MRC≥3 Referred to Pulmonary Rehab

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United Kingdom, Channel Islands and Isle of Man
Publishing Organisation
National Health Service (NHS) England: Quality and Outcomes Framework
Type of Quality Indicator
Process
IOM Quality Dimension
Efficiency
Domain
Accessibility

Defining Attributes

Definition

The percentage of patients with COPD and Medical Research Council (MRC) dyspnoea scale ≥3 at any time in the preceding 12 months, with a subsequent record of referral to a pulmonary rehabilitation programme (excluding those who have previously attended a pulmonary rehabilitation programme).

Numerator

Patients that are referred to pulmonary rehabilitation

Denominator

All people on the COPD register with MRC score of 3 or more recorded during the contract year who have never previously attended pulmonary rehabilitation

Exclusions

Patients who have previously attended pulmonary rehabilitation Where a COPD service or pulmonary rehabilitation is unavailable Patients who are unsuitable for pulmonary rehabilitation Patients for whom COPD quality indicator care was unsuitable in the contract year Patients who chose not to receive COPD quality indicator care in the contract year Patients who have been invited twice for review (at least 7 days apart) Patients who were diagnosed in the last 3 months of the contract year Patients who were newly registered with the practice in the last 3 months of the contract year

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Automatically from GP clinical systems by the General Practice Extraction Service (GPES) and reported to the Calculating Quality Reporting Service (CQRS).

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

Results are publicly reported at the practice level (qof.digital.nhs.uk/search/index.asp)

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source
Link to Measurement Tools

Primary care IT

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025