Q: My patient smokes cigarettes and has a BMI of 43, they drink 45 units of alcohol a week and their physical activity is limited. What should I do first or is it better to tackle all together?

ASK : ADVISE : ACT Using VBA does not depend on the person's readiness to quit and you do not need to assess it before you start Very Brief Advice or VBA is a simple and

PCRS believe that it is the responsibility of every healthcare professional to treat tobacco dependency systematically and effectively. PCRS advocate that people wishing to quit using tobacco should be offered the most effective but also the least harmful methods first to support a quit attempt.

Dr Roy Robertson is a Professor of Addiction Medicine at the Usher Institute of Population Health Sciences and Informatics at the University of Edinburgh. He has spent much of his career on the frontline of Edinburgh’s heroin problem working as a GP on the Muirhouse estate.

In the third in our series of snapshot case vignettes aimed at illustrating self-management opportunities Dr Iain Small brings you the case of Gerald. Three healthcare professionals have provided their feedback on the case. How would you respond?

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.

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.

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 gui

In this Chair's Perspective from the Spring 2017 edition of Primary Care Respiratory Update, Dr Noel Baxter discusses the importance of early and accurate diagnosis for respiratory conditions.

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

In these two articles from the December 2017 issue of Primary Care Respiratory Update, Dr Andrew Whittamore (Asthma UK) and Mr Mike McKevitt (British Lung Foundation) discuss tools and services available to support self-management in long term respiratory conditions.

In this article published in the December 2017 issue of Primary Care Respiratory Update, Professors' Hilary Pinnock and Stephanie Taylor discuss the evidence for self-management and provide answers to the most common questions arising about what it is and how we as healthcare professionals can su