Current NRAP reports

The primary role of NRAP is to support individual clinical teams to make improvements in the quality of care they deliver.

The combined reports (State of the Nation (Drawing Breath) and Outcomes) cover multiple or all workstreams – primary care, secondary care (adult asthma, children and young people asthma and COPD) and pulmonary rehabilitation.

You will find these reports below, along with additional resources:

data analysis and methodology reports
benchmarked key indicators
slides to support quality improvement activity

Organisational Audit Webpage Banner Image 2

Organisational audit 2022-24

The NRAP organisational audit report 2024 details information on the resourcing and organisation of asthma and COPD care in hospitals, and PR services in England and Wales. The data collection for the audit ran from 26 February to 29 March 2024. The audit collected cohort data from 1 April 2022 to 31 March 2023 for admissions information, and here static data snapshots were required, for example number of beds, this was taken from September 2023. Staffing information was contemporaneous snapshot of the data from early 2024. The report uses wholly completed data submitted from 425 hospitals/services in England and Wales. This report includes five national recommendations relevant to key decision makers and commissioners. 

Report

12/09/24

Wales primary care clinical audit report 2021-23

This report presents results from an analysis of asthma and chronic obstructive pulmonary disease (COPD) primary care data in Wales from the Welsh primary care audit component of the National Respiratory Audit Programme (NRAP). Data were obtained from 359 general practices in Wales in February 2024 and capture activity between 1 August 2021 and 31 July 2023. This report includes five national recommendations relevant to key decision-makers and commissioners.

Report

11/07/24

Breathing well – clinical audit report 2022/23

Breathing well is a state of the nation review of care for people with asthma and COPD in hospital, and for people with COPD accessing pulmonary rehabilitation, between 2022-2023 in England and Wales. The report is compiled using data from 676 services in England and Wales that participated in NRAP. This report includes four national recommendations relevant to key decision-makers and commissioners.

01/02/24

Impact reports

NRAP exists to create a positive impact on the care of people living with respiratory conditions. Each year we publish a one-page impact report which looks at what impact we have achieved and how. The report can focus on either the national, local, system or public impact of NRAP. These impact reports are submitted to HQIP, our commissioners.

Report

13/06/23

Clinical outcomes summary report - 2018/20

The clinical outcomes summary report is the first combined outcomes report produced by NACAP. It presents information on the 30- and 90-day outcomes of 107,761 adults and 6,716 children and young people who were admitted to hospitals in England, Scotland and Wales for asthma or COPD and whose data were submitted to the NACAP adult asthma; children and young people asthma; or COPD secondary care audits between 2018 and 2020.

Report

28/02/23

Drawing Breath - clinical audit report 2021/22

Drawing Breath is the first ‘state of the nation’ report to combine data on asthma, COPD and pulmonary rehabilitation across primary and secondary care services to underpin key messages, optimising respiratory care across the pathway. This report includes recommendations for commissioners and providers, clinical teams and people with asthma and COPD, their families and carers.

Current reports

Organisational audit 2022-24

Wales primary care clinical audit report 2021-23

Breathing well – clinical audit report 2022/23

Impact reports

Clinical outcomes summary report - 2018/20

Drawing Breath - clinical audit report 2021/22