‘There's nowt stranger than folk.’ This session will shed some light on this old Yorkshire saying and its implications for respiratory disease.We have effective treatments for many respiratory conditions but their impact on outcomes is limited by patient non-adherence.

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. Patients themselves may also be concerned about the environmental impact of their inhalers and express a preference for alternatives.

Chronic cough is a common present

Chronic cough in adults is defined as a cough lasting longer than 8 weeks. It is a common reason for primary care consultations and may become a long-term condition in its own right, driven by cough hypersensitivity and multiple treatable traits. Many patients experience repeated healthcare visits before receiving effective treatment. For those with refractory chronic cough (RCC), the mean delay to diagnosis is approximately 8 years.

Chronic breathlessness in adults is defined as breathlessness lasting longer than 8 weeks. It is among the most common reasons people consult in primary care, and it frequently becomes a long-term condition driven by multiple treatable traits rather than a single disease. Many patients attend healthcare settings repeatedly before an explanatory diagnosis and effective management plan are reached.

The UK is now exposed to more extreme weather conditions than ever before:Hot weather and heatwavesDroughts and risk of wildfiresPeriods of heavy rain and flash floodingIncreased pollution and pollen levelsAll of these put the health and wellbeing of people with respiratory conditions at risk.

Chronic cough and breathlessness are among the most common and challenging respiratory symptoms encountered in primary care, contributing significantly to consultation demand, repeat attendances, diagnostic uncertainty and pressure on already stretched NHS resources. This webinar explores the missed opportunities in the assessment and management of chronic cough and breathlessness across primary care in the UK, set against the realities of today's NHS landscape.

This position statement outlines the rationale, core principles and practical steps for implementing risk-stratified asthma care across UK primary care, ensuring patients at medium and high risk receive timely review, optimisation of therapy and personalised support to reduce future risk.In summary, the position of the Primary Care Respiratory Society (PCRS) is that:

Join our Executive Chair Darush Attar-Zadeh, as he shares guidance and support for how we can protect our youth from smoking and vaping.Supporting patients to quit tobacco remains one of the most cost‐effective interventions a healthcare professional can offer because it delivers immediate and long‐term health gains while reducing the burden on health services. Helping someone stop smoking lowers their risk of cancer, heart disease, stroke, respiratory illness and surgical complications, and these improvements begin within days.