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Asthma Asthma Presentation Transcript

  • Back to School with a Wheeze…
    • 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
    • Reflects the experience of many northern hemisphere countries
    Source: Teresa Keegan, Health Intelligence and Analysis, NHS Bradford and Airedale
  • Asthma: most common chronic childhood disease
    • Asthma is a serious global health problem
    • Worldwide, its prevalence has increased over past two decades
    • Affects nearly 1 million children in the UK
    • Creates a significant burden for health care costs and reduced participation in family and school life for children affected
    • Accounts for a higher number of emergency bed-days and emergency hospital admissions than any other paediatric long-term condition
  • Asthma in Yorkshire and the Humber (Y&H)
    • Yorkshire and the Humber & North West: highest risk of admissions in England
    • Y&H target to halve the number of children admitted to hospital
    • Admission rates in Bradford and Airedale higher than the national and regional average
    Hospital admission rate per head of population standardized for regional differences in age and sex. Source: Asthma UK, in Healthy Ambitions, May 2007
  • Rapid Improvement Programme
    • NHS Bradford and Airedale, one of ten pilot areas supported by the NHS Institute for Innovation and Improvement, to:
      • improve whole system working
      • reduce the number of unnecessary presentations/admissions to hospital
      • reduce inequalities and differences in management of acute wheeze
    • 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
  • Outcomes to date
    • Draft traffic light guidelines agreed for diagnosing/treating wheezy/asthmatic child based on BTS/SIGN* guidelines
    • PACE events held to consult on guidelines
    • 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.
    • 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
    • *British Thoracic Society, Scottish Intercollegiate Guidelines Network