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Asthma Project Update

Asthma Project Update. Dr Richard Iles, Clinical Lead for Paediatric Asthma Programme, EoE SCN Maternity, Newborn, Children & Young People. Local Updates. Working closely with Respiratory SCN One “size” does not fit all Working as advisors / project design / overview

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Asthma Project Update

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  1. Asthma Project Update Dr Richard Iles, Clinical Lead for Paediatric Asthma Programme, EoE SCN Maternity, Newborn, Children & Young People

  2. Local Updates • Working closely with Respiratory SCN • One “size” does not fit all • Working as advisors / project design / overview • Need to increase & expand “advisory” group

  3. Local Updates • Active “project management” with CCGs • West Suffolk • Bedfordshire • Cambridgeshire and Peterborough • South Norfolk • Addenbrookes A&E

  4. Update on national asthma collaborative project

  5. Update on national asthma collaborative project 12 SCN and senate areas, broadly based around major patient flows

  6. Jackie Cornish • Mike Morgan • Niall McDermott • Katie Walkin • Lorraine Comley • Richard Iles • Linda Pearce • Louise Raybould • Alex Burroughes • Joanna Lynne • Asthma UK • BTS / BPRS • PCRS • Education for Health Team and Partners

  7. aileen.muir@brit-thoracic.org.uk

  8. Best Practice Tariff • A named paediatrician with a specialist interest in asthma • A named specialist asthma/respiratory nurse • Take part in the BTS paediatric asthma audit • Provide evidence of inhaler technique review and the presence of a personalised action plan for each admitted / clinic patient. • See in Clinic in 1 month • The CQUIN • designed to incentivise providers to deliver quality and innovation improvements over and above the baseline requirements set out in the NHS standard contract, and will complement the best practice tariff for secondary care, • It is designed to be applied to a regional referral or tertiary level centre. • It defines the structure and activity of the clinic New Commissioning 2016

  9. CQUIN • Asthma Consultant • Asthma Nurse • Allergy Consultant ( 0.1WTE) • Specialist Physiotherapist • Specialist Psychologist • Pharmacist

  10. CQUIN Principles • 70 per cent funding to the assessment and investigation of children with severe and difficult asthma (home visits, GP information on compliance, education, monitoring) • 10 per cent funding for evidence of a commitment to ongoing education of the networked secondary care units within the region, and be enabled to audit the educational achievement. This should be in close alignment and reportable to the local CCGs / area team. • 10 per cent funding for evidence of a commitment to ongoing assessment of networked secondary care unit activity within the region, and data entry into a National Severe paediatric asthma registry. Accountable to local CCGs, and area team. • 10 per cent funding for strong communication structure with the patients secondary and primary care providers, school and above all the child and family.

  11. CCG engagement and next steps

  12. CCG engagement and next steps • West Suffolk • Bedfordshire • Cambridgeshire and Peterborough • South Norfolk • Addenbrookes A&E

  13. Old Workstreams • Workforce, Requirements, Training & Education • Communication & Transition • Prevention and Self-Management • Effective Commissioning • Specialist Medicine CQUIN • Paediatric Asthma Best Practice Tarrif

  14. New Workstreams • Local Networks • Primary and Secondary Care interface • “Education” Hubs • “Clinical” Hubs • HDU Network

  15. Education • Education for Health Project SCNs working with Education for Health to develop e-learning modules • CAKES

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