Tutorials
Starting treatment
Achieving complete control
Ongoing poor control
Which inhaler, for which patient?
An ICST Competency
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]:
- 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
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
Live event recording – preparing patients for Winter
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
 |
|---|
Adult Asthma Guideline supporting notes
Supporting notes for the All Wales Adult Asthma 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
To order printed copies of Asthma Care Plans, please send an email to support@healthhub.wales with the quantity needed and the address.
|
|---|
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.
|
|---|
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.
|
|---|
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
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
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
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
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.