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National Asthma and COPD Audit Programme (NACAP): primary care workstream

What we are doing

The primary care workstream of the National Asthma and COPD Audit Programme (NACAP) involves the collection of audit data relating to asthma and COPD patient care and management from routinely collected data in computerised primary care records.

The audit is currently only conducted in Wales. This follows the primary care workstream approach of the National COPD Audit Programme which reported on primary COPD care in 2016 and 2017.

Information on asthma (adult and paediatric) and COPD patient care and has been extracted from GP practice record systems in Wales in mid-2019 and will be extracted again in autumn 2020. All patients over the age of 35 with a diagnosis of COPD and all adults and children with a diagnosis of asthma in Wales are included.

Audit indicators have been selected to map to appropriate standards, guidelines and frameworks. For example, the National Institute for Health and Care Excellence (NICE) quality standards for COPD (QS10) and asthma (QS25), as related to primary care.

This work will support primary care quality improvement (QI) activities in England, Scotland and Wales.

Audit timelines

  • September 2020: recruitment of general practices in Wales
  • October 2020: extraction of general practice data
  • November 2020: analysis and preparation of national reports (including patient friendly)
  • April 2021: publication of national reports (including patient friendly).

Who's involved


NACAP is working closely with the National Wales Informatics Service (NWIS) and Imperial College London to deliver this workstream, along with key stakeholders including the Primary Care Respiratory Society UK and the Royal College of General Practitioners.

What we have produced

The Wales primary care clinical audit 2017/2018 report is the first report post launch of the National Asthma and COPD Audit Programme on 1 March 2018 and is the first primary care report that covers the treatment of COPD in adults and asthma in both adults and children.

Information and resources developed to help practices participating in the NACAP primary care workstream.