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Adult Asthma in Tower Hamlets

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

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  1. Adult Asthma in Tower Hamlets Nabeela Bari SavithaPushparajah GP respiratory leads

  2. 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

  3. AIMS • Reduce emergency admissions • Improve quality of care in primary and secondary care settings • Implement NICE quality standards by 2016

  4. 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.

  5. 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

  6. 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

  7. 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

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