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National Asthma and COPD Audit Programme (NACAP): secondary care workstream – adult asthma

What we are doing

The secondary care adult asthma workstream comprises two parts: a continuous clinical audit of people admitted to hospital adult services in England, Scotland (1 November 2019 until 8 May 2020)* and Wales with asthma attacks, and a snapshot audit of the organisation and resourcing of care. Participation in the secondary care workstreams of the National Asthma and COPD Audit Programme (NACAP) is a requisite of trust quality accounts.

*The Scottish Government, on behalf of NHS Scotland and other stakeholders, has been working with HQIP since November 2018 to try and identify a mutually agreeable legal basis that will support Scotland’s continued participation in the NCAPOP (which is a programme of a number of audits including NACAP), specifically around the financial payment for that participation.

Unfortunately, this has not been identified, resulting in withdrawal by the Scottish Government from paying to participate in the national clinical audits. This means that Scottish hospitals and pulmonary rehabilitation services in Scotland will no longer participate in the NACAP.

Adult asthma – continuous clinical audit

This audit launched in 1 November 2018 and aims to collect information on all people admitted to hospital adult services with asthma attacks. Admission data, obtained from patient case notes, is collected and entered into a secure and bespoke audit web tool. The first national clinical audit report was published in December 2019 and details the key findings, as well as quality improvement priorities and recommendations for 2019/20.

COPD and adult asthma - organisational audit

A new organisational audit report was published in March 2020. The snapshot organisational audit collected data on the resourcing and organisation of services. It launched on 1 April 2019 and ran until 1 July 2019. In an effort to reduce clinical burden and duplication of effort this ran as a combined COPD and adult asthma organisational audit with data collection via the bespoke audit web tool.

Adult asthma secondary care good practice repository

The National Asthma and COPD Audit Programme (NACAP) has collated a series of case studies which highlight good practice in audit data collection within the adult asthma audit. These can be accessed via the dedicated adult asthma good practice repository webpage.

Children and young people asthma

Due to differences in the asthma care and management of adults and children and young people, these are run as separate audit workstreams. For more information on the children and young people asthma workstream click here.

Register to participate in the adult asthma worksteam

Registration remains open. Hospitals in England and Wales who admit adult patients with asthma attacks are eligible to participate. If you would like further information about how to register your hospital for the audit, please contact us via asthma@rcplondon.ac.uk or visit the workstream's resources page to download a copy of the registration form. 

Workstream timelines

  • November 2018 – February 2021: continuous clinical data collection 
  • December 2019: publication of first national and hospital level clinical reports
  • March 2020: publication of the COPD and adult asthma national organisational report
  • November 2020: publication of the second national and hospital level clinical reports

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

Contact

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 by email at asthma@rcplondon.ac.uk or by phone on +44 (0)20 3075 1526.

NACAP was preceded by the National Review of Asthma Deaths (NRAD), a case note review of asthma deaths, and the Asthma Audit Development Project (AADP), which worked to inform the specification of, and carry out the foundation work require for, a national asthma audit. Due to differences in the asthma care and management of adults and children, the audit workstream for paediatric asthma (known as the children and young people asthma audit) is run separately.

Who's involved

Organisations

All relevant secondary care providers in England 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 and Outcome Review Plan.

What we have produced

The adult asthma and chronic obstructive pulmonary disease (COPD) organisational audit report 2019 is the first published organisational audit report following the launch of the National Asthma and COPD Audit Programme (NACAP) in March 2018.

The adult asthma clinical audit report 2018/19 is the first published report following the launch of the adult asthma clinical audit in November 2018.

Information and resources developed to help organisations participating in the NACAP secondary care (adult asthma) workstream.

The National Asthma and COPD Audit Programme (NACAP) has collated a series of case studies which highlight good practice in audit data collection within the adult asthma audit.