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Mrs Matthews is a 56 year old lady who has a 5 year history of Chronic obstructive pulmonary disease. She has recently been discharged from hospital following an exacerbation of COPD, with follow-up booked in the respiratory clinic in 3 months time, but no other planned appointments. In her post-discharge review at her GP surgery, her symptoms are stable with Fluticasone furoate 92 micrograms/ Vilanterol 22 micrograms/ Umeclidinium 55 micrograms.

What is the most appropriate initial management option?

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