The General Medical Services (GMS) contract has centred on the provision of medical services to the general public attention of United Kingdom (UK) family physicians (general practitioners) on the provision of high-quality routine care for people with chronic illness, with the quality indicators defining contract terms acknowledge the necessity for objective diagnosis Suggested structured care by the British Thoracic Society Network for Society/Scottish Intercollegiate Guidance (BTS–SIGN) asthma management recommendations and The NICE (National Institute for Clinical Excellence) recommendation concerning the administration of chronic obstructive pulmonary disease (COPD)2,3 In this study the most important suggestions for These recommendations and their pragmatic implementation The realm of general practise is explained in detail on diagnosis, monitoring, management, self-management and care delivery