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asthma.org.uk. Burden of asthma within UK. Prevalence What people with asthma tell us. Asthma prevalence. 5.4 million people receive treatment for asthma in the UK (1 in 12 adults – 1 in 11 children) 368,000 of these live in Scotland 1 in 5 households are affected
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Burden of asthma within UK • Prevalence • What people with asthma tell us
Asthma prevalence • 5.4 million people receive treatment for asthma in the UK (1 in 12 adults – 1 in 11 children) • 368,000 of these live in Scotland • 1 in 5 households are affected • 2 children in every classroom
Hospital Admissions • Over 73,000 in 2007-08 • One person every 7 minutes • One child every 19 minutes • Estimated cost to NHS £61 million
Asthma deaths • Every 7 hours someone dies due to an asthma attack • 3 people per day • 1,200 deaths in 2007 (21 children) • 112 people died in Scotland from asthma in 2007
Impact on children • High prevalence in UK • Third of all long term illnesses • 12% experience severe attacks • High admission rates • Parental smoking • Two thirds may lose symptoms as they get older
Environment • Fivefold increased risk if living with a smoker • More than 50% of people with asthma have allergic rhinitis • Pollutants can increase risk of asthma attacks • Association with damp housing
Impact of air pollution • Physical activity • Social activity • Quality of life
Occupational asthma • 1,500-3,000 new cases per year • 5-25% of individuals exposed to triggers will develop asthma • Occupation responsible for 1 in 10 cases of adult onset asthma • New cases cost society up to £176,000 per worker
Triggers at work • Dust • Fumes • Chemicals • Air conditioning • Stress • Perfumes/air fresheners
Healthcare • GP services • Asthma specialists • Asthma reviews • Asthma treatment • Prescribing • Personal asthma action plans • Emergency Care
Diversity • Ethnicity and hospital admissions • Gender • Hospitalisation
People – numbers • Council of Trustees (14) • 127 staff – London, Edinburgh, Cardiff, Belfast, Liverpool • Over 9,000 members • Over 1,500 active volunteers • Over 70,000 active supporters
What does Asthma UK do? Asthma UK works together with people with asthma, health professionals and researchers to develop and share expertise to help people with asthma and reduce the effect of it on their lives. We are working towards our vision of ‘control over asthma today, freedom from asthma tomorrow.’
Current Strategy • Support research and improve knowledge and treatments • Influence the provision of high-quality services that are accessible to all • Offer knowledge and support to people with asthma and healthcare professionals • Champion the interests and priorities of people with asthma on their behalf • Grow capacity in order to make a difference for people with asthma
Research functions • Ensuring a high quality peer reviewed grant and fellowship programme • Lead on developing scientific and clinical research strategy • Dissemination of research outcomes • Work to engage people with asthma in the research programme • Developing guidelines • Spent £50 million on research to date
Asthma nurses • Funding of asthma nurses over three years • Training provided for healthcare professionals • Developing asthma champion network
Adviceline: 0800 121 62 44 email or call an asthma nurse specialist Website www.asthma.org.uk Information and advice
Leaflets, booklets, cards, packs • Printed resources for people with asthma • Booklets • Factfiles • Flyers • Information cards • Posters • Self-management materials • Information for schools and preschools
Pharmacy tool pack Information and advice for pharmacists undertaking Medicines Use Reviews for people with asthma Helping people with asthma to understand their medicines Asthma advice from your pharmacist
Emergency Care • Emergency Asthma Care pack • Healthcare professionals who might have to provide emergency care to people with asthma • Based on BTS/SIGN guideline • Aims to deal with asthma emergencies consistently • Provide supportive and follow-up information • Provide clear routes of communication between primary, secondary and emergency care
Consulting with people with asthma • Asthma panel • Surveys • Youth forum • Focus groups
Participation Volunteering: • Speak up for Asthma • Kick Asthma holidays • Case Study – share your story Fundraising: • Fundraising volunteer • Special Events Committee member • Event Support Consultative/Advisory: • Wales Advisory Group • Northern Ireland Advisory Group • Scotland Advisory Group • Users and Carers Advisory Forum • Healthcare Advisory Forum • Black and Minority Ethnic Forum • Youth Forum
Participation Research and Policy Volunteering: • Research Strategy development • Asthma representative • Focus groups • Participating in occasional consultation events with key political stakeholders • Surveys • E-campaigner Governance: • Council of trustees • Finance and audit committee Admin: • Office volunteer • Work experience/placement
Participation • ‘I get a buzz from being involved and making people more aware of asthma and the impact it has on people’s lives.’ • ‘It’s been great helping people over the years, to give them support and help them feel that they’re not alone. The Adviceline is great but it’s also good to give people more local support.’ • ‘I’ve achieved things that I never would have done before like talking in Parliament. I also feel like I’ve grown as a person and increased my self-esteem and confidence.’ • ‘I’ve managed to raise nearly £3,000 for Asthma UK and feel good to be able to give something back.’
