PCRS recognises a need for improvement in the timely diagnosis of people living with chronic breathlessness and generally welcomes the NHS England diagnostic pathway support tool. PCRS has some concerns that a diagnostic algorithm can communicate an oversimplification of diagnosis.

Concerns about the environmental impact of the propellant gases used in pressurised metered dose inhalers (pMDIs) and the plastics used in all single-use inhaler devices have made them an important focus for efforts to reduce the environmental impact of the NHS.

The Primary Care Respiratory Society (PCRS) advocates a pragmatic approach to the pharmacological management of patients with chronic obstructive pulmonary disease (COPD) guided by the predominance of breathlessness and/or exacerbations and the presence or absence of comorbid asthma.

Spirometry, a test used to measure and monitor lung function, is an important component of the diagnosis, management and monitoring of respiratory conditions in primary care.

PCRS support initiatives to improve air quality and minimise short- and long-term damage to the environment, particularly those with an impact on climate change resulting from greenhouse gases.

PCRS supports the UK National Screening Committee’s recommendation that people at high risk of lung cancer have screening and encourage the committee to ensure that the screening programme maximises opportunities for diagnosis of lung disease beyond lung cancer and to ensure ongoing provision of

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