This report presents information on 133 out of 200 (66.5%) PR services in England and Wales (compared with 63.2% in 2019).5 Data were gathered between 1 November and 3 December 2021 and measured against six key performance indicators (KPIs) recommended by the National Asthma and COPD Audit Programme (NACAP) to support good practice in the delivery of pulmonary rehabilitation. NACAP has identified three of the KPIs as improvement priorities which, if delivered, can drive marked improvements to care. The report provides guidance and recommendations to enable these improvement priorities to be achieved more widely.