Take a deep breath

To accompany last year's outcomes strategy for COPD and asthma, DH has produced a companion document that sets out best practice guidance for commissioners, particulraly in the transition period, ahead of the CCGs and the NHS Commissioning Board taking up the reins.  As Pulse points out, the guidance includes a case-finding approach to identifying undiagnosed patients.  A Swedish study of the use of a mini-spirometer in improving diagnosis of COPD finds it a highly effective device.  The companion document also reveals that DH is trialling the use of microspirometry in case finding in Yorkshire and Humber: the project is due to report in late 2012.