Home » Projects » National Asthma and COPD Audit Programme (NACAP): Pulmonary rehabilitation clinical audit interim report

National Asthma and COPD Audit Programme (NACAP): Pulmonary rehabilitation clinical audit interim report

Produced by:

The pulmonary rehabilitation (PR) clinical audit interim report is the first report published post launch of continuous data collection on 1 March 2019. It presents information on over 6,000 patients who were assessed for pulmonary rehabilitation between 1 March – 31 May and discharged by 31 August 2019.

Data include national and country level performance for key process measures such as waiting times for PR, initially assessments and walking tests, discharge assessments and completion rates for PR. In addition, data on outcomes measures for improvements in exercise capacity and health status are also presented.

Key recommendations

For PR services:

We have defined three key QI priorities for PR services. They were chosen on a strong evidence base for their effectiveness in improving PR care and outcomes. 

  1. National QI priority 1: Services should endeavour to enrol 85% of those referred for PR with stable COPD within 90 days.
  2. National QI priority 2: Services should ensure all exercise assessments are performed to accepted technical standards, including ensuring all patients undertake a practice exercise test at their initial PR assessment.
  3. National QI priority 3: Ensure 70% of patients enrolled for PR go on to complete the programme and have a discharge assessment.


For patients living with asthma and/or COPD and their carers:

  1. When you visit your GP/practice nurse make sure that you ask for information on pulmonary rehabilitation (PR) and discuss whether a referral to your local PR service maybe beneficial to you.
  2. If you are admitted to hospital with a worsening of your chronic obstructive pulmonary disease (COPD), make sure arrangements are made to refer you to your local PR service.

For a full list of the recommendations see our downloadable national report .

How to use this report

The report contains full data analysis from which key findings and recommendations are derived. The data are presented largely in tabular form, with explanatory notes throughout. A ‘Report at a glance’ infographic and key recommendations for services, commissioners, primary and secondary care and people with COPD and their families and carers are presented at the front of the report, with key findings and quality improvement opportunities presented at the start of each section.

All appendices, including the full methodology and participation details can be found in towards the end of the report.

An accompanying patient friendly report and QI slideset will also published in due course. The patient report will present key findings and recommendations for patients and their families and carers.


Pulmonary rehabilitation interim clinical audit report

This report contains the full data analysis for each data item from the PR clinical audit. The data are presented largely in tabular form, with explanatory notes throughout. In addition, it presents key findings, quality improvement opportunities and recommendations for PR services, primary and secondary care teams and commissioners/healthboards/sustainability and transformation partnerships and people living with COPD and their families and carers.

Pulmonary rehabilitation interim clinical audit: Benchmarked key indicators

This report shows unadjusted benchmarking of key indicators for participating services in England, Scotland and Wales.

Quality Improvement (QI) focused slide set

This slide set pulls together the key findings of the report, with a QI focus.

Data and variables

This presents aggregated, service-level attainment data as used in the analysis for the pulmonary rehabilitation (PR) clinial interim report. The data description file provides an explanation of the variables found in the data file.