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Please do not send NRAP any patient identifiable information. We will still assist with your query to the best of our ability.
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NRAP’s pulmonary rehabilitation workstream includes a continuous clinical audit of people living with respiratory conditions who are assessed for PR, a snapshot audit of the organisation and resourcing of care, and an accreditation programme for PR services in England and Wales.
Continuous clinical audit
The PR continuous clinical audit collects information on people living with the following respiratory conditions who are assessed for a PR programme:
- Asthma
- Bronchiectasis
- COPD
- Interstitial lung disease
- Long Covid
- Other chronic respiratory disease
- Pre/post thoracic surgery (including lung volume reduction)
- Pulmonary hypertension
- Chronic heart failure.
Organisational audit
Snapshot organisational audits collect information on how services are organised and what resources are available to them at a given point in time.
Accreditation
The PRSAS accreditation programme aims to recognise excellence in PR services’ provision of care and support services to make improvements. The programme is supported by NHS England and runs in partnership with our PR audit workstream. You can register via the PRSAS website.
How to participate
All services in England and Wales that provide pulmonary rehabilitation to patients with the respiratory conditions listed above can participate in the audit by entering admission data from patient care case notes into a secure and bespoke audit web tool. Clinical and non-clinical staff can take part in data submission. Participation is a requisite of trust quality accounts in England.
Download our registration form from the service team support page.
Contact us at praudit@rcp.ac.uk for further support.
Information sessions
Hear from NRAP Clinical Fellow for PR, Holly Drover, on Health Inequalities in Pulmonary Rehabilitation by watching our session recording.
The National Respiratory Audit Programme (NRAP) and Pulmonary Rehabilitation Services Accreditation Scheme (PRSAS) are pleased to announce that we will be launching a community of practice for pulmonary rehabilitation in 2025. This initiative will feature bi-monthly sessions from a dedicated speaker, followed by the opportunity for Q&A and discussion.
We hosted a launch event for the community of practice in December 2024. Click here to watch the recording of this session and learn more about the plans for the upcoming community of practice.
PRSAS clinical lead, Maria Buxton, led our January event on workforce capacity and demand in PR. Click here to watch the recording of this session.
NRAP's clinical lead for healthcare improvement, Alice Turner, led our March event on healthcare improvement in pulmonary rehabilitation. Click here to watch a recording of this session.
PR dataset v5 information and support session 1 May 2025 - our clinical lead, Sally Singh, explains the main changes to the PR dataset (v5) which came into effect from 1 April 2025. Click here to watch a recording of the session.