PCRU

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

PCRU Highlights

• Treatable and untreatable traits
• Equity and equality
• Influenza vaccination: truths and myths

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective Noel Baxter
• Medical complexity: treatable and untreatable traits - challenging health care to move onwards Stephen Gaduzo, Steve Holmes, June Roberts, Iain Small
• The challanges of delivering respiratory care to a rural, coastal, deprived population
• Challanges of working in an inner city practice: illegal drugs use and respiratory illness Roy Robertson

Regular Features

• Getting the Basics Right Influenza vaccination: helping respiratory consultations Gail Miles
• Supported self-management case history Looking beyond the disease Iain Small
• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• PCRS-UK News Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally 
• Very brief advice training as part of a quality improvement scheme Katherine Hickman
• An integrated care project to proactively identify patients with respiratory disease achieves Gold Standard care Fran Robinson, Jayne Longstaff
• Respiratory Leadership Programme Fran Robinson, Deirdre Siddaway
• ‘Be Seen, Be Heard, Be Brave’ - PCRS One-Day Workshop held on 11 July 2018 Fran Robinson
• Affiliated Groups
• Clinical Update Tobaccoo dependency is a long-term relapsing condition that usually starts in childhood

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective: Influencing change Noel Baxter
• Asthma Guidelines in Practice – A PCRS-UK Consensus
• The Appropriate Use of Rescue Packs Fran Robinson
• PCRS-UK National Respiratory Conference Building Confidence in a Changing World 28-29th September 2018,Telford International Centre

Regular Features

• What Else Can It Be? Doug and his Breathlessness Steve Holmes
• Getting the Basics Right Managing dilemmas in respiratory tract infections and antibiotics prescribing Kevin Gruffydd-Jones, Katherine Hickman
• Supported self-management case history Childhood asthma and respiratory infection Iain Small
• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• PCRS-UK News Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally Thinking differently about delivering pulmonary rehabilitation improved patients’ access to education Fran Robinson, Karen Donaldson, Ali Brenton
• Affiliated Groups
• Clinical Update Evaluation of appropriateness of inhaled corticosteroid (ICS) therapy in COPD and guidance on ICS withdrawal

Special Features

• Guest Editor’s Round-Up Carol Stonham
• Chair’s Perspective Noel Baxter
• Supported self-management for respiratory conditions in primary care Stephanie Taylor, Hilary Pinnock
• Technology can revolutionise supported self-management of asthma Andrew Whittamore
• Breathe Easy Patient Support Group Mike McKevitt
• Beyond the respiratory consultation: inspiring lifelong change 2017 conference round-up Fran Robinson
• Self-management: the PCRS-UK Lay Reference Group’s view Fran Robinson, Jane Scullion
• Supported self-management - Do it yourself health? Charles Waddicor, Carol Stonham

Regular Features

• Supported self-management case history Vince Mak
• Policy Round-Up Bronwen Thompson
• PCRS-UK News Round-Up
• Journal Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally Making exercise for breathless people work Alex Woodward
• PCRS-UK Respiratory Clinical Leadership Programme 10th Anniversary
• Surviving and thriving in challenging times: Annual Affiliated Group Leaders meeting Fran Robinson
• Selection of Best Practice Abstracts Submitted to the Primary Care Respiratory Conference 2017

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective Noel Baxter
• PCRS-UK 30th Anniversary Fran Robinson, Anne Smith, Iain Small
• Treatment guidelines for COPD - Going for GOLD? Vince Mak
• New tool may help cut unnecessary antibiotic prescribing for children with coughs and respiratory tract infections Fran Robinson, Steve Holmes, Katherine Hickman

Regular Features

• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• Second opinion Your respiratory questions answered
• PCRS-UK News Round-Up
• Delivering Excellence Locally Investing in you and your future: the Respiratory Leaders Programme Clare Cook, Stephen Gaduzo
• Asthma skills updates are improving the safety and care of youngsters with asthma Fran Robinson, Rajat Srivastava
• PCRS-UK Affiliated Groups Fran Robinson, Melissa Canavan
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

In the Chair's Perspective feature of this edition of PCRU, Dr Noel Baxter discusses the importance of early and accurate diagnosis for respiratory conditions. Also featured is a centre-fold pull-out chart which provides useful and succinct advice for healthcare professionals on appropriate tools to support respiratory diagnosis in primary care.

