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Pulmonary rehabilitation (PR) workstream

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.


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 pulmrehab@rcp.ac.uk for further support.