National Asthma and COPD Audit Programme has closed

NACAP has now transitioned to the National Respiratory Audit Programme. This site will remain available, but will no longer be updated.

Click here to visit the new National Respiratory Audit Programme (

Drawing breath 2023 - Latest NACAP report

The state of the nation’s asthma and COPD care and recommendations for improvement
This report is the first 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 audit programme was commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP) and covered England and Wales from 1 March 2018 to 31 May 2023.

The programme was led by the Royal College of Physicians (RCP) and worked closely with a broad range of organisations including Asthma UK-British Lung Foundation, the British Thoracic Society, Primary Care Respiratory Society UK, Royal College of General Practitioners and the Royal College of Paediatrics and Child Health.

The new National Respiratory Audit Programme (NRAP) builds on the foundations laid by NACAP and continues its programme of continuous audit data collection and reporting for COPD, asmtha (adult and peadiatric asthma) and pulmonary rehabilitation national audits. Use the link above to access the new audit programme.

For more information on the NACAP please visit:

For more information on the NACAP Primary Care audit please visit:

v1.01 Copyright 2018