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective Noel Baxter, "Early and accurate respiratory diagnosis: a patient safety issue needing more serious attention"
• Are you confident in your diagnosis of asthma? Three case histories to challenge you Noel Baxter
• Beyond the respiratory consultation: inspiring lifelong change PCRS-UK National Primary Care Respiratory Conference 29–30 September 2017, Telford International Centre Francesca Robinson
• The impact of a late diagnosis of bronchiectasis Francesca Robinson, Barbara Preston
• Peak flow monitoring and microspirometry as aids to respiratory diagnosis in primary care Duncan Keeley
• Lay Patient and Carer Reference Group: So just how safe are steroids? Bronwen Thompson

Regular Features

• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• Second opinion Your respiratory questions answered
• PCRS-UK News Round-Up
• Delivering Excellence Locally An affordable solution for meeting the standards of the new National Register for quality assured spirometry Francesca Robinson, Vikki Knowles
• The role of the Respiratory Nurse Educator (RNE) in care homes: Respiratory disease management Sarah Newton
• PCRS-UK Affiliated Groups Carol Stonham
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

PCRU Special Pull-out Feature

• Tools to support diagnosis of respiratory disease

Special Features

• Editor’s Round-Up Hilary Pinnock
• Chair’s Perspective Noel Baxter
• Fit for the Future: a holistic approach to respiratory care: 2016 conference round-up Francesca Robinson
• A primary care perspective on the new British asthma guideline Bronwen Thompson, Hilary Pinnock
• Time to take a breath – COPD audit results from primary care Bronwen Thompson, Noel Baxter, Carol Stonham, Kevin Gruffydd Jones
• Certification scheme to raise standards of spirometry for respiratory diagnosis Bronwen Thompson, Monica Fletcher, Stephen Gaduzo, Judith Lawrence
• The Lay Patient and Carer Reference Group – one year on ... Bronwen Thompson, Jane Scullion, Noel Baxter

Regular Feature

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right A summary of PCRS-UK opinion sheets Iain Small, Basil Penny
• Journal Round-Up
• PCRS-UK News Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally The rewards and challenges of setting up an integrated community respiratory service Francesca Robinson, Daryl Freeman
• Affiliated Group Leaders Workshop Francesca Robinson
• Update your clinical practice: BTS/SIGN guideline - Summary individual diagnostic tests

Special Pull-out Feature

• Managing Malnutrition in COPD

Special Features

• Guest Editor’s Round-Up Carol Stonham
• Noel Baxter: leader, advocate and passionate campaigner for high quality respiratory care Noel Baxter
• Why tobacco dependency should be treated as a long-term relapsing condition that starts in childhood Francesca Robinson
• PCRS-UK Lay Reference Group – There’s no smoke without a fire Jane Scullion

Regular Feature

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Why a carbon monoxide test is an essential part of a GP and practice nurse's kit Noel Baxter
• Journal Round-Up
• PCRS-UK News Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally Increasing quitters in general practice frees up clinical time and reduces unplanned admissions Fran Robinson, Sonia Simkins
• Making a difference locally – setting up a local group Jackie Dale
• Respiratory Leaders Programme
• Update your clinical practice: IPCRG Desktop Helper Helping patients quit smoking: brief interventions for healthcare professions

Special Pull-out Feature

• Tobacco dependency is a long-term relapsing condition that usually starts in childhood

Special Features

• Guest Editor’s Round-Up Anne Rodman
• Chair's perspective: A reflection on my three years in office Stephen Gaduzo
• Fit for the Future: a holistic approach to respiratory care Francesca Robinson
• Self-management: Use of rescue medication for COPD Francesca Robinson, Sandy Walmsley

