I dont often post but I often look at at posts/questions and find them very helpful. I was diagnosed with severe COPD in August 2013 after being a Asthma sufferer for years (have not smoked for 17 years). For the last 10 days I have been more out of breath than normal, by that I mean that activities that I normally do without too much effort I was doing alot of huffing and puffing and thinking what is the matter with you. Anyway I decided to get it checked out, I managed to get an amergency appointment at my GP's. I saw a locum doctor and I explained my problem to him and after doing normal checks said all was OK and suggested that i use my reliever inhaler more often. I was flabbergasted that he did not offer me any medication, here I am with severe copd, no referral, no PR course offered, and no rescue meds. I rang BLF helpline and was told to download COPD Guidelines and make a another appointment with GP and go armed with guidelines and ask for the appropriate treatment.