This comprehensive primary care snapshot audit report for Wales in 2014–15 is the first for a UK nation, and it offers insight into the clinical effectiveness of COPD care in the general practice setting. Local health board reports and a quality improvement (QI)-focused slide set are also available.
A diagnosis of COPD should be made accurately and early. If the diagnosis is incorrect, any subsequent treatment will be of no value.
People with COPD should be offered interventions according to value-based medicine principles.
People with severe disease (categorised according to the extent of airflow limitation) should be identified for optimal therapy. COPD encompasses a broad spectrum of conditions and health statuses and a personalised approach is essential.
There should be better coding and recording of COPD consultations, prescribing and referrals.
The report combines publicly available Quality Outcomes Framework data with data extracted from 280 general practice systems, to look at the quality of diagnosis, treatment, and recording of care for over 48,000 patients with COPD in the primary care setting.
The audit has also published, and made available to download, seven local health board (LHB) reports. These detail the results at local health board and cluster levels.
Finally, the audit team have created a quality improvement (QI)-focused slide set, which includes the key national findings. This is designed for us by general practice staff, as well as by members of the local health board, cluster and government teams involved in the planning of primary care. This is available to download, along with a summary document.
This report is relevant to anyone with an interest in COPD. It provides a comprehensive picture of the quality of care for people with COPD in primary care in Wales, but is equally of interest to other UK nations. It will enable lay people, as well as experts, to understand where change needs to occur.
The information, key findings and recommendations outlined in this report are designed to provide readers with a basis for identifying areas in need of change and to facilitate development of improvement programmes that are relevant not only to primary care services, but also to commissioners and policymakers.