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Asthma and Chronic Obstructive Pulmonary Disease: Health Services

Asked by Jim ShannonDemocratic Unionist PartyDepartment of Health and Social CareTabled Answered 5 January 2026UIN 100320

The question

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the proportion of patients with asthma and chronic obstructive pulmonary disease receiving annual reviews.

Answered by Ashley Dalton

Annual reviews, including reviews of medication, play a key role in the ongoing management of people with respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD). They are recommended by the National Institute for Health and Care Excellence, as part of its guidance for the diagnosis and management of asthma and COPD


The majority of patients with COPD and asthma are managed by general practitioners and members of the primary care team. The provision of annual reviews is incentivised in primary care through the Quality and Outcomes Framework. There are indicators for annual reviews for both COPD, namely COPD010,and asthma, namely AST007, within this framework.

Further details on these indicators are available in the QOF guidance at the following link:

https://www.england.nhs.uk/wp-content/uploads/2025/03/quality-outcomes-framework-guidance-for-2025-26.pdf

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