PCN Based Strategy to Improve Asthma Outcomes (ID 504)
Affinity Care, The Willows Medical Centre
Funding: Affinity Care PCN
Chiesi
Abstract
BackgroundUncontrolled asthma can lead to frequent exacerbations with increased use of inhaled SABA leading to avoidable hospitalisations. Also resulting in use of oral corticosteroids which are associated with a plethora of side effects.
.. There is an opportunity to identify initiatives across the PCN to improve overall asthma care
Aim
. Improve asthma care across the PCN by reducing SABA overuse, oral corticosteroids, and increased referral to severe asthma clinic.
Method
• Develop PCN based Diagnostic Hub for accurate diagnosis of asthma.
• Education for HCP’s regarding use of oral steroids and strategies to reduce exacerbations.
• Prioritise a single ICS/LABA inhaler approach (Track 1 GINA guidelines) in the management of our asthma population. Patients were identified for change at asthma review and on presenting with worsening asthma symptoms.
• Targeted intervention for high-risk patients (2 or more OCS and 6 SABA per year) and reviewed using NSHI therapy review service REACT funded by Chiesi
• Further audit identified any patient who continued to exacerbate who were then reviewed by specialist respiratory ACP’s from the PCN
• Template to facilitate medication change at the point of exacerbation and initiated patients on ICS/formoterol containing therapies as per GINA track 1
• Education regarding Severe Asthma. Template developed working with the local Severe Asthma Clinic which facilitated referrals to ensure all relevant information was provided on referral.
Results
• 24% reduction in patients having 2 more courses OCS
• 20% reduction in patients using 12 or more SABA
• 40% increase in referrals to severe asthma clinic
• 35% Reduction in inhaler carbon emissions achieving upper 5th percentile across ICB in this measure
Conclusion
A reduction in overall asthma risk can be achieved by changes to patient diagnosis process, HCP education, inhaler formulary and clinical templates.
Conflicts of interest: None
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