Regular Feature

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Clinical audit Tricia Bryant
• Service Development How smart use of templates and coding can improve respiratory care Fran Robinson, Anne Rodman
• GP produces guidance for bronchiectasis and cough to improve referrals Fran Robinson, Lesley Ashton
• Journal Round-Up
• PCRS-UK News Round-Up
• Second opinion Your respiratory questions answered
• Delivering Excellence Locally Celebrating 10 years of high quality respiratory care: The Bristol Community Health Respiratory Service Fran Robinson, Clare Cook
• Making a difference locally - setting up a local group
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

Special Features

• Guest Editor’s Round-Up Ruth Thomas
• Chair's perspective: Implementing our new direction Stephen Gaduzo
• Primary Care Respiratory Society launches PCRS-UK Respiratory Academy Francesca Robinson
• Be trained to do the job you do: our campaign for better education Francesca Robinson
• The new PCRS-UK Lay Reference Group Jane Scullion

Regular Feature

• Policy Round-Up Bronwen Thompson
  Getting the Basics Right Inhaler technique Tricia Bryant, Stephen Gaduzo, Stephanie Wolfe
  Service Development Noel Baxter
  Journal Round-Up
  PCRS-UK News Round-Up
  Second opinion Your respiratory questions answered
  Delivering Excellence Locally Educating the local multidisciplinary team: the Hull and East Riding Airway Focus Group Fran Robinson, Joanne Thompson
  Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

Special Pull-out Feature

• The building blocks of a good asthma or COPD review in adults

Special Features

• Editor’s Round-Up Hilary Pinnock
• Chair's perspective: A new direction for PCRS-UK Stephen Gaduzo
• Inspiring, thought provoking and challenging: the PCRS-UK 2015 national conference Francesca Robinson

Regular Feature

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Managing dilemmas in respiratory tract infections and antibiotics prescribing Fran Robinson, Kevin Gruffydd-Jones
• Top Tips: Breathlessness Noel Baxter, Debbie Roots
• Pulse oximeters to self-monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma Robin Carr
• Journal Round-Up
• PCRS-UK News Round-Up
• Delivering Excellence Locally Scanning the horizon: How to get ahead of the game Fran Robinson
• Enthusiastic new PCRS-UK affiliated group launches in North Shields Fran Robinson, Judith Lawrence
• PCRS-UK leadership programme inspires two practice nurse entrepreneurs to aim high Fran Robinson
• PCRS-UK Respiratory Leadership Programme 2016 Noel Baxter
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

Special Pull-out Feature

• Home oxygen prescribing: An update

Special Features

• Editor’s Round-Up Hilary Pinnock
• Chair's perspective: The critical importance of diagnosis. Why we must get it right. Stephen Gaduzo
• Nurses: Are you ready for revalidation? PCRS-UK is here to help. Francesca Robinson

Regular Feature

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Fractional Exhaled Nitric Oxide testing Fran Robinson
• Journal Round-Up
• PCRS-UK News Round-Up
• British Lung Foundation Professionals 
• Delivering Excellence Locally 
  • Delivering Excellence Locally in West Yorkshire Fran Robinson, Dr Anuj Handa
  • Delivering Excellence Locally in the East of England Fran Robinson, Daryl Freeman
• PCRS-UK Resources and Improvement Tools: Reviewing diagnosis
• New respiratory leaders inspired by PCRS-UK leadership event
• PCRS-UK Affiliated Group Leaders Meeting
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

Special Pull-out Feature

• Your essential guide to spirometry

Special Features

• Editor’s Round-Up Hilary Pinnock
• Chair's perspective: Why it is important that we continually strive to provide the best respiratory care for our patients Stephen Gaduzo
• Expand your horizons at the premier respiratory conference for primary care Francesca Robinson

