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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

SavithaPushparajah

GP respiratory leads

epidemiology
Epidemiology
  • 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
slide3
AIMS
  • 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