IMPRESS is a joint initiative between the two leading respiratory clinical societies in the UK: the British Thoracic Society and the Primary Care Respiratory Society (PCRS)-UK.

July 2014 : Joint statement from BTS and PCRS-UK.

IMPRESS was established in 2007 to provide the clinical leadership required to drive improvements in care across /beyond the traditional boundaries of primary care and secondary care to achieve high quality integrated patient centred care for the population with or at risk of respiratory disease. The project has achieved a great deal, with its two most recent projects (the COPD Value Pyramid and Breathlessness work) providing the basis for some innovative work across the sector.

We regret that it has not been possible to source funding to continue the project in the same way as in the past. However, the materials are still available on the IMPRESS website and we hope that they will be available shortly on a new virtual network (Respiratory Futures) for reference by and support of all who are interested in improving and integrating respiratory care.

If you wish the use any of the IMPRESS materials, please note that you can do so PROVIDED that you attribute the source and do not alter or misrepresent our work in any way. If you have any queries please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it




6 May 2014

Why asthma still kills  The National Review of Asthma Deaths (NRAD) in the UK launched.  Click here
Some of the findings:
  • It is not just those with severe asthma who die.
  • "Our continued failure to provide meaningful support as patients self-manage their condition needs to be rectified" (Foreword)
  • In nearly half of the cases reviewed asthma sufferers didn't get any medical help during their final asthma attack
  • 46% of deaths could have been avoided with better routine care
  • There was a history of previous hospital admission for asthma in 47%


February 2014

New breathlessness resources launched with London School of Economics

  • Impressions blog and working party information
  • IMPRESS Breathlessness algorithm, supported by the Health Foundation
  • IMPRESS BITs (breathlessness IMPRESS Tips) for clinicians
  • IMPRESS BITs for patients
  • IMPRESS BITs for commissioners
  • IMPRESS BITs for researchers‚Ä®
  • IMPRESS guide to breathlessness methodology scope definitions prevalence‚Ä®
  • Summary prevalence tables
- See more at:

Download all from here

- See more at:
- See more at:
IMPRESS Awards and models of good practice

In addition to the entries on the quality and productivity and integration pages, these pages showcase award winners from the last five years, many of which are also examples of improved integration. They are categorised into:

  1. General respiratory services
  2. COPD
  3. Asthma
  4. Oxygen
  5. Sleep

For further examples of good practice see the relevant pages on the NHS Improvement website here.

Congratulations to the winners of the 2011 IMPRESS Awards

Category I - Improving quality
Winner: The role of the third sector influencing clinical practice in respiratory support MND Association?  -  download poster


Category II - Increasing high value services and reducing low value services
Winner: Increasing the value of COPD care in Islington using a Local Enhanced Service (LES) to improve COPD case finding and management - download poster


Category III - Integration across boundaries
Winner: COPD Rescue Packs: Why you should make them and how to do it. -  download poster



2009 IMPRESS Award winners - click here