In this short article for Spring 2019 issue of Primary Care Respiratory Update, Carol Stonham and Tricia Bryant reflect on recent advances in digital technology which may help and support affiliated groups to maintain momentum, retain engagement of members and help facilitate virtual meetings to

Respiratory nurse practitioner Carol Stonham will achieve two PCRS firsts when she takes over from Dr Noel Baxter as Executive Chair in September 2019. She will become both the first female and the first nurse leader, reflecting the changing and progressive outlook of PCRS.&nb

Fran Robinson talks to Dr Dayo Kuko on her experience of the PCRS Respiratory Leader Programme and how it has helped her deal with conflict, influence others and gain confidence in her professional role.

This PCRU article features initiatives led by PCRS members around the UK, supported by PCRS programmes and tools. Achieving national spirometry certification in primary and secondary care in wales: a systematic approach.

In this regular PCRU feature we explore cases of rarer lung conditions and their presentation.

Fran Robinson interviews Dr Noel Baxter, Dr Binita Kane, Dr Georges Ng Man Kwong and Dr Jørgen Vestbo, to discuss their experience of setting up and running multidisciplinary respiratory virtual clinics.

Bronwen Thompson discusses the respiratory long-term plan for England with Professor Mike Morgan, National Clinical Director for Respiratory Disease at NHS England.

Q: My patient smokes cigarettes and has a BMI of 43, they drink 45 units of alcohol a week and their physical activity is limited. What should I do first or is it better to tackle all together?

ASK : ADVISE : ACT Using VBA does not depend on the person's readiness to quit and you do not need to assess it before you start Very Brief Advice or VBA is a simple and

Please read the guidance notes which provide potential steps and questions to ask when using the Asthma Slide Rule.

PCRS believe that it is the responsibility of every healthcare professional to treat tobacco dependency systematically and effectively. PCRS advocate that people wishing to quit using

Dr Roy Robertson is a Professor of Addiction Medicine at the Usher Institute of Population Health Sciences and Informatics at the University of Edinburgh. He has spent much of his career on the frontline of Edinburgh’s heroin problem working as a GP on the Muirhouse estate.

In the third in our series of snapshot case vignettes aimed at illustrating self-management opportunities Dr Iain Small brings you the case of Gerald. Three healthcare professionals have provided their feedback on the case. How would you respond?

Are you interested in or concerned about respiratory care and services in your area? Would you like to improve the quality of care for patients with respiratory disease and feel you need some help to make that case to your practice manager or local commissioner?

Developed by the PCRS Service Development Committee, the Respiratory Service Framework (RSF) helps those looking to design a patient focussed respiratory service working across all sectors of out of hospital care to see the ideal components for a given population of patients.