48 Hour Review
The end of the 48hr Asthma and Wheeze Review Service for children will be on March 31st.
This has been a very effective and valued provision screening up to 900 children each year, many thanks to the GPCG team who have delivered this on behalf of Primary Care. We are disappointed that further funding has not been available. We expect the NEL LES might support this work in future but await final negotiations.
Practices meanwhile might want to review their processes for reviewing discharge summaries from UTC, Hubs, ED and the wards, these will be highlighting the need to book a review. Parents and young people will be asked to contact their Practice to arrange this on discharge.
Acute episodes treated within Practices should also be reviewed to consider steroid course extension.
The RP Paediatric Asthma and Allergy template Has been updated with guidance on what a 48 hour which is coded. We encourage all Practice staff to complete the Asthma Tier training appropriate for their role.
Post Attack Asthma Review Pathway
Asthma Plan
Child asthma action plan – full colour editable
Adult asthma action plan – full colour editable
MART asthma action plan – full colour editable
AIR asthma action plan – full colour editable
Asthma action plan in Bengali (বাংলা)
For all other plans available clinic on Health advice resources – Asthma + Lung UK (asthmaandlung.org.uk)
Asthma Information Leaflet
Allergy Plan
Allergy Clinical Guidance
Air Quality
Asthma & Allergy Friendly School Toolkit
Breathing Exercise
Children Eczema
Digital Health passport
The Digital Health Passport pilot was commissioned by the Healthy London Partnership to enable sharing of care plans and to support self-management of chronic conditions with a focus on improving outcomes for young people with asthma and other long-term conditions.
It is developed by Tiny Medical Apps and co-produced with young people, school nurses, GPs and asthma specialists, the app can be downloaded here. Read more on the benefits of using the App with a patient lived experience.
The Health Passport is a Personal Health Record (PHR) assistant that enables young people aged 13-25 years old with long-term conditions to take control of their health. It contains a digital asthma action plan and enables young people to track symptoms and access educational resources to help them manage their condition. The Digital Health Passport has been designed and developed to make it easier for patients to record and share their symptom data with their clinicians.
The young person can choose to share with their healthcare team if they want to. Asthma action plans can also be shared with school nurses, parents and carers. It is designed to make long term conditions easier to manage.
The main features of the Digital Health Passport are
- Asthma UK action plan
- Emergency plan
- Track symptoms
- NHS health advice and asthma management educational information
- Air quality levels (pollution, pollen and weather changes)
- Medication reminders
Text message for patients
Download this App to help manage your asthma. You can access reliable information, record your medication, store your asthma plan, track symptoms, and set reminders for when to take your medication.
Pathways Guidance
Asthma (NEL) Paediatric Inhaler Formulary
Asthma Pathways – Primary Care Review Pathway
BTS children guideline 2024 (Full Guidelines click here)
Children’s Acute Asthma Exacerbation Pathway
Child deaths due to asthma, anaphylaxis and allergies
Guide to children inhalers and placebos
No More Weaning Plan for children with wheeze/asthma
National bundle of care for children and young people with asthma
National Review of Asthma Deaths