COPD Local Enhanced Service (LES)

The Burden of COPD

COPD is thought to be the fourth leading cause of death worldwide; the World Health Organisation predicts that by 2020 it will have become the third.

In the UK, approximately 900,000 people are diagnosed with COPD.

The disease is closely associated with levels of deprivation; higher incidence occurring in more deprived areas. COPD is responsible for 30,000 deaths and is responsible for 1 in 8 (130, 000) emergency admissions per year in the UK. 

£491 million NHS direct costs, 1.4million GP consultations each year

Accounts for >one million ‘bed days’ each year in hospitals in the UK

The Local Perspective

Why Have a LES?

What’s involved

Practices who sign up to the LES will have to nominate an identified lead for COPD, who will have or be working towards COPD diploma or equivalent


Each review must include the following:

Dudley COPD Guidelines

All patients to be managed according to the ‘Guidelines for the Diagnosis, Management and Treatment of Chronic Obstructive Pulmonary Disease (COPD) In Dudley’

High Risk of Admission Register

On developing a ‘high risk of admission register’, practices should include the following criteria (guideline criteria only)

Code 14OZ - H/O Risk Factors NOS (enter under problems as this will alert staff)


In order to maintain quality of care and standardise treatment in accordance with best practice, it is essential that each practice identifies a nominated lead. This individual will need to undertake (or will need to have undertook) the following training:


1st April 2011 31st March 2012



Useful Links

The Treatment of Exacerbations in COPD...

Diagnosing Severity of COPD...

Identifying Patients who are at High Risk of Admission...

Management of Stable COPD...


St John's House, Union St, Dudley, West Midlands, DY28PP, United Kingdom