Return to NG115 Overview

Chronic obstructive pulmonary disease in over 16s: diagnosis and management [NG115]

Measuring the use of this guidance

Recommendation: 1.1.5

Measure post-bronchodilator spirometry to confirm the diagnosis of COPD.

What was measured: COPD002: The percentage of patients with COPD (diagnosed on or after 1 April 2011) in whom the diagnosis has been confirmed by post bronchodilator spirometry between 3 months before and 12 months after entering on to the register.
Data collection end: March 2019
80.6%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.


Recommendation: 1.2.4

Unless contraindicated, offer nicotine replacement therapy, varenicline or bupropion as appropriate to people who want to stop smoking, combined with an appropriate support programme to optimise smoking quit rates for people with COPD. [2010]

What was measured: Proportion of current smokers who were prescribed, or offered but declined, smoking cessation pharmacotherapy during an admission for an acute exacerbation of COPD.
Data collection end: September 2018
68.1%
Number that met the criteria: 15750 / 23125
Area covered: England and Wales
Source: Royal College of Physicians. National COPD Audit Programme: secondary care


Recommendation: 1.2.86

Offer pneumococcal vaccination and an annual flu vaccination to all people with COPD, as recommended by the Chief Medical Officer.

What was measured: COPD007: The percentage of patients with COPD who have had influenza immunisation in the preceding 1 August to 31 March.
Data collection end: March 2019
78.1%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.


Recommendation: 1.2.138

When people with very severe COPD are reviewed in primary care they should be seen at least twice per year, and specific attention should be paid to the issues listed in table 6.

What was measured: COPD004: The percentage of patients with COPD with a record of FEV1 in the preceding 12 months.
Data collection end: March 2019
71%
Area covered: England
Source: NHS Digital. NHS Outcomes Framework.

What was measured: COPD005: The percentage of patients with COPD and Medical Research Council dyspnoea grade ≥3 at any time in the preceding 12 months, with a record of oxygen saturation value within the preceding 12 months.
Data collection end: March 2019
96.3%
Area covered: England
Source: NHS Digital. NHS Outcomes Framework.


Recommendation: 1.3.28

If necessary, prescribe oxygen to keep the oxygen saturation of arterial blood (SaO2) within the individualised target range. [2010]

What was measured: Proportion of patients who required oxygen who were prescribed it.
Data collection end: September 2018
72.7%
Number that met the criteria: 41596 / 57235
Area covered: England and Wales
Source: Royal College of Physicians. National COPD Audit Programme: secondary care


Recommendation: 1.3.47

Make arrangements for follow‑up and home care (such as visiting nurse, oxygen delivery or referral for other support) before discharge. [2004]

What was measured: Proportion of patients discharged after an acute exacerbation of COPD without any follow-up arrangements apparent.
Data collection end: September 2018
15.7%
Number that met the criteria: 10878 / 69276
Area covered: England and Wales
Source: Royal College of Physicians. National COPD Audit Programme: secondary care



 Return to NG115 Overview