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According to the Global Initiative for Asthma (GINA) asthma control is assessed in two domains: symptom control and risk of adverse outcomes.  Poor symptom control is budensome to patients and increases the risk of exacerbations, but patients with good symptom control can still have severe exacerbations.[1]

In the final podcast of the PCRS One Airway, One disease series we focus on the treatment of allergic rhinitis and real-life application using British and European guidelines.

The second episode in our PCRS One Airway, One Disease Podcast series is hosted by Ren Lawlor (Advanced Nurse Practitioner, London) who is joined by Katherine Hickman (GP, Bradford) to discuss the differential diagnosis, identification, and recognition of allergic rhinitis with real life application. They cover what you can do in your consultations to identify and/or diagnose allergic rhinitis; examination, symptoms, testing, co-morbidities, and triggers; and, example questions that you can pose to your patients to help this identification process.

In this first episode of our PCRS One Airway, One Disease Podcasts Series, we are joined by Dr Steve Holmes (GP, Somerset) and Frances Barrett (Respiratory Nurse Specialist, NI) who discuss the prevalence, pathology, and the significance in treating patients with Allergic Rhinitis.    

In this PCRS Podcast Dr Steve Holmes (GP and PCRS Executive Committee Member) is joined by Dr Robina Coker (Consultant & Honorary Senior Lecturer in Respiratory Medicine at Hammersmith Hospital and Imperial College London, and Clinical Director of the NationaI Institute of Health Research (NIHR) London North West Clinical Research Network) to talk about air travel for passengers with respiratory disease, and the recommendations for managing those passengers.

The AHSN Network supported the spread of FeNO testing across primary care in England from April 2021 to March 2023, led by Wessex AHSN as the lead AHSN. This programme was delivered as part of the NHS England Accelerated Access Collaborative Rapid Uptake Programme. The resources created as part of that programme have been shared with the PCRS to host as a legacy of the programme. We’d like to express our thanks to Wessex AHSN for sharing these resources with us, which are accessible below.

Virtual consultations, virtual wards and virtual pulmonary rehab have enabled continued safe patient – practitioner interaction during the COVID-19 pandemic and looks set to remain in place due to clear benefits in terms of protecting vulnerable patients from unnecessary infection or travel, keeping costs down, and convenience both to patient and clinician.

The Fit to Care document was initially developed to guide and support clinicians working with patients with respiratory disease. Since it’s first publication primary care has seen huge changes in the dynamics of the workforce providing this care. The document now applies equally to doctors, nurses, pharmacists, physiotherapists, paramedics and other allied healthcare professionals involved in the care of people with respiratory conditions.