Respiratory disease
Changes to the Respiratory Disease Profile
On 2 December 2025 we have made changes to the Respiratory Disease profile in response to the the health and social care statistical outputs consultation.
The changes include replacing some indicators with similar indicators and removing indicators that have become obsolete or are no longer appropriate as indicators within fingertips. Details of changes to the respiratory disease profile indicators.
If you have any comments about these changes, please email healthcare.variation@dhsc.gov.uk
Respiratory disease affects one in five people and is the third biggest cause of death in England.
This profile (previously known as INHALE (the INteractive Health Atlas of Lung conditions in England)) is an online tool showing data from a range of sources about respiratory diseases, including chronic obstructive pulmonary disease (COPD) and asthma.
This profile includes data from:
- the Quality and Outcomes Framework (QOF)
- Hospital Episode Statistics (HES)
- the Public Health Outcomes Framework (PHOF)
- the Office of National Statistics (ONS) mortality
The profile follows these domains:
- COPD indicators
- asthma indicators
- pneumonia indicators
- other respiratory diseases
- risk factors
The profile follows indicators developed for the ‘2nd Atlas of variation in risk factors and healthcare for respiratory disease in England'. You can access the full Atlas, including a PDF version and the datafile.
Recent updates
January 2026
Note: values for the East of England and the North West NHS regions did not show for some of the Quality and Outcomes Framework data in this profile from 02/12/2025 to 08/01/2026. This was due to a change in the codes for these regions. This issue has been rectified in the January 2026 update.
December 2025
On 2 December 2025 we have made changes to the Respiratory Disease profile in response to the the health and social care statistical outputs consultation.
Details of changes to the respiratory disease profile indicators.
The following indicators have been updated with 2024 data
- Under 75 mortality rate from respiratory disease considered preventable
- Under 75 mortality rate from respiratory disease
- Mortality rate from respiratory disease, all ages
- Mortality rate from asthma, all ages
- Mortality rate from chronic obstructive pulmonary disease, all ages
- Mortality rate for deaths involving chronic obstructive pulmonary disease, all ages
- Mortality rate from influenza and pneumonia, all ages
- Mortality rate for deaths involving influenza and pneumonia, all ages
The following indicators have been updated with data for the financial year ending 2025
- Patients with Asthma (6-19 yrs): Second-hand smoking status recorded in the last 12 months (denominator incl. PCAs)
- Patients with Asthma: review in the last 12 months (denominator incl. PCAs)
- Asthma: QOF prevalence
- Patients with COPD who had a review in the last 12 months (denominator incl. PCAs)
- Patients with COPD with a MRC dyspnoea score >=3 in the last 12 months, who have had an offer of referral to a pulm. rehab. clinic (denominator incl. PCAs)
- COPD: QOF prevalence
- Smoking cessation support and treatment offered to patients with certain conditions (denominator incl. PCAs)
- Smoking status of patients with certain conditions recorded in the last 12 months (denominator incl. PCAs)
Note: values for the East of England and the North West NHS regions are not showing for some of the Quality and Outcomes Framework data in this profile. This is due to a change in the codes for these regions. This will be rectified in the January 2026 update.
November 2025
The following indicators have been updated with 2024 data
- Under 75 mortality rate from respiratory disease
- Under 75 mortality rate from respiratory disease considered preventable
- Smoking Prevalence in adults (aged 18 and over) – current smokers (APS)
October 2025
Respiratory Disease Profile Advance notice
Following the response to the health and social care statistical outputs consultation we plan to make several changes to the Respiratory Disease profile on 2nd December 2025.
The proposed changes include replacing some indicators with similar indicators and removing indicators that have become obsolete or are no longer appropriate as indicators within fingertips. Details of planned changes to respiratory disease profile indicators.
If you have any comments about this proposal, please email healthcare.variation@dhsc.gov.uk
June 2025
New sub-ICB location, ICB, NHS Region and England data is available for the financial year ending 2024 for the following indicators
- Emergency hospital admissions for asthma in adults (aged 19 years and over)
- Emergency hospital admissions for pneumonia
- Emergency hospital admissions for respiratory disease
- Emergency hospital admissions for bronchiolitis in children aged under 2 years
- Emergency hospital admissions for COPD, all ages
- The percentage of zero and one day emergency admissions to hospital for bronchiolitis (in children aged under 2 years)
- The percentage of zero and one day emergency admissions to hospital for pneumonia
May 2025
The ‘Hospital admissions for asthma (under 19 years) - registered population’ indicator has been superseded by a resident population based version and is available up to 2023/24.
The following indicators have been updated with 2023/24 data
- Percentage of physically active adults
- Overweight (including obesity) prevalence in adults, (using adjusted self-reported height and weight)
April 2025
'Fuel poverty (low income, high cost methodology)' indicator removed, superseded by 'Fuel poverty (low income, low energy efficiency methodology)'.
February 2025
2023 data now available for the air pollution indicator (fine particulate matter, new method - concentrations of total PM2.5)
