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Developed by the PCRS Service Development Committee, the Respiratory Service Framework (RSF) helps those looking to design a patient focussed respiratory service working across all sectors of out of hospital care to see the ideal components for a given population of patients. It has been designed to be applicable and helpful to those delivery care at a PCN or ICS level.

In this article from Primary Care Respiratory Update, Spring 2018, Fran Robinson, discusses the use of rescue packs with Dr John Hurst, Honorary Consultant at the Royal Free London NHS Foundation Trust and Reader in Respiratory Medicine at University College (UCL) London.

In this article from the Spring 2018 issue of Primary Care Respiratory Update, Dr Noel Baxter discusses how to influence change.

In this feature from the Spring 2018 issue of Primary Care Respiratory Update, Dr Stephen Holmes discusses a case history of a presentation of mesothelioma.

Second Opinion.  Your respiratory questions answered… This question was posted by a PCRS-UK member and is answered by Dr Iain Small and Dr Vince Mak. Question I attended the PCRS conference in 2016 and there was a presentation by a Physician who was talking about the use of blood eosinophil count as a useful criteria for inhaled corticosteroids use in patients with COPD.

This guide provides an algorithm to identify people with chronic obstructive pulmonary disease (COPD) who might benefit from ICS treatment and those in whom it may not be appropriate, and an approach to withdrawing ICS in patients in whom it is not needed.   The guide has been adapted for UK use with permission from the IPCRG.

In this article from PCRU Spring 2017 Fran Robinson interviews Barbara Preston, a member of the PCRS Lay Reference Group, who had bronchiectasis as a child but was not diagnosed until she was an adult, the article illustrates how this delay to diagnosis impacts on the patient.

Asthma Guidelines in Practice – A PCRS Consensus is a practical and pragmatic guide for healthcare professionals working in primary and intermediate care.  This guide was commissioned to provide clarity on aspects of diagnosis, management and monitoring of asthma that are uncertain due to differences between current national UK guidelines.

Primary Care Respiratory Update produces a regular feature article where we explore how healthcare professionals can support self-management in a range of conditions.  These include:-