| Reference | FOI 2025/1403 |
|---|---|
| Description | the use of FeNO and Spirometry in the diagnosis and management of Asthma within the ICB |
| Date Requested | 03/10/2025 |
| Date Replied | 29/10/2025 |
| Category | Primary Care & Strategic Commissioning |
I would please like to request the following information in line with The Freedom of Information Act 2000 regarding the use of FeNO and Spirometry in the diagnosis and management of Asthma within the ICB
1. Could you please provide a list of FeNO providers within the ICB, along with the areas they cover.
2. Could you please provide a list of the Spirometry providers within the ICB, along with the areas they cover.
3. Could you please clarify if the service is commissioned to provide FeNO and Spirometry together, or if providers are able to deliver either service independently, depending on the referral.
4. Could you please provide the name (s), email address (es) and telephone numbers of the person (s) who are responsible for the commissioning of these services
The use of FeNO and Spirometry in the diagnosis and management of Asthma is commissioned at locality level within Greater Manchester.
NHS Greater Manchester consists of the following 10 Greater Manchester Localities: Bolton, Bury, Heywood, Middleton and Rochdale, Manchester, Oldham, Salford, Stockport, Tameside, Trafford, and Wigan (former Clinical Commissioning Groups).
Please see the responses from localities below.
1.
| Locality | |
| Bolton | Bolton NHS Foundation Trust cover patients registered with a Bolton GP. NHS Greater Manchester (NHS GM) does not hold the information requested; it will be necessary for you to contact Bolton NHS Foundation Trust for the information you seek. To assist you, please find below link to their websites with information about how to make a Freedom of Information request. Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk) |
| Bury | Bury GP Practices Ltd – Any patient registered with a Bury GP
We also have a COPD Nursing team for Bury Community provided by NCA, information can be found here COPD (Chronic Obstructive Pulmonary Disease) Nursing Team :: Northern Care Alliance |
| HMR | HMR locality commissioning arrangements are in place with Primary Care Networks (PCNs) and Northern Care Alliance NHS Foundation Trust (NCA) for FeNo and Spirometry. |
| Manchester | Manchester Foundation Trust (MFT) and CDC (Community Diagnostic centre) provide Spirometry with FeNO. Primary care offer not commissioned, practices offer Spirometry and or FeNO of their own expense. |
| Oldham | Oldham locality commission NCA via a specialist respiratory service to delivery FeNo to patients as part of the commissioned pathway. This is an all-Oldham offer, assuming the patient meets the criteria for the service. There is no exclusion on FeNo provision, and it can be performed by any qualified clinician. Primary Care providers may be performing FeNo but it is not a commissioned service.
Service is Pennine Lung Service, Northern Care Alliance |
| Salford | Salford Care Organisation (SCO), which is part of the NCA provide FeNO within the Community Diagnostic Centre (CDC) & Primary Care Network (PCN) Diagnostic Hubs. |
| Stockport | There are currently no commissioned FeNO providers across Stockport locality. |
| Tameside | Tameside and Glossop Integrated Care NHS Foundation Trust delivers FeNO for children and young people. |
| Trafford | Altrincham Health Alliance PCN – covers parts of Altrincham, Hale Barns and Timperley
North Trafford PCN – covers Stretford, Old Trafford, Lostock and Gorse Hill Trafford West PCN – covers Urmston, Flixton and Davyhulme Sale Central PCN – covers Sale Central, Sale Moor, Ashton-upon Mersey and Brooklands |
| Wigan | Localities are not responsible for commissioning Primary Care services so don’t have sight of the contracts. You would need to check with the NHS England Contracts Team to see what agreements are in place for Wigan GP Practices. |
2.
| Locality | |
| Bolton | Bolton NHS Foundation Trust cover patients registered with a Bolton GP. NHS Greater Manchester (NHS GM) does not hold the information requested; it will be necessary for you to contact Bolton NHS Foundation Trust for the information you seek. To assist you, please find below link to their websites with information about how to make a Freedom of Information request. Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk) |
| Bury | Bury GP Practices Ltd – Any patient registered with a Bury GP
We also have a COPD Nursing team for Bury Community provided by NCA, information can be found here COPD (Chronic Obstructive Pulmonary Disease) Nursing Team :: Northern Care Alliance |
| HMR | See response to question 1 |
| Manchester | MFT and CDC provide Spirometry with FeNO. Primary care offer not commissioned, practices offer Spirometry and or FeNO of their own expense |
| Oldham | NHS Oldham ICB commission NCA via a specialist respiratory service to delivery Spirometry to patients as part of the commissioned pathway. This is an all-Oldham offer, assuming the patient meets the criteria for the service. There is no exclusion on Spirometry provision, and it can be performed by any qualified clinician. Primary Care providers may be performing Spirometry, but it is not a commissioned service.
