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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, Scotland (from 1 November 2018 until 10 April 2020)* 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 Scottish Government, on behalf of NHS Scotland and other stakeholders, has been working with HQIP since November 2018 to try and identify a mutually agreeable legal basis that will support Scotland’s continued participation in the NCAPOP (which is a programme of a number of audits including NACAP), specifically around the financial payment for that participation.

Unfortunately, this has not been identified, resulting in withdrawal by the Scottish Government from paying to participate in the national clinical audits. This means that Scottish hospitals and pulmonary rehabilitation services in Scotland will no longer participate in the NACAP.

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 snapshot organisational audit will be delivered between July and September 2019 and will collect data on the organisation and resourcing of services.

Pulmonary rehabilitation – accreditation

Following a pilot, the full accreditation programme for PR was launched in April 2018. The programme is supported by NHS England, and will run in partnership with our pulmonary rehabilitation 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.

Workstream timelines

  • March 2019 – February 2021: continuous clinical data collection
  • July – September 2019: full organisational audit data collection
  • July 2020: publication of national clinical audit interim report (patients assessed between Mar - May 2019, and discharged by 31 Aug 2019)
  • December 2020: publication of combined clinical (patients assessed between Jun - Nov 2019) and organisational audit ((2019) report
  • December 2020 – February 2021: small organisational audit (for ascertainment)

The above timeline may be subject to change – we will keep you updated and provide additional timeline details as they are confirmed.


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.