Kick-A website Website: asthma.org.uk kickasthma.org.uk
Asthma UK Scotland • Scottish office of Asthma UK based in Edinburgh • Also in London, Belfast, Cardiff • Celebrated our 15th Birthday in 2008 but Asthma UK has been around in some form since 1927 • Asthma Research Council (ARC) • National Asthma Campaign (NAC)
Work with health professionals • Health Boards and Community Health Partnerships (CHPs) • Grants to prioritise asthma services • Glasgow, Fife, East Ayrshire, Angus, Stirling, Orkney and Shetland • NHS QIS • Focus groups with children • ‘In their own words’ • Research programme – nearly £50 million • Four projects in Scotland: Edinburgh and Aberdeen and one Research Fellow
Community Health Partnerships 2008/2009 Visits to CHPs • There are 40 CHPs in Scotland. • We have established contact with 22 of these and visited 14. • From these contacts we received 11 applications for funding of asthma projects.
Community Health Partnerships • Angus CHP implemented the Asthma UK emergency care pack • Southwest Glasgow identified children and families not attending for review targeting them to offer asthma education • North Glasgow conducted an audit within community pharmacy to identify over-use of reliever inhalers • Glenrothes and North East Fife CHP targeted schools offering an asthma course in primary and secondary schools
Work with people with asthma and their carers • Youth Ambassadors Scheme • Asthma advisory group • ‘15 years, 15 stories’ – published 2008
Work with the Scottish Parliament • Regular Cross Party Group meetings to keep asthma and asthma issues on the agenda • Lobbying for national respiratory strategy • Regular dialogue with MSPs
School asthma policies All schools should: • Update and review the school’s asthma policy every year • Have a centralised school asthma register that identifies all pupils at school with asthma • their individual common signs of an asthma attack • triggers and current medicines • It should also have emergency contact details • Ensure all school staff know what to do in an asthma attack – regular training • Ensure all children and young people have immediate access to their medicines at all times
A school policy for asthma • The following items are available from Asthma UK School Asthma Pack contains booklets on: • asthma resources for pupils • school policy guidelines • school asthma card • asthma awareness for school staff • posters • order form Download from our website www.asthma.org.uk Order a hard copy by Emailing info@asthma.org.uk or T 08456 038143
Asthma UK Scotland School Asthma Pack • Includes: • Introduction • Sample school asthma policy • Roles and responsibilities.
Asthma UK Scotland School Asthma Pack • Specific information about asthma at school. • Asthma medicines • Legal issues • Supporting pupils with asthma • Exercise, activity and asthma
Alert to Asthma • Training sessions for primary teachers, early years carers and childminders • Training provided by local asthma nurses
The Good Asthma Services Checklist The Asthma UK Good Asthma Services Checklist
World Asthma Day 5 May 2009 • Missing Out: Asthma attacks in more ways than one • Exclusion • Bullying • Ambivalence