Professor David Halpin highlights key learnings for primary care from the updated GOLD strategy for chronic obstructive pulmonary disease

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Read the related Guidelines summary

Implementation actions for STPs and ICSs

written by Dr David Jenner, GP, Cullompton, Devon

The following implementation actions are designed to support STPs and ICSs with the challenges involved with implementing new guidance at a system level. Our aim is to help you consider how to deliver improvements to healthcare within the available resources.

  • Ensure that the 2020 GOLD report is circulated to all relevant clinicians, especially GPs and COPD specialist nurses in primary and secondary care
  • Update local formularies with the revised recommendations for inhaled therapies and that ensure triple agent inhalers (LABA/ICS/LAMA) are included
  • Consider autoconsultation proformas for use in primary care as prompts for required actions and tests on diagnosis and follow up
  • Commission responsive services for pulmonary rehabilitation and (with local public health departments) smoking cessation services
  • Recognise that people with COPD are at greater risk of mortality from COVID-19; ensure that these patients are kept updated with Public Health England advice.

STP=sustainability and transformation partnership; ICS=integrated care system; COPD=chronic obstructive pulmonary disease; LABA=long-acting beta2 -agonist; ICS=inhaled corticosteroid; LAMA=long-acting muscarinic antagonist; COVID-19=coronavirus disease 2019.

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After reading this article, ‘Test and reflect’ on your updated knowledge with our patient scenarios. We estimate that this activity will take you 30 minutes—worth 0.5 CPD credits.


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