Asthma Project Update
Dr Richard Iles, Clinical Lead for Paediatric Asthma Programme,
EoE SCN Maternity, Newborn, Children & Young People
Local Updates
• Working closely with Respiratory SCN
• One “size” does not fit all
• Working as advisors / project design / overview
• Need to increase & expand “advisory” group
Local Updates• Active “project management” with CCGs
• West Suffolk
• Bedfordshire
• Cambridgeshire and Peterborough
• South Norfolk
• Addenbrookes A&E
Update on national asthma collaborative project
Update on national asthma collaborative project
12 SCN and senate areas, broadly based around major patient flows
Team and Partners • Jackie Cornish
• Mike Morgan
• Niall McDermott
• Katie Walkin
• Lorraine Comley
• Richard Iles
• Linda Pearce
• Louise Raybould
• Alex Burroughes
• Joanna Lynne
• Asthma UK
• BTS / BPRS
• PCRS
• Education for Health
New Commissioning 2016
• Best Practice Tariff
• A named paediatrician with a specialist interest in asthma
• A named specialist asthma/respiratory nurse
• Take part in the BTS paediatric asthma audit
• Provide evidence of inhaler technique review and the presence of a personalised action plan for each admitted / clinic patient.
• See in Clinic in 1 month
• The CQUIN
• designed to incentivise providers to deliver quality and innovation improvements over and above the baseline requirements set out in the NHS standard contract, and will complement the best practice tariff for secondary care,
• It is designed to be applied to a regional referral or tertiary level centre.
• It defines the structure and activity of the clinic
CQUIN
• Asthma Consultant
• Asthma Nurse
• Allergy Consultant ( 0.1WTE)
• Specialist Physiotherapist
• Specialist Psychologist
• Pharmacist
CQUIN Principles • 70 per cent funding to the assessment and investigation of children with severe and
difficult asthma (home visits, GP information on compliance, education, monitoring)
• 10 per cent funding for evidence of a commitment to ongoing education of the
networked secondary care units within the region, and be enabled to audit the
educational achievement. This should be in close alignment and reportable to the
local CCGs / area team.
• 10 per cent funding for evidence of a commitment to ongoing assessment of
networked secondary care unit activity within the region, and data entry into a National
Severe paediatric asthma registry. Accountable to local CCGs, and area team.
• 10 per cent funding for strong communication structure with the patients secondary
and primary care providers, school and above all the child and family.
EOE CCGs compared to EU27/28
Admission rates IMD
Admission rate, coded
against EU27
Admission rate, colour coded
against Iceland (EU28 lowest)
Admission rate, colour coded
against Austria
Admission rate, colour coded
against Portugal
Admission rate, colour coded against
Finland
Admission rate rank, colour coded against
England average
NHS Basildon and Brentwood 17.6 113 113 113 113 113 17
NHS Bedfordshire 13.5 170 170 170 170 170 75
NHS Cambridgeshire and Peterborough 15.3 198 198 198 198 198 105
NHS Castle Point, Rayleigh and Rochford 12.2 158 158 158 158 158 65
NHS Corby 26.5 197 197 197 197 197 103
NHS East and North Hertfordshire 12.1 121 121 121 121 121 24
NHS Great Yarmouth and Waveney 24.6 244 244 244 244 244 142
NHS Havering 16.8 101 101 101 101 101 12
NHS Herts Valleys 11.2 114 114 114 114 114 19
NHS Ipswich and East Suffolk 15.7 184 184 184 184 184 87
NHS Luton 26.3 261 261 261 261 261 155
NHS Mid Essex 11.9 129 129 129 129 129 28
NHS Milton Keynes 15.6 200 200 200 200 200 106
NHS Nene 16.9 185 185 185 185 185 90
NHS North East Essex 19.2 166 166 166 166 166 70
NHS North Norfolk 16.1 144 144 144 144 144 49
NHS Norwich 20.8 147 147 147 147 147 50
NHS South Norfolk 13.3 179 179 179 179 179 81
NHS Southend 23.6 157 157 157 157 157 62
NHS Thurrock 20.1 141 141 141 141 141 44
NHS West Essex 15.4 133 133 133 133 133 33
NHS West Norfolk 20.8 342 342 342 342 342 187
NHS West Suffolk 13.6 376 376 376 376 376 194
CCG engagement and next steps
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CCG engagement and next steps
• West Suffolk
• Bedfordshire
• Cambridgeshire and Peterborough
• South Norfolk
• Addenbrookes A&E
Old Workstreams
• Workforce, Requirements, Training & Education
• Communication & Transition
• Prevention and Self-Management
• Effective Commissioning
• Specialist Medicine CQUIN
• Paediatric Asthma Best Practice Tarrif
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New Workstreams
• Local Networks
• Primary and Secondary Care interface
• “Education” Hubs
• “Clinical” Hubs
• HDU Network
Education
• Education for Health Project
SCNs working with Education for Health to develop e-learning modules
• CAKES