all eligible patients, and 76 (32%) for some but not all patients. Of 214 units, 13 programmes met all 11 quality indicators in full. Despite widespread provision of PR in the UK, the quality of programmes is variable.

Doubts about or mixed impact in practice National

Verma, A et al (2012) Are pharmacists reducing COPD's impact through smoking cessation and assessing inhaled steroid use? Respiratory Medicine (2012) 106, 230-234

Description: This study explored the degree to which community pharmacists in North West England identify and provide advice to smokers and assess prescribed inhaled corticosteroids among COPD patients. A self-completion questionnaire was sent to 2080 community pharmacists of which 1051 (50.5%) responded. Results found that 37.1% of pharmacists mentioned COPD as a risk from smoking most or every time and 54.5% sometimes or rarely. 19.6% routinely asked about smoking status when dispensing COPD medication.

Doubts about or mixed impact in practice Local

Guidelines and Audit Implementation Network (GAIN) (2011) Northern Ireland Long Term Oxygen Therapy Audit

Description: This audit assessed whether patients with COPD are screened and identified for oxygen assessment in Northern Ireland. A range of data collection methods were used, including staff questionnaires and case note review, between November 2009 and March 2010. There were 32 questionnaires returned from GP practices across Northern Ireland. All 32 practices provide screening for long term oxygen therapy and 29/32 (91%) GPs reported that pulse oximetry is available in their practice.

Practice appears to be in line with guidance Regional

This page was last updated: 02 March 2012

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.