BTS has been at the forefront of Guideline production in respiratory medicine for over 30 years. BTS was awarded NICE Accreditation for its guideline production process in November 2011 and Accreditation was renewed in 2017. NICE Acccreditation is valid for all guidelines published since July 2010, and runs until November 2021. More information on accreditation can be viewed at  


The BTS Guideline Production Manual (2016), outlines the policies and processes in relation to the preparation of BTS Guidelines for guidelines published up to 2018.

The 2018 BTS Guideline Production Manual contains the updated procedures for guideline production incorporating GRADE methodology which will be used for the production of all BTS guidelines from 2018 onwards. 

BTS Guideline Group members adhere to the BTS Policy for working with the Biomedical Industry and complete an annual declaration of interest form during the period that the Guideline Group is active. Declarations of interest for current Guideline Groups are available here. For previous Guideline Groups please contact:

Guidelines for respiratory care produced by BTS are listed in the BTS Guideline table below. Other Guidance on particular issues or disease areas can be found in the second table and Archived guidelines for respiratory care produced by BTS can be found in the table at the bottom of the page.


BTS Guidelines

A-Z Disease / Condition Guideline title Publication date Review date/Review outcome Status
Asthma BTS/SIGN British guideline on the management of asthma 2016 Published September 2016. 2019 edition due for publication summer 2019. Valid
Bronchoscopy BTS Guideline for Diagnostic Flexible Bronchoscopy in Adults 2013 Published August 2013. Review due 2018. Valid
Pneumonia adults BTS Guidelines for the Management of Community Acquired Pneumonia in Adults: update 2009 2009 Published October 2009. Annotated guideline published 2015. Valid
Emergency oxygen BTS Guideline for oxygen use in healthcare and emergency settings 2017 The updated guideline was published in May 2017. Valid
Home oxygen adults BTS Guidelines for Home Oxygen Use in Adults 2015 Published April 2015. Review due 2020. Valid
NTM BTS Guidelines for the management of non-tuberculous mycobacterial pulmonary disease 2017 Published November 2017. Valid
Pulmonary Nodules BTS Guidelines for the Investigation and Management of Pulmonary Nodules 2015 Published August 2015. Review due in 2020. Valid
Pulmonary rehabilitation BTS Guideline on Pulmonary Rehabilitation in Adults 2013 Published September 2013. Review due in 2018. Valid
Mesothelioma BTS Guideline for the Investigation and Management of Pleural Mesothelioma 2018 Published February 2018 Valid
NIV BTS/ICS Guidelines for the Ventilatory Management of Acute Hypercapnic Respiratory Failure in Adults 2016 Published March 2016 Valid
Pulmonary embolism - outpatient management BTS Guidelines for the outpatient management of pulmonary embolism 2018 Published June 2018. Valid
Macrolide (long term use) BTS Guideline for Long Term Macrolide Use 2018 In preparation. Final publication expected mid 2019. In Preparation
Bronchiectasis in Adults BTS Guideline for Bronchiectasis in adults 2018 Valid

Other Guidance

A-Z Disease / Condition Title Publication date
Bronchiolitis NICE Guideline - Bronchiolitis in children: diagnosis and management
COPD NICE Guideline - COPD in over 16s: diagnosis and management
Lung Cancer NICE Guideline - Lung cancer: diagnosis and management
Pulmonary Embolism NICE Guideline - Venous thromboembolic disease: diagnosis, management and thrombophilia testing
Resp tract infections NICE Guideline - Respiratory tract infections (self-limiting): prescribing antibiotics
Smoking Cessation NICE Guideline - Smoking cessation
TB NICE Guideline - Tuberculosis
Air travel BTS Air Travel Recommendations 2011
Cough Adults BTS Cough in Adults Recommendations 2006
Cough Children BTS Cough in Children Recommendations 2008
TB TNF BTS Recommendations for Mycobacterium Tuberculosis infection and disease in patients due to start anti-TNF-α treatment 2005
Mesothelioma BTS Statement on Malignant Mesothelioma 2007
Occupational Asthma BTS Statement on Occupational Asthma 2008
Referral BTS Statement on Specialist Referral 2008
Smoking Cessation BTS Recommendations for smoking cessation services in secondary care 2012
PAVM BTS Clinical Statement Pulmonary Arteriovenous Malformations
MDRTB BTS Clinical Statement Multidrug-Resistant Tuberculosis 2016

Guideline Archive

A-Z Disease / Condition Guideline title Publication date Archived date Status
Bronchiectasis BTS Guideline for non-CF Bronchiectasis 2010 Archived: 2017 Archived
Bronchoscopy (advanced) BTS Guideline for Advanced Diagnostic and Therapeutic Flexible Bronchoscopy in Adults 2011 Archived 2018. Archived
Pneumonia children BTS Guidelines for the Management of Community Acquired Pneumonia in Children: update 2011 2011 Archived: 2017 Archived
Diving BTS Guidelines on Respiratory Aspects of Fitness for Diving 2003 Archived: 2017 Archived
Home oxygen children BTS Guidelines for Home Oxygen in Children 2009 Archived: 2017 Archived
Influenza Pandemic flu: clinical management of patients with an influenza-like illness during an influenza pandemic 2007 Archived: 2017 Archived
Interstitial Lung Disease BTS Guideline for Interstitial Lung Disease Guideline 2008 Archived: 2017 Archived
Physiotherapy BTS/ACPRC Guidelines for physiotherapy management of the adult, medical, spontaneously breathing patient 2009 Archived: 2017 Archived
Pleural Disease BTS Pleural Disease Guideline 2010 Archived: 2017 Archived
Pleural Infection BTS Guidelines for the Management of Pleural Infection in Children 2005 Archived: 2017 Archived
Lung Cancer (radical management) BTS Guidelines on the Radical Management of Patients with Lung Cancer 2010 Archived: 2017 Archived
Neuromuscular Weakness BTS Guideline for Respiratory Management of Children with Neuromuscular Weakness 2012 Archived: 2017 Archived
TB Renal BTS Guidelines for the Prevention and Management of Mycobacterium TB in Adult Patients with Chronic Kidney Disease 2010 Archived: 2017 Archived