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Adult Asthma in Tower Hamlets. Nabeela Bari Savitha Pushparajah GP respiratory leads. Epidemiology. Tower Hamlets ranked 4 th highest PCT in London for emergency admissions Admissions average at 3.2 days – longer than average

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Adult asthma in tower hamlets

Adult Asthma in Tower Hamlets

Nabeela Bari


GP respiratory leads


  • Tower Hamlets ranked 4th highest PCT in London for emergency admissions

  • Admissions average at 3.2 days – longer than average

  • 70% of admissions can be avoided if dealt with appropriately in the earlier stages

  • -Asthma carries significant morbidity and up to 90% of deaths are associated with preventable factors

  • Prevalence has declined over the past 3 years and is significantly below England and London averages


  • Reduce emergency admissions

  • Improve quality of care in primary and secondary care settings

  • Implement NICE quality standards by 2016

Qof targets
QOF targets

  • only asthmatics who have picked up inhalers in the last 12 months are on the asthma register. 70% is the target for annual review.

  • 80% of new asthmatics (since 2006) need to have reversibility anytime after or up to 3 months before diagnosis.

  • 80% of asthmatics aged between 14 – 20 need to have a smoking history recorded.

Quality statements
Quality Statements

  • Patients with newly diagnosed asthma are diagnosed in accordance with SIGN/BTS guidelines

  • Adults with new Onset asthma are assesssed for occupational causes

  • People with asthma receive a personalised action plan

  • People with asthma are given specific training and assessment in inhaler technique before starting any new inhaler treatment

Quality statements1
Quality Statements

  • People with asthma receive a structured review at least annually

  • People with asthma who present with respiratory symptoms receive an assessment of their asthma control

  • People with asthma who present with an exacerbation of asthma receive an objective measurement of severity at the time of presentation

  • People aged 5 or above with life threatening asthma receive oral or iv steroids within 1 hour of presentation

Quality statements2
Quality statements

  • People admitted to hospital with an acute exacerbation of asthma have a structured review by a member of the specialist respiratory team before discharge

  • People who received treatment in hospital or a WIC are followed up by their own GP practice within 2 days

  • People with difficult asthma are offered an assessment by a multidisciplinary difficult asthma team