Asthma Service Checklist for hospital and primary care An integrated care pathway for asthma that encompasses all healthcare settings, so that the child/young person’s journey is supported by good communication between professionals who are aware of the role of other parties and all are working to best practice as outlined in the London asthma standards and the British/ Sign asthma guidelines Good understanding of the burden of asthma in children and young people locally to provide a sound basis for a local asthma strategy to improve outcomes prevalence – rates, outcomes in primary and secondary care, deaths, days missed off school All children and people with suspected asthma have access to a professional who is appropriately trained in performing diagnostic level spirometry or other appropriate tests, and the basis upon which the diagnosis of asthma was made is recorded and appropriately coded in the clinical records A lead health professional for asthma in each setting who co-ordinates services in accordance with the London Asthma Standards and local care pathways At least one practice nurse in every practice is trained in managing asthma (ie holds a recognised certificate of competence e.g. an asthma diploma) and has experience in supporting children with long term conditions Routine use of personalised asthma action plans for all children and young people with asthma developed by professionals in collaboration with patients and their – families, who are competent in the skills required to support young patients in self management Regular reviews of all children and people with asthma, at least annually and definitely after any need for urgent healthcare in any part of the healthcare system . Review should also consider pre seasonal triggers (grass/pollen) and September spike Primary care practices can demonstrate that they are providing asthma care in line with the London Asthma standards and Quality Standard from NICE. Audits of medication in primary care are undertaken to ensure that medication is being optimised and in line with the latest guidelines A system for stratifying children and young people with asthma according to risk, (include red flags here ie mental health, psychosocial issues, non-compliance, unplanned attendances) so that appropriate interventions are available to those at higher risk of acute attacks, and high cost care High quality Information sources (e.g. Asthma UK, and British Lung Foundation materials/websites and healthy London Partnership toolkit) are made available to all children and young people with asthma (and their families) at diagnosis and regular review to encourage understanding of asthma and support self care
Asthma Service Checklist for hospital and primary care An integrated care pathway for asthma that encompasses all healthcare settings, so that the child/young person’s journey is supported by good communication between professionals who are aware of the role of other parties and all are working to best practice as outlined in the London asthma standards and the British/ Sign asthma guidelines Good understanding of the burden of asthma in children and young people locally to provide a sound basis for a local asthma strategy to improve outcomes – prevalence rates, outcomes in primary and secondary care, deaths, days missed off school All children and people with suspected asthma have access to a professional who is appropriately trained in performing diagnostic level spirometry or other appropriate tests, and the basis upon which the diagnosis of asthma was made is recorded and appropriately coded in the clinical records A lead health professional for asthma in each setting who co-ordinates services in accordance with the London Asthma Standards and local care pathways At least one practice nurse in every practice is trained in managing asthma (ie holds a recognised certificate of competence e.g. an asthma diploma) and has experience in supporting children with long term conditions Routine use of personalised asthma action plans for all children and young people with asthma – developed by professionals in collaboration with patients and their families, who are competent in the skills required to support young patients in self management Regular reviews of all children and people with asthma, at least annually and definitely after any need for urgent healthcare in any part of the healthcare system . Review should also consider pre seasonal triggers (grass/pollen) and September spike Primary care practices can demonstrate that they are providing asthma care in line with the London Asthma standards and Quality Standard from NICE. Audits of medication in primary care are undertaken to ensure that medication is being optimised and in line with the latest guidelines A system for stratifying children and young people with asthma according to risk, (include red flags here ie mental health, psychosocial issues, non-compliance, unplanned attendances) so that appropriate interventions are available to those at higher risk of acute attacks, and high cost care High quality Information sources (e.g. Asthma UK, and British Lung Foundation materials/websites and healthy London Partnership toolkit) are made available to all children and young people with asthma (and their families) at diagnosis and regular review to encourage understanding of asthma and support self care