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

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.

What we are doing

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 management will be automatically extracted from GP practice record systems in Wales in mid-2019 and again in mid-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

  • Winter 2018/19: recruitment of general practices in Wales
  • June 2019: extraction of general practice data
  • Summer 2019: analysis and preparation of national reports (including patient friendly)
  • January 2020: publication of national reports (including patient friendly).

Please note that all relevant audit documents and guidance pertaining to the primary care audit will be uploaded to the primary care resources pages (see below) once timelines are finalised. This is expected to be in May 2019.

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

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