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

The secondary care (adult asthma) workstream, due to commence in November 2018, will comprise 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.

What we are doing

Participation in the secondary care workstreams of the National Asthma and COPD Audit Programme (NACAP) is a requisite of trust quality accounts.

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, will be collected, and entered into a secure and bespoke audit web-tool

Adult asthma - organisational audit

A biennial snapshot organisational audit which will collect data on the organisation and resource of services. In an effort to reduce clinical burden and duplication of effort it will be run as a combined COPD and adult asthma organisational audit with data collection via the bespoke audit web-tool.


Registration for the adult asthma workstream of NACAP is now open. Hospitals in England, Scotland and Wales who admit adult patients with adult attacks are eligible to participate.

We are also looking for pilot hospitals to test the online dataset in August. This is a unique opportunity to view and feed back on the dataset before it launches in November.

If you would like further information about how to register your hospital for the audit and/or as a pilot hospital please email

Workstream timelines

  • March–November 2018: recruitment of hospitals for adult asthma workstream
  • June 2018: web-tool and dataset pilot
  • November 2018: start of continuous clinical data collection for adult asthma
  • November 2018–February 2021: continuous clinical data collection
  • September 2019 and 2020: planned publication of national clinical report
  • April–December 2019: COPD and adult asthma organisational audit
    • April-June 2019: data collection
    • July-December 2019: analysis and report preparation
  • December 2019: planned publication of COPD and adult asthma national organisational report

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 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

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