In December 2018, the National Institute for Health and Care Excellence (NICE) published new guidelines on the diagnosis and management of chronic obstructive pulmonary disease (COPD) in over 16s, which have subsequently been updated in July 2019 (NICE, 2019). Here, Jaqui Walker, advanced nurse practitioner/general practice nurse, Stirling, looks at what the 2019 changes are, how they are influencing practice, and gives handy tips on how to implement the key changes.