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

4

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.

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

Variation in care

31% 5%

EoE Paediatric Asthma Forum

A multi-disciplinary resource offering expertise and experience

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

11

Acute Assessment

Asthma Management Plan

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

Current and Planned Activity

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.

Thank you

melanieclements@nhs.net@MelJClem

r.iles@nhs.net17