My GP now has a letter from the consultant I saw a month or so ago.
He recommends changes:
No more Relvar or incruse, instead use anoro.( Which COPD nurse took me off because she said it was wrong for me and making me worse, and I did improve after changing to incruse and relvar)
No more Fostair........only started Fostair a few weeks ago and very happy with it, feeling better for using it instead of ventolin....But Consultant now says to use salmbutamol ( ventolin), 2 puffs 4 times a day.............I went on to fostair because getting no relief with ventolin.
As you may imagine I am not happy with above changes but GP says cannot go against or ignore the consultant...... have to try out new regime and see how it goes..I can guess how it might go.
Also, course of vitamin D and multi-vitamins, plus appt with dietician/nutritionist.