Asthma Friendly Schools

1. Asthma Friendly Schools Project Lead: Nickola Rickard Project Supervisor: John Moreiras /Adesegun Oremule ICSU: Children's Services Presentation Date: Jan 2016

2. Background Asthma Friendly schools project Commenced under the title of Asthma Kite Mark (Jan 2015) Project was commissioned by Islington CCG. Initial KPI’s were Engaged meaning: links with appropriate staff member established; audit against kite marking standards achieved; action plan agreed. No of schools engaged by Mar 2015 -Target 10 schools (29 achieved) No of schools engaged by Dec 2015 - Target 15 schools (45 achieved) Year 2 (Dec 2015 to Dec 2016): Improvement in parent/carers/children/ schools confidence in managing the condition at school. Measure – Feedback gathered from kite marked schools

3. Nikki to produce a draft evaluation of the project by next meeting containing:Overview of schools worked with to date e.g. how many, primary or secondary, level of engagementWhat has gone wellChallenges and how these have been metA couple of scenarios that demonstrate effectivenessBrief plan for final year

4. Number of Upper Schools ‘Engaged’ = 7 Holloway Highbury Grove IAMS Highbury Fields St Aloysius St M.Magdalene Mount Carmel EGA - pending

6. How do we know its working: Child ran to school – no inhaler – asthma attack Several schools have reported incidents they have been able to address as a result of the project corrected inhaler technique Schools flagging children with unusual patterns of salbutamol usage

7. Aim & Objective Aim: To improve outcomes for children with asthma, by enabling schools to achieve a benchmark/standard for asthma. Objectives Better care for pupils with asthma Less days missed of school through asthma related illness (Measure?) Increased staff knowledge and confidence re: asthma management Focused intervention through identifying pupils with asthma (best use of time and resources), contributing to children achieving their 5 outcomes, particularly ‘be healthy’ and ‘enjoy’ and ‘achieve’.

8. Criteria & Standards Each School will have the following to be considered an Asthma Friendly School: A clear policy on Asthma Management in place  The Whole school community will have access to asthma First Aid in an Emergency.   Asthma training is accessed by all staff Students Known to have asthma will have an individual health care plan Schools maintain an up-to-date asthma register

9. Process 16.1 Step 1 16.1.1 Contact/respond to schools by phone/email following initial contact within 2 days. 16.1.2 If no response to communication within a further 2 days re contact - up to a maximum of 3 times. 16.1.3 Once appointment made for initial audit/meeting - have paperwork ready to complete at meeting. 16.1.4 Appointments completed/audit on first visit. 16.1.5 Following meeting type up audit results and transfer data to spreadsheet. 16.1.6 Following meeting send action plan and any additional documents within 2 working days. 16.1.7 Audits to be held electronically so they can be built upon at subsequent visits and saved by date. 16.1.8 Book follow-up appointment within 1-2 weeks of initial audit. 16.2 Step 2 16.2.1 Review actions identified in audit and note improvement also outstanding actions. Spot check original claims i.e. All inhalers are routinely checked for expiry date - add to action plan if not completed. Follow 'what to do if guidance'. 16.3 Step 3 16.3.1 At this visit school should have made contact with parents (some whole school) and received consent back...identified which students need care plans. NR to spend day in the school at this visit to through letters and existing care plans checking for date of issue etc. - identify students who need a review and refer to GP practice. Check inhalers and procedures are all in place. Book training for teachers and coffee morning for parents (particularly primary). May require 2 separate dates. 16.3.2 Consider a rolling programme of training - all training dates to be added to the spreadsheet. 16.4 Step 4 16.4.1 Unannounced audit of asthma process. Follow-up any outstanding care plans actions. 16.5 Step 5 Train staff and hold information session with parents and students in upper schools. Re audit to check for compliance - if all outstanding actions completed and training completed school to be awarded KM.

10. Progress Care Plans -

12. Statute:

17. Conclusion This should be a summary of the key findings, highlighting positive and negative results and what conclusions can be drawn.

18. Recommendations &Action Plan

19. Action Plan Key Table 1: Change Status 1 Recommendation agreed but not yet actioned 2 Action in progress 3 Recommendation fully implemented – include completion date 4 Recommendation never actioned (please state reasons) 5 Other (please provide supporting information) Table 2: Risk Rating In order to assess how the findings of the audit prior to intervention will impact on the quality of care given, a risk assessment is required using the matrix below. This will assist in determining the level of intervention required:

20. Whittington HealthMagdala AvenueLondonN19 5NF7272 Tel: 020 3070Fax: 020 7288 5550Website: www.whittington.nhs.uk