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National Asthma and COPD Audit Programme (NACAP): secondary care workstream – children and young people asthma

What we are doing

The secondary care (children and young people asthma) workstream, commenced in June 2019, comprises two parts: a continuous clinical audit of people admitted to hospital paediatric services in England, Scotland (3 June 2019 until 13 March 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.

*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.

Children and young people asthma – continuous clinical audit

This audit aims to collect information on children and young people aged 1-18 years, admitted to hospital paediatric services with an asthma attack. Admission data, obtained from patient case notes, is collected, and entered into a secure and bespoke audit web tool.

Children and young people asthma – organisational audit

A snapshot children and young people asthma organisational audit took place between December 2019 and February 2020. The audit collected data on the resourcing and organisation of services collects data on the organisation and resource of services, via the bespoke audit web tool.

The next organisational audit will take place winter 2021/22

The first combined national children and young people asthma clinical and organisational audit report was published May 2021 and details the key findings, as well as quality improvement priorities and recommendations for 2021/22.

  • Workstream timelines

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

The above timeline may be subject to change. However, we will keep you updated regarding any changes to the above, 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 NACAP 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.

Who's involved


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 & Outcome Review Plan.

What we have produced

The children and young people asthma (CYP) combined clinical and organisational audit report is the first report published post launch of continuous data collection on 1 June 2019.

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