PCRS Position Statement: Serious Concerns Regarding the Erosion of Respiratory Leadership and Expertise Across ICBs, Regions and Primary Care Networks

The Primary Care Respiratory Society UK (PCRS) is increasingly alarmed by the widespread and accelerating loss of respiratory leadership, expertise and strategic capacity across Integrated Care Boards (ICBs), regional NHS structures, and Primary Care Networks (PCNs). This erosion is occurring at the very time when national policy places unprecedented expectations on primary care and systems to transform and deliver high-quality respiratory care closer to home.

The cumulative loss of leadership at national, regional and PCN level is jeopardising respiratory service continuity, stalling innovation, weakening clinical governance, and driving further unwarranted variation in care across England.