NICE to bring spirometry guidance in line with QOF

NICE spirometry recommendations for COPD are set to be brought into line with those included in the QOF, a draft updated guideline reveals.

COPD: NICE guidance is changing
COPD: NICE guidance is changing

The updated NICE guideline now specifies that post-bronchodilator spirometry should be used for diagnosis of COPD, reflecting the recommendations made by other guidelines and the QOF.

Somerset GP and General Practice Airways Group member Dr Steve Holmes welcomed this alteration. ‘It is something that we wanted put in the last time around,' he said. ‘It should help reduce the number of patients with reversible airway disease who are being misdiagnosed with COPD.'

NICE has also updated its recommendations on the treatment of COPD.

Patients who suffer breathlessness or exacerbations, despite treatment with a short-acting beta-2 agonist and who have an FEV1 of 50 per cent or more, should now be offered treatment with either a long-acting muscarinic antagonist (LAMA) or a long-acting beta-2 agonist (LABA).

Those with an FEV1 below 50 per cent should be offered either a LABA with an inhaled corticosteroid (ICS) in a combination inhaler, or a LAMA.

Those patients who remain breathless or experience exacerbations, despite taking a LABA plus ICS, should now be offered a LAMA no matter what their FEV1.

The updated draft guideline is open for consultation until 5 January 2010.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

GP training: Working remotely as a GP trainee during the pandemic

GP training: Working remotely as a GP trainee during the pandemic

Dr Zoe Brown was in her first year of GP training and pregnant as lockdown began....

GPs warn government off PCN-led test and trace system

GPs warn government off PCN-led test and trace system

GPs have rebuffed suggestions that primary care networks (PCNs) are ‘best placed’...

Map: Three-fold variation in GP practice list size between CCGs

Map: Three-fold variation in GP practice list size between CCGs

The list size of GP practices across England has grown rapidly over the past decade...

Advance decisions to refuse treatment - what GPs need to know

Advance decisions to refuse treatment - what GPs need to know

A recent case has underlined the need for GPs to communicate a patient’s known wishes...

Law changed to allow physios and paramedics to administer vaccines during pandemic

Law changed to allow physios and paramedics to administer vaccines during pandemic

A wider range of healthcare workers will be allowed to administer flu and potential...

Medicines shortages drive up GP workload as prescribing costs surge £158m

Medicines shortages drive up GP workload as prescribing costs surge £158m

Medicines shortages in England are continuing to drive up GP workload during the...