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Historically, clinical decision rules have been used to guide antibiotic prescribing for patients presenting with signs and symptoms that indicate possible RTIs or infectious exacerbations of chronic obstructive pulmonary disease (IE-COPD). Use of point of care testing (POCT) for C-reactive protein (CRP) addresses clinical uncertainty to support not prescribing antibiotics in appropriate low-risk patients. This approach has been shown to reduce unnecessary antibiotic use and is therefore an important tool in ensuring antibiotics are used appropriately.

Our intention is for the upper airways to be considered in tandem with the lower airways to avoid misdiagnosis and undermanagement. Implications for diagnosis and treatment are discussed and an algorithm offered. Both the original document and this summary have been produced as a consensus document based on a working group comprising PCRS members

Dr Steve Holmes - Somerset: A Whole Practice Approach to Greener Healthcare This case study from Dr Steve Holmes provides an overview of the changes he and his colleagues have made over the past twenty years in order to improve not just the practice they run and how it operates, but also play its part in helping to maintain and improve the wider community that it is based in.

This 'Get Winter Wrapped' issue focuses on the twin challenges of winter pressures and coping with COVID-19.  

Listen to our Asthma Myths PodcastFrances explains how some people with asthma view their symptoms as an unavoidable part of

Listen to our Asthma Myths PodcastKatherine explains the importance of basic asthma care and shares her expe

Listen to our Asthma Myths PodcastDarush explains how HCPs can educate and empower patients to optimize their asthma treat

Listen to our Asthma Myths PodcastDespite the reality of high asthma death rates in the UK, Asthma Myths mean many do not take the condition seriously.

This is the first time Darush has met Nicky to undertake an annual review during which he identifies that Nicky's asthma has deteriorated in recent weeks.  Using some of the PCRS Asthma Right Care resources he explores her symptoms and possible over-reliance on SABA.