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.

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An integrated disease management (IDM) and structured follow up intervention reduces severe exacerbations and urgent primary care visits in people with high risk COPD.

Updated guidance on the diagnosis and treatment of non-small-cell and small-cell lung cancer has been published by NICE.

A mobile friendly asthma slide rule has been added to the Asthma Right Care website.

Monitoring ICS underuse in asthma and over-reliance on SABA: A sponsored supplement. Improving outcomes in asthma as an inflammatory disease: spotlight on monitoring ICS underuse and over-reliance on SABA: A sponsored supplement.

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?

Primary care clinicians are reminded that important changes to respiratory QOF indicators introduced by the new GP contract become effective from April 1. The changes are:

Tobacco dependency support is declining in GP practices and pharmacies and only half of local authorities now offer universal specialist stop smoking services.

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

An overloaded health system, lack of smoking cessation services and insufficient training are preventing primary care practitioners from using evidence based interventions to help patients to quit smoking.

Nominations have opened for the Chief Allied Health Professions Awards creating an opportunity for allied health professionals to showcase their innovative and high quality respiratory work.