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National Asthma and COPD Audit Programme (NACAP): Quality Improvement (2021-23)

What we are doing

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

In collaboration with the Royal College of Physicians’ Education Directorate and the British Thoracic Society, NACAP are providing QI training to respiratory service teams in England and Wales via an online learning platform and virtual workshops.

We have also identified and trained 15 QI ‘Coaches’ to provide teams with a source of ongoing local support so that improvement projects maintain momentum.

We have combined clinical and educational expertise to deliver a QI programme that we hope to be both engaging and effective.

The programme will run for approximately 6-12 months from October 2021.

Quality improvement support

Generic and workstream specific QI support is available for everyone on the NACAP website. These include:

- Recommendations for QI priorities

- Slide-sets highlighting key findings from clinical audit reports, to inform and support clinical teams to make improvements.

- Templates for driver diagrams, PDSA cycles and SMART aims.

QI support for COPD services

QI support for Pulmonary rehabilitation services

QI support for Adult asthma services

QI support for Children and young people’s asthma services

Who's involved


The programme has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and currently covers England and Wales only. 

The audit programme is led by the Royal College of Physicians (RCP), working closely with a broad range of organisations including Asthma UK & British Lung Foundation, the British Thoracic Society, Primary Care Respiratory Society UKRoyal College of General Practitioners and the Royal College of Paediatrics and Child Health.

NACAP is supported by a board, advisory (asthma and COPD) and patient and public involvement (PPI) groups. 

What we have produced

This page contains information and resources developed to help organisations participating in the National Asthma and COPD Audit Programme (NACAP) with quality improvement.