PCRU

Point-of-care testing of C-reactive protein (CRP) for acute assessment in COPD

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A PCRS Position Statement

Issue 21: Winter 2020 Contents

*PCRU is for healthcare professionals only

• Editor’s Round-Up, Iain Small
• The differential diagnosis of the breathless patient, Noel Baxter and Tracey Lonergan
• Peak flow monitoring and microspirometry as aids to respiratory diagnosis in primary care: more important than ever in times of COVID, Duncan Keeley
• Spirometry and lung function testing in primary care: Your Questions Answered, Carol Stonham
• Influenza vaccination, Ren Lawlor
• Tobacco dependency is a long-term relapsing condition that usually starts in childhood
• Top tips for communicating the benefits of pulmonary rehabilitation to patients, Clare Cook, Siobhan Hollier and Fran Robinson
• Tips for encouraging activity as a gateway to good respiratory health, Clare Cook and Dr Elaine Bevan-Smith
• The Appropriate Use of Rescue Packs, Fran Robinson and Professor John Hurst
• PCRS News

PCRU Highlights

• Asthma Guidelines in Practice
• Focus on Lung Cancer
• PCRS Conference 2020
• Goodbye Anne

Special Features

• Editor’s Round-Up Iain Small
• My COVID-19 Reflections Clare Cook
• Asthma Guidelines in Practice: a PCRS consensus
• Focus on Lung Cancer
• The online PCRS Respiratory Conference 2020
• Fit to Care: key knowledge skills and training for the multidisciplinary team providing respiratory care
• Hard work, tenacity, commitment, determination, drive, support, challenge, dedication Bronwen Thompson

Regular Features

• Policy Round-Up Tracey Lonergan, Noel Baxter
• PCRS News Round-Up

Delivering Excellence Locally

• How enhanced competencies and templates are being used to improve respiratory care in Wales Louise Walby

Affiliated Groups

• How technology can take the stress out of running your local group Emma Thompson

Conference Proceedings Highlights

• Abstracts
• Conference Feedback

Plenary Session Highlights

• Fit for the future: an optimistic view of respiratory care
• Managing Breathlessness: the Breathing, Thinking Functioning approach

Clinical Stream Highlights

• Managing cough in primary care
• Respiratory disease in the context of comorbidities and ageing
• We are SABA Guardians - Ask, Advise, Act.

Service Development Stream Highlights

• Developing Services and Sharing Best Practice in Respiratory Primary Care Medicine

PCRU Highlights

• The role of e-cigarettes in treating tobacco dependence
• FeNO testing for asthma diagnosis: A PCRS consensus
• Poorly controlled and severe asthma: triggers for referral

Special Features

• Editor’s Round-Up Iain Small
• Outgoing Chair’s Perspective: Noel Baxter
• Incoming Chair's Perspective: Carol Stonham
• The role of e-cigarettes in treating tobacco dependence
• FeNO testing for asthma diagnosis: A PCRS consensus
• Poorly controlled and severe asthma: triggers for referral
• Why I hate asthma reviews: a patient perspective
• Countdown to the the PCRS respiratory conference 2019
• 10 top tips for PCN clinical directors: the respiratory long term condition perspective

Regular Features

• Policy Round-Up Tracey Lonergan, Noel Baxter
• Journal Round-Up
• PCRS News Round-Up
• Second opinion: Your respiratory questions answered - What are PEP and IMT devices?

Delivering Excellence Locally

• Implementing Fit to Care in Practice, Carol Stonham
• Nurse develops aide memoire for structured respiratory assessment, Jackie Dale
• Optimising COPD prescribing and improving care, Sarah-Jane Rowlands
• PCRS respiratory leadership programme: case study - Siobhan Hollier
• Affiliated Groups: Tricia Bryant

PCRU Highlights

• PCRS consensus guide to managing COPD
• Become a Quit Catalyst
• Essential Guide to Spirometry
• PCRS Conference 2019

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective Noel Baxter
• All that glitters is not GOLD, nor is it even NICE Vince Mak, Duncan Keeley, Noel Baxter, Kevin Gruffydd-Jones, Carol Stonham, Anna Murphy
• Become a quit catalyst Noel Baxter
• PCRS Respiratory Conference 2019 
• Your essential guide to spirometry

Regular Features

• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• PCRS News Round-Up
• PCRS News - Carol Stonham: respiratory champion
• Second opinion Your respiratory questions answered

Delivering Excellence Locally

• Primary care teams benefit from innovative multidisciplinary respiratory education Francesca Robinson, Emily Heiden
• Community pharmacy training programme set to improve asthma care. Francesca Robinson, Darush Attar-Zadeh
• Affiliated Groups: Are you ready for the digital era? Carol Stonham, Tricia Bryant

Monitoring ICS underuse in asthma and over-reliance on SABA: A sponsored supplement

Improving outcomes in asthma as an inflammatory disease: spotlight on monitoring ICS underuse and over-reliance on SABA: A sponsored supplement

A report of a multi-disciplinary consensus meeting held in December 2018. AstraZeneca organised and fully funded the meeting and the production of this supplement. All meeting participants reviewed and commented upon the content of this supplement. The views expressed are not necessarily those of AstraZeneca or PCRS.

Asset: GB-16467
Date of preparation: April 2019

Issue 16 of PCRU looks back over the year and looks forward to the future of respiratory care 

PCRU Highlights

• Focus on respiratory disease for England
• Respiratory Virtual Clinics
• Conference highlights

Special Features

• Editor’s Round-Up Iain Small
• Chair’s Perspective Noel Baxter
• A focus on respiratory disease for England Mike Morgan and Bronwen Thompson
• Multidisciplinary respiratory virtual clinics Noel Baxter, Binita Kane, George Ng Man Kwong and Jorgen Vestbo
• PCRS 2018 Conference Highlights Fran Robinson
• Collaborations and Partnerships: vital tools for successful research Helen Ashdown
• Conference Abstracts 

Regular Features

• What else can it be? Stephen Gaduzo, Fran Robinson
• Policy Round-Up Bronwen Thompson
• Journal Round-Up
• PCRS News Round-Up
• Second opinion Your respiratory questions answered

Delivering Excellence Locally

• Achieving national spirometry certification in primary and secondary care in Wales: a systematic approach Dr Simon Barry
• PCRS Respiratory leaders programme Dr Dayo Kuku
• Affiliated Groups: Practical solutions for ensuring the long term success of local affiliated groups Fran Robinson

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