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In this article, the authors provide a pragmatic consensus approach to calculating and interpreting peak expiratory flow rate (PEFR) variability and reversibility from peak flow diary recordings for asthma diagnosis. This guide is intended for healthcare professionals working in primary care. Please see the links in the references for more information on the evidence and value of peak flow monitoring

In June's In Conversation webinar we are joined by Dr Llinos Jones, who is a Consultant Respiratory Physician with a specialist interest in asthma and Clinical Lead for Physician Associates at Mid Yorkshire NHS Trust.Llinos is passionate about tackling health Inequalities and has created a number of fantastic multilingual resources in order to support asthma patients. During this webinar Llinos talks about how we can improve our patients care and understanding by overcoming cultural and language barriers.Some useful handouts courtesy of Llinos:

In this episode we hear from Dr Aarti Bansal about the importance of delivering greener kinder respiratory health with PCRS Executive Chair, Katherine Hickman. Aarti explains how she communicates the importance of sustainable practices to her patients.During the podcast Aarti and Katherine discuss the importance of working together with colleagues to educate your patients on how best to use their medication and what lifestyle practices will provide a benefit to their health. They highlight that being kind to your patients is the key.

In this Pulmonx Sponsored PCRS Podcast, Dr Fiona Mosgrove (GP and PCRS Education Committee Member) is joined by Dr Neil Greening (Consultant Respiratory Physician in Leicester who leads one of the UK's largest LVR services) for a discussion about what Lung Volume Reduction Surgery (LVRS) is, the prevalence of COPD and which patients should we aim to refer, what we can do in Primary Care, how to start discussions about the procedure and what assessments should we looking into.

PCRS welcomes the opportunity that digital respiratory healthcare and the collection and analysis of respiratory data could bring. However, new technology for use in primary care must be interoperable with current patient consultation and management systems, should not be mandated for patients and should be an option as part of shared decision making. New respiratory digital health interventions must, as well as being clinically and cost effective also preferentially attend to the factors that currently maintain respiratory health inequality.

In this episode we hear from Rachel Daly, Lead Nurse - Airways, Manchester Airways Service who discuss will the topic of allergic and non-allergic rhinitis with PCRS Executive Chair, Katherine Hickman. The discussion covers the importance of treating rhinitis and allergic rhinitis in patients who present with symptoms related to conditions such as asthma and upper airway conditions including inducible laryngeal obstruction and breathing pattern disorder.

In May's instalment of In Conversation we were joined by Ian Sinha, Consultant Respiratory Paediatrician and Honorary Professor of Paediatrics, Alder Hey Children’s Hospital, Liverpool to discuss the topic of health inequalities and their impact on childhood asthma.

Exacerbations, or 'flare-ups', can be common occurrences for some individuals with COPD. These are periods when breathing can be difficult, physical activity is harder and inhalers need to be taken more frequently. They may also require admission to hospital. People with COPD must know these are not normal, and they need to seek help promptly.