MRC≥3 Referred to Pulmonary Rehab
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
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
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Primary Care IT, n.d. COPD014-MRC≥3 referred to pulmonary rehab. Accessed 28th March 2025 support.primarycareit.co.uk/portal/en-gb/kb/articles/copd014#CodesindicatinganofferofreferraltoapulmonaryrehabilitationprogrammePULRHBOFFCOD
Technical Specifications
support.primarycareit.co.uk/portal/en-gb/kb/articles/copd014#CodesindicatinganofferofreferraltoapulmonaryrehabilitationprogrammePULRHBOFFCOD Targets: www.england.nhs.uk/publication/quality-and-outcomes-framework-guidance-for-2024-25/ Reporting frequency: qof.digital.nhs.uk/ files.digital.nhs.uk/E1/2423E5/CCG2.3I00783_S.pdf
Link to Measurement Tools
Primary care IT