Asthma

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Asthma

  1. 1. Back to School with a Wheeze… <ul><li>5 years data, analysed as part of a whole system approach to reducing hospital admissions, shows striking peak which coincides with autumn return to school </li></ul><ul><li>Reflects the experience of many northern hemisphere countries </li></ul>Source: Teresa Keegan, Health Intelligence and Analysis, NHS Bradford and Airedale
  2. 2. Asthma: most common chronic childhood disease <ul><li>Asthma is a serious global health problem </li></ul><ul><li>Worldwide, its prevalence has increased over past two decades </li></ul><ul><li>Affects nearly 1 million children in the UK </li></ul><ul><li>Creates a significant burden for health care costs and reduced participation in family and school life for children affected </li></ul><ul><li>Accounts for a higher number of emergency bed-days and emergency hospital admissions than any other paediatric long-term condition </li></ul>
  3. 3. Asthma in Yorkshire and the Humber (Y&H) <ul><li>Yorkshire and the Humber & North West: highest risk of admissions in England </li></ul><ul><li>Y&H target to halve the number of children admitted to hospital </li></ul><ul><li>Admission rates in Bradford and Airedale higher than the national and regional average </li></ul>Hospital admission rate per head of population standardized for regional differences in age and sex. Source: Asthma UK, in Healthy Ambitions, May 2007
  4. 4. Rapid Improvement Programme <ul><li>NHS Bradford and Airedale, one of ten pilot areas supported by the NHS Institute for Innovation and Improvement, to: </li></ul><ul><ul><li>improve whole system working </li></ul></ul><ul><ul><li>reduce the number of unnecessary presentations/admissions to hospital </li></ul></ul><ul><ul><li>reduce inequalities and differences in management of acute wheeze </li></ul></ul><ul><li>Members of the whole system group include Yorkshire Ambulance Service, NHS Direct, Local Care Direct, Bradford Teaching Hospitals Foundation Trust (including A&E Consultants), Airedale NHS Trust (including A&E Consultants) NHS Bradford and Airedale, Bradford District Care Trust, Local GPs, Bradford Metropolitan District Council </li></ul>
  5. 5. Outcomes to date <ul><li>Draft traffic light guidelines agreed for diagnosing/treating wheezy/asthmatic child based on BTS/SIGN* guidelines </li></ul><ul><li>PACE events held to consult on guidelines </li></ul><ul><li>Education programme planned for 20+ schools to improve the awareness and education of the care of wheezy /asthmatic children. Roll out across 200 schools in Bradford and Airedale. </li></ul><ul><li>Addresses competencies: 1 Surveillance and assessment of the population’s health and well-being; 2 Assessing the evidence of effectiveness of health and healthcare interventions, programmes and services; 3 Policy strategy development, and implementation; 5 Health improvement; 7 Health and social service quality; 8 Public Health Intelligence </li></ul><ul><li>*British Thoracic Society, Scottish Intercollegiate Guidelines Network </li></ul>

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