The National primary care COPD audit for Wales highlighted one in four patients do not have a record of post-bronchodilator spirometry consistent with the diagnosis of COPD. Furthermore, too few COPD patients undertake the greatest value non-pharmacological interventions and too many are instead put on triple therapy inappropriately. Endorsed by the All Wales Medicines Strategy Group (AWMSG) and the Respiratory Health Implementation Group (RHIG), the All-Wales COPD Management and Prescribing guideline standardises management of patients with COPD.