Published on March 13, 2014
A practical example of how one Strategic Clinical Network for Maternity, Newborn, Children and Young People have tackled improvement in Asthma management and care across the whole system Dr Richard Iles, Clinical Lead for CYP Asthma Programme, East of England Dr Melanie Clements, Strategic Clinical Director for Maternity, CYP, East of England
SCN Team “Our role as the East of England Strategic Clinical Network is to connect people and organisations, to create an environment that enables change and innovation in order to improve people’s health and wellbeing, so it is comparable with the best in the world.” East of England SCN Team NHS | Presentation to [XXXX Company] | [Type Date]2
Principles of Care: A common language for providers, commissioners, women, CYP & families NHS | Presentation to EoE MN CYP SCN | [012.09.2013]3 http://vimeo.com/user9821274/review/62371680/6cea170bd1
Asthma is one of the most common long term conditions in the UK, affecting 5.4 million people, of which 1.1 million are children. Asthma is the most common long-term medical condition for children. Caring for people who experience an asthma attack costs 3.5 times more than caring for those whose asthma is well managed. Most patients can achieve effective control of their asthma in partnership with primary care. Many children with asthma have poor control of their condition, often as a consequence of poor compliance with therapy. On average 3 people per day or 1 person every 8 hours dies from asthma in the UK There were 80,000 emergency hospital admissions for asthma in the UK in 2008-09. Of these, 30,000 were children under 14; An estimated 75% of hospital admissions for asthma and as many as 90% of the deaths from asthma are preventable.
Asthma mortality and children with wheeze Ingrid Wolfe, Lancet, Mar 2013
Variation in care
EoE Paediatric Asthma Forum A multi-disciplinary resource offering expertise and experience NHS | Presentation to [XXXX Company] | [Type Date]10
Asthma Management Plan
NHS | Presentation to [XXXX Company] | [Type Date]14
Current and Planned Activity • Data Collection • Deaths and HDU • Medicine Management • Education • Asthma Nurse Specialists • Best Practice Guidance • TPP / System One NHS | Presentation to [XXXX Company] | [Type Date]15
Is Quality Improvement Possible ? NHS | Presentation to [XXXX Company] | [Type Date]16 • In Finland, a comprehensive and nationwide Asthma Programme was undertaken from 1994 to 2004 to improve asthma care and prevent the predicted increase in costs. • The main goal was to lessen the burden of asthma on individuals and society. • The number of hospital days and disability due to asthma fell 70–90% during the period from 1994 to 2010. • In 2012 – there were no adult of paediatric deaths directly attributable to asthma.
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