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National Asthma and COPD Audit Programme (NACAP): pulmonary rehabilitation workstream

What we are doing

The pulmonary rehabilitation workstream comprises three parts: a continuous clinical audit of service provision and delivery of pulmonary rehabilitation, a snapshot audit of the organisation and resourcing of services and an accreditation programme in England and Wales. Participation in the pulmonary rehabilitation workstream of the National Asthma and COPD Audit Programme (NACAP) is a requisite of trust quality accounts.

The pulmonary rehabilitation workstream previously formed part of the National COPD Audit Programme, which produced clinical, organisational and outcome reports in 2017 and early 2018.

The pulmonary rehabilitation (PR) workstream comprises three parts:

Pulmonary rehabilitation – continuous clinical audit

This audit launched on 1 March 2019 and aims to collect information on all patients referred to and who receive pulmonary rehabilitation for COPD. Data, obtained from patient case notes is collected and entered into a secure and bespoke audit web tool.

Pulmonary rehabilitation – organisational audit

A second snapshot organisation audit is taking place between 1st November and 26th November 2021 to collect data on the organisation and resourcing on PR services, which is strongly linked to the quality of care provided to patients. Visit the workstream resources page for guidance to help PR services complete this audit. For more information on the first snapshot organisation audit which took place between July and September 2019, please see the PR combined audit 2019 report.

Pulmonary rehabilitation – accreditation

The PRSAS accreditation programme was launched in April 2018 to recognise excellence in PR services’ provision of care and support services to make improvements. The programme is supported by NHS England, and runs partnership with our PR audit programme. You can register via the PRSAS website.

Register to participate in pulmonary rehabilitation workstream

Registration remains open. Services in England and Wales that provide pulmonary rehabilitation to COPD patients are eligible to participate. f you would like further information about how to register your service, please contact us via pulmrehab@rcplondon.ac.uk or visit the workstream's resources page to download a copy of the registration form.


If you think your data may have been collected as part of this audit and wish to have it removed, please speak to a member of your respiratory team at the hospital that treated you or contact a member of the audit programme team by email at pulmrehab@rcp.ac.uk or phone on +44 (0)20 3075 1526.

Who's involved


All relevant pulmonary rehabilitation providers in England and Wales are expected to participate. NACAP is included in the list of national audits for inclusion in trusts’ Quality Accounts, and is also included in the NHS Wales Clinical Audit & Outcome Review Plan.

What we have produced

The pulmonary rehabilitation (PR) combined clinical and organisational audit report is the second report published post launch of continuous data collection on 1 March 2019.

The pulmonary rehabilitation (PR) clinical audit interim report is the first report published post launch of continuous data collection on 1 March 2019.

Information and resources developed to help organisations participating in the NACAP pulmonary rehabilitation workstream.