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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

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

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Health and Care Innovation Expo 2014, Pop-up University, Day 2. 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 #Expo14NHS

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Page 1: 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

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

Page 2: 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

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

Page 3: 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

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

Page 4: 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

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Page 5: 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

Asthma is one of the most commonlong term conditions in the UK, affecting5.4 million people, of which 1.1 million arechildren. Asthma is the most commonlong-term medical condition for children.

Caring for people who experiencean 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 or1 person every 8 hours dies from asthma in the UK

There were 80,000 emergencyhospital admissions for asthma inthe UK in 2008-09. Of these, 30,000were children under 14;

An estimated 75% of hospital admissions for asthma and as many as 90% of the deaths from asthma are preventable.

Page 6: 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

Asthma mortality and children with wheezeIngrid Wolfe, Lancet, Mar 2013

Page 7: 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

Variation in care

Page 8: 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

31% 5%

Page 9: 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
Page 10: 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

EoE Paediatric Asthma Forum

A multi-disciplinary resource offering expertise and experience

NHS | Presentation to [XXXX Company] | [Type Date]10

Page 11: 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

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Page 12: 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

Acute Assessment

Page 13: 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

Asthma Management Plan

Page 14: 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

NHS | Presentation to [XXXX Company] | [Type Date]14

Page 15: 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

Current and Planned Activity

NHS | Presentation to [XXXX Company] | [Type Date]15

Page 16: 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

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.