The AHSN Network supported the spread of FeNO testing across primary care in England from April 2021 to March 2023, led by Wessex AHSN as the lead AHSN. This programme was delivered as part of the NHS England Accelerated Access Collaborative Rapid Uptake Programme.

Issue 15 of PCRU examines the challenges of tackling multimorbidity in patients with respiratory disease and equality in patient populations.

This issue of Primary Care Respiratory Update takes a look at the past, the present and the future.

This edition sees a focus on antibiotics – a hardy perennial topic that requires regular re-visitation. Whether for respiratory infections or as part of rescue pack use, the practical guidance given, together with the views of patients, aims to support your decision-making in practice.

This issue of PCRU introduces our latest pragmatic guide on severe asthma which guides you through this process ensuring the right patients end up in the right place with the right care.

Digital health has come to the fore with the COVID pandemic. Some apps and digital strategies are welcome and we wish we had adopted them years ago – other initiatives are not so effective and we have concerns about how they will affect the healthcare we provide.

Can Only Plan Daily - COPD is a serious disease needing the right diagnosis and treatment with the person’s need sitting front and centre.

This edition of PCRU has a flavour of 'out with the old and in with the new', as it is the last one in which we will feature Noel Baxter's thoughts and reflections from the Chair.

Key learning points: • Taking a history, doing the examination, chest X-ray and spirometry are really important • Look for red flags and refer these patients straight to secondary care. • Do the basics which will point you towards the things you can do in primary care.

Asthma Guidelines in Practice – A PCRS Consensus is a practical and pragmatic guide for healthcare professionals working in primary and intermediate care.  This guide was commissioned to provide clarity on aspects of diagnosis, management and monitoring of asthma that are uncertain

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

Katherine Hickman (GP - Bradford, Respiratory Lead for West Yorkshire and Harrogate ICS, and PCRS Vice-Chair) is joined by Daryl Freeman (Associate Clinical Director for Norfolk Community Health and Care and PCRS Service Development Lead) and Vince Mak (Consultant Physician in Respiratory Integra