Long term management of Asthma – ICST

National Welsh Standard

Long term management of Asthma

The findings from the National Review into Asthma Deaths uncovered a system-wide problem with managing patients with Asthma, and instigated urgent reviews into local and national Asthma management strategies. The aim of this programme is to provide patients with asthma with basic asthma care, in line with the Personal Asthma Action Plan, and monitor preventer and reliever inhaler prescribing. Check out the All Wales guideline, TV show and tutorials on the long-term management of Asthma in practice. When you are ready, navigate to the assessment to achieve the certificate.

Featured
Tutorials
Sub-tutorials
Guidelines
Resources
Assessments
QI Projects

NICE Quality standards [QS25]:

People aged 5 years and over with asthma discuss and agree a written personalised action plan.
People with asthma have their asthma control monitored at every asthma review.
People who receive treatment in an emergency care setting for an asthma attack are followed up by their GP within 2 working days of discharge.
People with suspected severe asthma are referred to a specialist multidisciplinary severe asthma service.

TV Show: All-Wales Adult Asthma Management Guidelines

Less than 30% patients have Personalised Asthma Action Plan (PAAP). Monitoring of inhaler prescribing allows practitioners to identify patients who have poorly controlled asthma; every patient should be collecting at least 12 preventer inhalers per year and more than 12 reliever inhaler prescribing per year suggest poor control. In this National Welsh Standard, we explore the Long-term management of Asthma according to the All-Wales Adult Asthma Management Guideline.

In this TV show, Dr Katie Pink, the National Asthma Clinical Lead and Consultant Respiratory Physician, explores the problem further and introduces the Guideline.

Mark as Understood

Tutorials

Starting treatment

Achieving complete control

Ongoing poor control

Which inhaler, for which patient?

The Asthma Annual Review

Live event recording – preparing patients for Winter

Sub-tutorials

When to refer a patient with Asthma

Treatment options for Severe Asthma

Management of severe Asthma

Difficult Asthma

Personalised Asthma Action Plans

Asthma Self-Management

Structured Asthma Clinical Review

Stepwise approach to asthma pharmacotherapy

Goals of asthma therapy

Event Recording: A Major Update to Asthma Prescribing in Wales

Event recording: Expert patients have better outcomes

Guidelines

	All-Wales Adult Asthma Management and Prescribing Guideline

Resources

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Adult Asthma Guideline supporting notes

Supporting notes for the All Wales Adult Asthma Management and Prescribing Guidelines.

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Why asthma still kills: The National Review of Asthma Deaths (NRAD)

The National Review of Asthma Deaths (NRAD), reported here, is the first national investigation of asthma deaths in the UK and the largest study worldwide to date.

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Asthmahub: website

A free self management App developed by the experts from NHS Wales, to signpost your Asthma patients

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Should asthmatics no longer on treatment be followed-up?

This article proposes that in addition to the steps defined in the BTS guidelines, a new step (step zero) should be introduced to cover asthmatic patients who have received no treatment for two years.

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RightBreathe Inhaler prescribing information

There are over 120 inhaler device & drug combinations licensed for the treatment of respiratory disease in the UK and it can be challenging for clinicians and patients to identify the product which best meets individual needs.

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Cwm Taf UHB Inhaler Summary Tables

This document is a sample inhaler summary table, and is not intended to be a prescribing guide. Although dosage information is provided for some preparations, always refer to the BNF or manufacturer’s Summary of Product Characteristics (SPC) for current dosage advice and further information.

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NHS Wales Asthma Care Plan – English

To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.

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NHS Wales Asthma Care Plan (MART) – English

To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.

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NHS Wales Asthma Care Plan – Welsh

To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.

	Your Collections You currently have no collections

NHS Wales Asthma Care Plan (MART) – Welsh

To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.

Assessments

Long-term Management of Asthma

45-minute case-based assessment

25 multiple choice questions

80% pass mark (20 out of 25)

Unlimited retakes

On successful completion, your certificate will appear under this tab.

Undertake Assessment

QI Projects

Personalised Asthma Action Plan

Promote the Asthmahub Apps (Project ONE of TWO)

0%
completed

Overview of the project

This is the first of two projects, which involves targeting all patients on the Asthma register and letting them know about the digital resources available that will provide them with a digital Personalised Asthma Action Plan.

Why is it important?

Data collected from GP practices across Wales suggest that only 16.1% 1-5 year olds, 24.3% 6-18 years olds, and 25.9% adults have any record of a personalised Asthma Action Plan in their records. If a patient has a personalised asthma action plan, they are four times less likely to be admitted to hospital with an asthma attack.

Personalised Asthma Action Plan

The Asthma Annual Review (Project TWO of TWO)

0%
completed

Overview of the project

This is the second of two projects, which involves reviewing a patient’s Personalised Asthma Action Plan during their next Asthma Review.

Why is it important?

Inhaler Technique Check

Promote the Healthhub apps (Project ONE of TWO)

0%
completed

Overview of the project

This is the first of two projects, which involves targeting all patients on the Asthma and COPD registers and letting them know about the digital resources available which demonstrate correct inhaler technique.

Why is it important?

Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.

Inhaler Technique Check

The Asthma and COPD Annual Review (Project TWO of TWO)

0%
completed

Overview of the project

This is the second of two projects in the series, which involves checking the inhaler technique of all patients with Asthma and COPD.

Why is it important?

Data collected from GP practices across Wales suggest that only 44.4% patients on the COPD and Asthma registers have had their inhaler technique checked.

Your Collections

Long term management of Asthma

NICE Quality standards [QS25]:

Your Collections

TV Show: All-Wales Adult Asthma Management Guidelines

Tutorials

Your Collections

Starting treatment

Your Collections

Achieving complete control

Your Collections

Ongoing poor control

Your Collections

Which inhaler, for which patient?

Your Collections

The Asthma Annual Review

Your Collections

Live event recording – preparing patients for Winter

Sub-tutorials

Your Collections

When to refer a patient with Asthma

Your Collections

Treatment options for Severe Asthma

Your Collections

Management of severe Asthma

Your Collections

Difficult Asthma

Your Collections

Personalised Asthma Action Plans

Your Collections

Asthma Self-Management

Your Collections

Structured Asthma Clinical Review

Your Collections

Stepwise approach to asthma pharmacotherapy

Your Collections

Goals of asthma therapy

Your Collections

Event Recording: A Major Update to Asthma Prescribing in Wales

Your Collections

Event recording: Expert patients have better outcomes

Guidelines

Your Collections

All-Wales Adult Asthma Management and Prescribing Guideline

Resources

Your Collections

Adult Asthma Guideline supporting notes

Your Collections

Why asthma still kills: The National Review of Asthma Deaths (NRAD)

Your Collections

Asthmahub: website

Your Collections

Should asthmatics no longer on treatment be followed-up?

Your Collections

RightBreathe Inhaler prescribing information

Your Collections

Cwm Taf UHB Inhaler Summary Tables

Your Collections

NHS Wales Asthma Care Plan – English

Your Collections

NHS Wales Asthma Care Plan (MART) – English

Your Collections

NHS Wales Asthma Care Plan – Welsh

Your Collections

NHS Wales Asthma Care Plan (MART) – Welsh

Assessments

Your Collections

Long-term Management of Asthma

QI Projects

Your Collections

Personalised Asthma Action Plan

Overview of the project

Why is it important?

Your Collections

Personalised Asthma Action Plan

Overview of the project

Why is it important?

Your Collections

Inhaler Technique Check

Overview of the project