Regular Features

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Allergic rhinitis: A common problem, not to be sneezed at! Stephanie Wolfe
• Journal Round-Up
• PCRS-UK News Round-Up
• Delivering Excellence Locally Practice Nurse is inspired to improve asthma care after reading NRAD report Francesca Robinson, Sarah Anderson
• Improvement Tools National Review of Asthma Deaths – Have you taken appropriate steps to protecting your patients with asthma? Iain Small
• NHS Medway and Swale CCG using Stepping Down Triple Therapy Practice Improvement Worksheet Tricia Bryant
• Regional Leaders Workshops offer support and inspiration Francesca Robinson, Deirdre Siddaway, Carla Astles
• PCRS-UK Affiliated Groups - A powerful tool for education and professional development, camaraderie and local support Carol Stonham, Tricia Bryant
• Update your clinical practice: Practical approach to managing exercise-induced asthma in children and adults

Special Features

• Editor’s Round-Up Hilary Pinnock
• Chair's perspective: Lessons on preventing exacerbations from the National COPD Audit Stephen Gaduzo
• New approaches to care which help to prevent exacerbations Francesca Robinson

Regular Features

• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• PCRS-UK News Round-Up
• Delivering Excellence Locally New respiratory network is sharing good practice in West Yorkshire Francesca Robinson, Anuj Handa
• PCRS-UK Affiliated Local Nurse Groups form a lifeline for practice nurses in Oxfordshire Robin Carr
• PCRS-UK Improvement tools in practice Simply EQUIPPed to Practice Scullion JE, Murphy AC, Jackson DP, Cooke J
• East Kent Prescribing Group using PCRS-UK 'stepping down triple therapy' worksheet Tricia Bryant
• Respiratory Leaders Programme Top tips for setting up a successful project Francesca Robinson
• npj Primary Care Respiratory Medicine: Celebrating a successful first 9 months Joe Bennett, Emma Hedington
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

Special Pull-Out Feature

• Getting the Basics Right Your essential guide to the management of COPD

Special Features

• Editor’s highlights Hilary Pinnock
• Chair's perspective: Whose health is it anyway? Don’t forget about me: successful approaches to working with patients Stephen Gaduzo
• Was our conference as patient centred as we hoped? Francesca Robinson

Regular Features

• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Supporting healthcare professionals to deliver patient-centred care Tricia Bryant
• Journal Round-Up
• PCRS-UK News Round-Up
• Delivering Excellence Locally How to lead a successful project: Respiratory Leaders event Francesca Robinson, Noel Baxter
• Working together locally: Group Leaders and Champions share good practice at networking workshop Francesca Robinson
• Running an affiliated group: keeping the momentum going Francesca Robinson, Sally King
• Get involved - Become a PCRS-UK Respiratory Champion
• Practice Improvement PCRS-UK Practive Improvement Tools make it easier to achieve high standards of care Francesca Robinson, Anne Rodman
• Baby steps.... family gains Planning on implementing practice improvement worksheets in your practice Deirdre Siddaway
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine

• Welcome to this PCRS-UK inaugural edition of Primary Care Respiratory Update Hilary Pinnock
• Chair's perspective: Why do people die from asthma – have we become complacent in primary care? Stephen Gaduzo
• Policy Round-Up Bronwen Thompson
• Getting the Basics Right Why Asthma Still Kills – Actions you can take now to help reduce asthma deaths Hilary Pinnock, Tricia Bryant
• Journal Round-Up Paul Stephenson, Aziz Sheikh
• PCRS-UK News Round-Up
• Delivering Excellence Locally June Roberts , Steve Holmes, Sara Askew
• Unlock, explore and achieve your leadership potential with the Respiratory Leaders Programme Noel Baxter, Sara Askew
• Set up (or join) a local respiratory group and make a real difference in respiratory care in your area Sara Askew, Carol Stonham
• PCRS-UK Quality Improvement Programmes: Equipping you to deliver excellence locally 
  • NEW … PCRS-UK Practice Improvement Worksheets Iain Small, Morag Reilly
  • NEW… Effecting Quality in Practice (EQUIP) Tricia Bryant, Anne Smith
• PCRS-UK Quality Award – Get recognised for the difference you make in respiratory care 
• Update your clinical practice: excerpt of educational item from npj Primary Care Respiratory Medicine