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Chronic Obstructive Pulmonary Disease (COPD)

Lead analyst:

COPD is the fifth biggest killer in the UK, the second most common cause of emergency admission to hospital and one of the most costly inpatient conditions treated by the NHS. It is a general term that is used to describe a number of conditions, including chronic bronchitis and emphysema. COPD leads to damaged airways in the lungs, causing them to become narrower and making it harder for air to get in and out. It can be caused by occupational exposure to dust, indoor pollution such as smoke from wood and coal fires, or, in a small number of cases, can be inherited, but its primary cause is smoking.

74,000 people in the East of England are diagnosed with COPD (QOF 2006/07), and there are believed to be many more undiagnosed cases.

Resources and analysis

General Practice Profiles contain information from the Quality and Outcomes Framework (QOF) dataset on the prevalence of COPD and asthma, and the care that registered patients receive.

APHO have developed modelled estimates of the prevalence of COPD. These estimates, available for PCTs, local authorities and GP practices, are based on models derived from Health Survey for England data. The models take into account age, sex, deprivation, rurality, ethnicity and smoking status.

The Health Inequalities theme in Fingertips contains premature (aged <75) mortality from respiratory disease for Local Authorities and PCTS, including comparison between mortality in the most deprived fifth of the population and the rest.

The focussed on respiratory health. The survey used questionnaires and spirometry to investigate lung function, asthma and COPD in adults and children.

The from the Department of Health is designed to aid commissioning for long term conditions, including respiratory disease.

PCT Spend and Outcomes Factsheets based on Programme Budgeting data are published by YHPHO on behalf of the English PHOs.

The published by the NHS Information Centre contains many measures of respiratory disease morbidity, mortality and healthcare activity.

Regional and Sub Regional Data
Date Title Format View
23 Nov 2009 Trend in QOF prevalence for 11 conditions from 200405 to 200809 at PCT level download resource
2 May 2008 Trend in prevalence of COPD, CHD, Diabetes*, Hypertension, and Cancer at PCT level (QOF 2004/05 to 2006/07) download resource
27 Nov 2008 Bronchitis, emphysema & COPD mortality DSRs for East of England Local Authorities 1996-2007 download resource
7 Apr 2004 Health Survey for England. Health & lifestyle indicators for Strategic Health Authorities 1994-2002. Proportion of adults with limiting longstanding illness
National and International Reports and Statistics
Date Title Format View
2 May 2008 Invisible Lives: Chronic Obstructive Pulmonary Disease (COPD) finding the missing millions download resource
15 Jun 2006 The Burden of Lung Disease - 2nd edition 2006 download resource
15 May 2005 Trends in COPD (Chronic Bronchitis and Emphysema) Morbidity and Mortality in USA download resource
Tools and Analysis
Date Title Format View
4 Jan 2010 Chronic disease prevalence by age, sex and region in 2008 download resource
7 Oct 2008 Archived modelled estimates and projections of COPD for Local Authorities in England (updated Oct 08) download resource
7 Oct 2008 Archived modelled estimates and projections of COPD for PCTs in England (updated Oct 08) download resource
14 Oct 2008 Alternative COPD modelled prevalence estimate for suburban/urban areas download resource
7 Oct 2008 Archived COPD prevalence model briefing document download resource
19 Jun 2007 Disease Management Information Toolkit (DMIT)
16 Nov 2005 Long Term Conditions: A Pan London Analysis Of “Frequent Users” open resource url
17 Apr 2008 Exception Rates for all PCTs in England for CHD, COPD, Diabetes and the average rate for all three diseases download resource
  Model based prevalence of COPD at PCT level (updated Feb 2008)    

Policy and Guidelines
Date Title Format View
6 Nov 2006 Assisted-discharge service for patients with COPD open resource url
6 Nov 2006 Pulmonary rehabilitation service for patients with COPD open resource url
15 Nov 2005 Chronic obstructive pulmonary disease - Management of COPD in adults in primary and secondary care download resource
19 Feb 2005 Evercare evaluation interim report: implications for supporting people with long term conditions download resource

Date Title Format View
  Action on Smoking and Health (ASH)    
  British Thoracic Society    
11 Nov 2005 Chest Medicine On-Line: COPD The UK perspective open resource url
  Long-term Medical Conditions Alliance