Question to the Department of Health and Social Care:

To ask Her Majesty's Government how they are proposing to address the finding by Asthma + Lung UK that the UK has the highest rate of lung disease deaths in western Europe.

The NHS Long Term Plan proposed interventions which included early and accurate diagnosis, increasing service provision for pulmonary rehabilitation, medicines optimisation, a care bundle for community acquired pneumonia and self-management of respiratory conditions. We are expanding pulmonary rehabilitation into less served communities and improving self-management support for patients with lung disease.

The Quality Outcomes Framework ensures all general practitioner practices in England establish and maintain a register of patients with a chronic obstructive pulmonary disease (COPD) and asthma diagnosis in accordance with the National Institute of Health and Care Excellence’s guidelines. This ensures regular reviews and monitoring of those with asthma and COPD.

We are encouraging the use of preventer inhalers, inhaled corticosteroid inhalers and reducing overuse of reliever inhalers and short-acting bronchodilator inhalers, which are associated with poorer clinical outcomes. A Commissioning for Quality and Innovation incentive for a care bundle for community acquired pneumonia commenced in April 2022. The Lung Health @home project is working with the national respiratory programme to enable more patients to manage their lung health at home and ensuring they can access the most appropriate support. The project aims to deliver supported self-management and exercise and activity tools for those diagnosed with a chronic lung condition. NHS England and NHS Improvement have also established 13 Respiratory Clinical Networks to provide clinical leadership of respiratory services.