Healthcare improvement

Our objective is to create a sustainable framework and set of resources which empower and enable stakeholders to use NRAP data to facilitate improvements in the quality of asthma and COPD care.

Our strategy

Our Healthcare Improvement strategy (2024-26) outlines a framework for how NRAP will work to support healthcare improvement within respiratory settings.

Within our strategy we also identify five healthcare improvement goals which were developed with support of a task and finish group. Our goals are in the following areas:

  • Treating tobacco dependency
  • Early and accurate diagnosis
  • Supporting self-management
  • Inhaler technique checks
  • Access to pulmonary rehabilitation.

We will be supporting services in England and Wales to take steps to achieve these goals by May 2026.

Our approach

Healthcare Improvement education programme

Healthcare Improvement education programme
NRAP’s healthcare improvement programme is live! 

The 12-month programme for respiratory teams in England and Wales provides online learning alongside virtual workshops and support from a dedicated coach. The programme is suitable for all respiratory teams working on any aspect of care in adult or children and young people’s asthma, COPD or pulmonary rehabilitation, who submit data to NRAP and wish to better their practice in improving quality.   

All grades and roles, clinical and managerial, are encouraged to apply by 24 June

Read more about the roles for coaches and respiratory teams on the RCP vacancies page.

This is a brilliant opportunity for coaches and clinicians to develop their skills and drive improvement in respiratory care. Questions can be directed to: and we will be hosting a Q&A drop-in session for anyone interested in joining the programme on Friday 24 May at 11:00 am. Register here for this event.

Healthcare improvement support

Generic and workstream specific HI support is available for everyone. These include:

Examples of good practice

See our good practice repositories for ideas on how to drive improvements in your service or contact if you have an example that you would like to share with others:

Additional Resources