Service is Pennine Lung Service, Northern Care Alliance |
| Salford | As above, SCO, which is part of the NCA provide Spirometry within the CDC & PCN Diagnostic Hubs. |
| Stockport | Viaduct Care CIC are commissioned to provide Spirometry services across Stockport locality. Viaduct Care CIC deliver services for all Stockport GP registered patients. |
| Tameside | All GP practices within Tameside locality are commissioned to deliver Spirometry
A full list of the GP practices: Albion Medical Practice ASHTON GP SERVICE Ashton Medical Group Awburn House Clarendon Medical Centre DENTON MEDICAL PRACTICE Donneybrook Medical Centre DROYLSDEN MEDICAL PRACTICE Dukinfield Medical Practice Gordon Street Medical Centre Grosvenor Medical Centre Guide Bridge Medical Practice HATTERSLEY GROUP PRACTICE HAUGHTON/THORNLEY MEDICAL CENTRES HT Practice King Street Medical Centre Lockside Medical Centre MARKET STREET MEDICAL PRACTICE Medlock Vale Medical Centre MILLBROOK MEDICAL PRACTICE Millgate Healthcare Partnership Mossley Medical Practice Smithy Surgery ST.ANDREW’S HOUSE SURGERY Stamford House Surgery The Brooke Surgery The Pike Practice Town Hall Surgery Waterloo Medical Centre West End Medical Centre Staveleigh Medical Practice |
| Trafford | As per question 1. |
| Wigan | Localities are no longer responsible for commissioning Acute/Hospital services so don’t have sight of the contracts. You would need to check with the GM Contracts Team to see what agreements are in place for Wigan Borough. I do know that the Community Diagnostic Centre (CDC) at Leigh Infirmary does provide Spirometry, as does WWL paediatric service. Both cover all areas within the Wigan Borough |
3.
| Locality | |
| Bolton | Bolton NHS Foundation Trust are commissioned to provide both FeNO and Spirometry. |
| Bury | The provider is able to deliver either/both procedures as necessary in line with patient need
For information relating to the COPD Nursing team for Bury Community provided by NCA, information can be found here COPD (Chronic Obstructive Pulmonary Disease) Nursing Team :: Northern Care Alliance |
| HMR | Referral pathways for both spirometry and / or FeNo are in place. HMR are currently working with PCNs to transition to a Quality Assured Service PCN hub-based service that will provide access for both FeNo and Spirometry diagnostic tests based on patient need. |
| Manchester | Services in Trust and CDCs are commissioned. There is currently no primary care offer commissioned. Practices offer Spirometry and or FeNO of their own expense. |
| Oldham | NCA via specialist provision are commissioned to deliver both FeNo and Spiro depending on clinician need and presentation as part of on-going care and diagnostic capacity. The utilisation of either together or independently lies with the clinician in charge of care. |
| Salford | Each service can be delivered independently depending on the referral received. |
| Stockport | Viaduct Care CIC are commissioned to provide Spirometry services only. |
| Tameside | Spirometry is commissioned to be delivered in primary care through GP practices, FeNO for Children and Young People is delivered in Secondary Care by Tameside and Glossop Integrated NHS Foundation Trust, therefore each is delivered independently. |
| Trafford | Service is commissioned to provide both FeNo and Spirometry as required. |
| Wigan | The paediatric service at WWL and the service within the CDC will provide which every service is best for the patient. |
Sara Roscoe – Associate Director of Strategic Commissioning
0161 357 1598
gm.icp@nhs.net (please insert the name/team/title of the colleagues you wish to contact in the subject field.)
