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National Asthma and COPD Audit Programme (NACAP)

The National Asthma and COPD Audit Programme (NACAP) for England and Wales aims to improve the quality of care, services, and clinical outcomes for people with asthma (adults, children, and young people) and chronic obstructive pulmonary disease (COPD). 

Spanning the entire patient care pathway, NACAP works closely with asthma and COPD patients, as well as healthcare professionals, and aspires to set out a vision for services which put patient needs first. 

NACAP Organigram 107.47 KB

Read senior clinical lead Professor John Hurst’s priorities for NACAP

NACAP governance 

The NACAP governance structure consists of a Board, Advisory Group and two patient panels. Ad hoc steering groups also support Programme work.  

Members of these groups contribute to programme activities and decisions and, therefore, declarations of interests that may conflict with the audit programme are required as a matter of good governance.  

NACAP Governance structure  
Declarations of interests policy/form for completion by governance members 

NACAP Board 

The NACAP Board provides expert direction, operational oversight and performance management of the NACAP programme and consists of stakeholders including patient representatives and national and patient organisations. 

NACAP asthma and COPD advisory group

The advisory group provides operational advice on the individual NACAP workstreams and consist of patients and (healthcare) professionals considered experts in their field. 

NACAP patient panels 

The patient panels make sure views, experiences and ideas of people affected by asthma and COPD, who use the NHS, can help shape the audit. 

Information for patients and details about how NACAP works in partnership with patients and carers can be found on the patient involvement and support page.  


We produce regular newsletters providing updates on NACAP and its workstreams. If you would like to receive the NACAP newsletter, or are already on our contact list and wish to be removed, email  nacap@rcp.ac.uk.  

NACAP succeeds a number of historic projects, audits and confidential enquiries: 

Who's involved


The programme has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and currently covers England and Wales only.  

The audit programme is led by the Royal College of Physicians (RCP), working closely with a broad range of organisations including Asthma + Lung UK, the British Thoracic Society, Primary Care Respiratory Society UK, Royal College of General Practitioners and the Royal College of Paediatrics and Child Health

The NACAP webtool is provided by Crown Informatics and data analysis by Imperial College London.