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National Asthma and COPD Audit Programme (NACAP): secondary care workstream – adult asthma

What we are doing

The secondary care adult asthma workstream comprises two parts: a continuous clinical audit of people admitted to hospital adult services in England, Scotland (1 November 2019 until 8 May 2020)* and Wales with asthma attacks, and a snapshot audit of the organisation and resourcing of care. Participation in the secondary care workstreams of the National Asthma and COPD Audit Programme (NACAP) is a requisite of trust quality accounts.

*In May 2020, Scottish Government withdrew from paying to participate in national clinical audits and Scottish hospitals and pulmonary rehabilitation services no longer participate in the NACAP.

Adult asthma – continuous clinical audit

This audit launched in 1 November 2018 and aims to collect information on all people admitted to hospital adult services with asthma attacks. Admission data, obtained from patient case notes, is collected and entered into a secure and bespoke audit web tool. Two clinical reports have been published since the launch of this audit

COPD and adult asthma - organisational audit

The first joint COPD and adult asthma organisational audit launched on 1 April 2019 and ran until 1 July 2019. The organisational audit report was published in March 2020. The snapshot organisational audit collected data on the resourcing and organisation of services. In an effort to reduce clinical burden and duplication of effort this ran as a combined COPD and adult asthma organisational audit with data collection via the bespoke audit web tool.

A second snapshot organisational audit is due to take winter 2021/22

Adult asthma secondary care good practice repository

The National Asthma and COPD Audit Programme (NACAP) has collated a series of case studies which highlight good practice in audit data collection within the adult asthma audit. These can be accessed via the dedicated adult asthma good practice repository webpage.

Register to participate in the adult asthma worksteam

Registration remains open. Hospitals in England and Wales who admit adult patients with asthma attacks are eligible to participate. If you would like further information about how to register your hospital for the audit, please contact us via asthma@rcp.ac.uk or visit the workstream's resources page to download a copy of the registration form. 

Workstream timelines

  • November 2018 – February 2023: continuous clinical audit data collection
  • Winter 2021/22 2019: second snapshot organisational audit
  • January 2023: planned publication of national clinical and organisational report

Contact

If you think your data may have been collected as part of this audit and wish to have it removed, then 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 asthma@rcp.ac.uk or by phone on +44 (0)20 3075 1526.

NACAP was preceded by the National Review of Asthma Deaths (NRAD), a case note review of asthma deaths, and the Asthma Audit Development Project (AADP), which worked to inform the specification of, and carry out the foundation work require for, a national asthma audit. Due to differences in the asthma care and management of adults and children, the audit workstream for paediatric asthma (known as the children and young people asthma audit) is run separately.

Who's involved

Organisations

All relevant secondary care 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 and Outcome Review Plan.

What we have produced

Case ascertainment for the National Asthma and COPD Audit Programme’s adult asthma secondary care audit.

The adult asthma clinical audit report 2019/20 is the second published report following the launch of the adult asthma clinical audit in November 2018.

The adult asthma and chronic obstructive pulmonary disease (COPD) organisational audit report 2019 is the first published organisational audit report following the launch of the National Asthma and COPD Audit Programme (NACAP) in March 2018.

The adult asthma clinical audit report 2018/19 is the first published report following the launch of the adult asthma clinical audit in November 2018.

Information and resources developed to help organisations participating in the NACAP secondary care (adult asthma) workstream.

The National Asthma and COPD Audit Programme (NACAP) has collated a series of case studies which highlight good practice in audit data collection within the adult asthma audit.