In a time of uncertainty and financial pressure, this issue of Primary Care Respiratory Update (PCRU) is a vital resource for anyone working in respiratory care. As Integrated Care Boards across England face significant budget cuts, programmes that have taken years to build are now under threat. But rather than retreat, we must respond with purpose, unity, and evidence.
This edition provides the insight and tools needed to advocate for sustainable, outcome-focused respiratory care. It highlights how environmentally responsible prescribing – such as the recommendations in the PCRS Position Statement on Reliever Inhalers – can improve patient outcomes while aligning with NHS priorities like Net Zero.
We must demonstrate that investing in respiratory services is not a luxury, but a necessity. Use this issue to support your business cases, drive local innovation, and engage with ICBs, PCNs, and health boards. Together, we can ensure that respiratory care remains high on the agenda – and that it continues to evolve for the better, even under pressure.
