National Asthma and COPD Audit Programme (NACAP): pulmonary rehabilitation workstream

The pulmonary rehabilitation workstream of the National Asthma and COPD Audit Programme (NACAP) will comprise three parts: a continuous clinical audit of service provision and delivery of pulmonary rehabilitation (due to start in March 2019), a snapshot audit of the organisation and resourcing of services, and an accreditation scheme. Participation in the pulmonary rehabilitation workstream of NACAP is a requisite of trust quality accounts.

The pulmonary rehabilitation workstream previously formed part of the National COPD Audit Programme, which produced clinical, organisational and outcome reports in 2017 and early 2018 including Pulmonary rehabilitation: An exercise in improvement.

What we are doing

Pulmonary rehabilitation - continuous clinical audit

This audit aims to collect information on all patients referred to and who receive pulmonary rehabilitation for COPD. Data, obtained from patient case notes, will be collected, and entered into a secure and bespoke audit web-tool.

Registration open

Registration for the pulmonary rehabilitation workstream of NACAP is now open. All pulmonary rehabilitation services that provide care for people with COPD in England, Scotland and Wales are eligible to register for and participate in this audit.

You can access the registration documents within the pulmonary rehabilitation workstream resources.

If you would like further information about how to register your service for the audit please contact

Pulmonary rehabilitation - organisational audit

A full biennial snapshot organisational audit which will collect data on the organisation and resource of pulmonary rehabilitation services. Data collection will take place via the bespoke audit web-tool. A smaller biennial organisational audit will take place in alternate years to the full, for case ascertainment purposes only. 

Pulmonary rehabilitation – accreditation

Following a pilot, a new accreditation scheme for pulmonary rehabilitation services will start in April 2018. The scheme will run in partnership with our pulmonary rehabilitation audit programme.

Workstream timeline

  • August 2018 – February 2019: recruitment of pulmonary rehabilitation services to the continuous clinical audit
  • November 2018: web-tool and dataset pilot
  • March 2019: start of continuous clinical data collection for pulmonary rehabilitation
  • March 2019 – February 2021: continuous clinical data collection
  • March 2020: planned publication of national clinical report
  • July 2019 – March 2020: full pulmonary rehabilitation organisational audit
    • July–September 2019: data collection
    • October 2019 – February 2020: analysis and report preparation
  • March 2020: planned publication of pulmonary rehabilitation organisational audit report
  • December 2020 – February 2021: small pulmonary rehabilitation organisational audit (for ascertainment)

The above timeline may be subject to change but we will keep you updated regarding any changes and provide additional timeline details as they are confirmed.


If you think your data may have been collected as part of this audit and wish to have it removed, then please speak to a member of your respiratory team at the hospital that treated you, or contact a member of the audit programme team on  or phone +44 (0)20 3075 1526.

Who's involved


All relevant pulmonary rehabilitation providers in England, Scotland and Wales are expected to participate. NACAP is included in the list of national audits for inclusion in trusts’ Quality Accounts, and is also included in the NHS Wales Clinical Audit & Outcome Review Plan.

What we have produced

Information and resources developed to help organisations participating in the NACAP pulmonary rehabilitation workstream.