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Dr Steve Holmes - Somerset: A Whole Practice Approach to Greener Healthcare This case study from Dr Steve Holmes provides an overview of the changes he and his colleagues have made over the past twenty years in order to improve not just the practice they run and how it operates, but also play its part in helping to maintain and improve the wider community that it is based in.

Can Only Plan Daily - COPD is a serious disease needing the right diagnosis and treatment with the person’s need sitting front and centre. ‘All that glitters is not GOLD, nor is it even NICE’ is a consensus-based article that sets out a simple treatment pathway based on the predominant characteristics of COPD for an individual – whether symptoms or exacerbations – distilled from current guidelines.

This edition of PCRU has a flavour of 'out with the old and in with the new', as it is the last one in which we will feature Noel Baxter's thoughts and reflections from the Chair. His successor, Carol Stonham, is fast off the mark though with her superb and clinically invaluable consensus article on the use of fractional exhaled nitric oxide (FeNO) in clinical practice.

Key learning points: • Taking a history, doing the examination, chest X-ray and spirometry are really important • Look for red flags and refer these patients straight to secondary care. • Do the basics which will point you towards the things you can do in primary care. • If you are worried about patients at any stage or feel you haven’t got a clue – you can refer them to secondary care at any stage

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.

This 'Get Winter Wrapped' issue focuses on the twin challenges of winter pressures and coping with COVID-19.  

Listen to our Asthma Myths Podcast Frances explains how some people with asthma view their symptoms as an unavoidable p

Listen to our Asthma Myths Podcast Katherine explains the importance of basic asthma care and shares h

Listen to our Asthma Myths Podcast Darush explains how HCPs can educate and empower patients to optimize their asthm