Respiratory Diseases: Screening

NHS England is continuing to support the restoration of local spirometry services and is enhancing capacity through community diagnostic centres (CDCs). These initiatives provide structured pathways for general practitioners (GPs) to refer patients for essential respiratory diagnostic tests such as spirometry, ensuring faster access to these services for individuals with suspected respiratory conditions, including chronic obstructive pulmonary disease (COPD). By equipping primary care with the tools and pathways for earlier and more accurate diagnosis, this effort addresses the significant issue of undiagnosed COPD, which is estimated to affect 2.1 million people in England. These measures are designed to strengthen the collaboration between primary and secondary care, increasing capacity to meet diagnostic demands effectively.

As part of Phase 2 of the GP Direct Access scheme, launched in December 2023, the National Health Service aims to achieve earlier detection and diagnosis of COPD so that patients access timely interventions and optimal treatment, improving patient management and outcomes. The guidance recommends that general practice teams refer patients for spirometry for the diagnosis of COPD.