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

The secondary care (adult asthma) workstream comprises two parts: a continuous clinical audit of people admitted to hospital adult services in England, Scotland 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.

What we are doing

Adult asthma – continuous clinical audit

This audit 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.

This audit launched on 1 November 2018. If your hospital is not currently participating in the audit they can still do so by contacting the NACAP team on

COPD and adult asthma organisational audit

A snapshot organisational audit was 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. Data on the resourcing and organisation of services was collected; the dataset for this audit is still available on the asthma resources page for information purposes. A national organisational audit report, based on an analysis of data collected, is due to be launched in Spring 2020.

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.


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 +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 asthm audit) is run separately.

Who's involved


All relevant secondary care 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 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.