Clearing the air –
National study of COPD
Health Care Commission
Clearing the air
National study of care and treatment
available for people with COPD in England
Part of wider programme of work
focussing on long term conditions/chronic
Literature review, stakeholder
consultations, specialist advisors,
examined hospital activity, focus groups,
specific aspects of services.
Improve diagnosis of COPD – reduce
misdiagnosis and undiagnosis.
Greater emphasis by PCTs on structured
care for COPD.
Helping people to help themselves. (pul
Addressing poor prognosis
Addressing individual needs
Appropriate treatment for exacerbations
Access to supportive and palliative care.
Facts about COPD
900,000 people diagnosed with
COPD in the UK and an estimated
Causes more than 30,000 deaths per
year in UK
1.4million GP consultations/year
1 in 8 emergency admissions
(second largest cause of emergency
More meaningful indicators to
measure the outcome of care for
people with COPD need to be
developed and monitored routinely.
1. PCTs as commissioners of services
should lead improvements in care
2. Strategy should focus on areas of
greatest social deprivation
3. PCTs should ensure fair access to care
by improving accuracy and timeliness of
diagnosis in primary care.
4. Explore options for improving support at
time of diagnosis ( written info/ support
5. Respiratory networks should establish
models of structured care in community.
6. PCTs with high rates of emergency
admission should work with hospital
teams to review management of these
7. Develop new initiatives to reduce
admission and length of stay.
8. Improve and monitor access to pul
9. Monitor access to and provision of
palliative care for non-malignant disease.
What will the HCC do next?
1. Assess and report on performance in
relation to indicators for the implication
of NICE guidelines for COPD
2. Assess and report on progress by trusts
in meeting targets to reduce emergency
bed days, and reduce smoking rates.
3. Report on improvement reviews of
tobacco control and LTC.
4. Follow up local concerns about
5. Work with DOH to develop improved
quality indicators for COPD.