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.

NICE Quality standards [QS25]:

  1. People aged 5 years and over with asthma discuss and agree a written personalised action plan.
  2. People with asthma have their asthma control monitored at every asthma review.
  3. 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.
  4. People with suspected severe asthma are referred to a specialist multidisciplinary severe asthma service.

Tutorials

Starting treatment

Achieving complete control

Ongoing poor control

Which inhaler, for which patient?

The Asthma Annual Review

Sub-tutorials

When to refer a patient with Asthma

BTS Statement on Referral

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

Guidelines

All-Wales Adult Asthma Management and Prescribing Guideline

Resources

Adult Asthma Pathway supporting notes

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

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.

Asthmahub: website

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

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.

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.

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.

NHS Wales Asthma Care Plan – English

NHS Wales Asthma Care Plan (MART) – English

NHS Wales Asthma Care Plan – Welsh

NHS Wales Asthma Care Plan (MART) – Welsh

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?

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.

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.

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