SE London STP Asthma 5 Sep 2018
Introduction A variety of different approaches across the SEL STP Aim is to bring the different approaches together in current leadership programme Moving forward- review learning from each area 2
Bexley Pharmacy Support to Asthma: Pharmacies’ to support asthma patients - focused on inhaler technique and appropriate medication No cost given as covered in current contracts Small scale to date but the view is that it has the potential to make an impact Roll out across CCG areas Group Consultations: KU described as specific pilot where: A GP practice has developed groups consultations to help 5-11 year olds and their families use inhalers correctly. The work is ongoing – this has been felt to have a positive impact and the CCG is considering a wider application 2
Current situation- working towards asthma pilot with local pharmacies Greenwich Asthma nurse pilot in 2017, single asthma nurse, picking up cases from ED and ward and following them home. Not deemed to be cost effective and funding withdrawn Current situation- working towards asthma pilot with local pharmacies Has been agreed with Local Pharmacy Committee Opportunistic reviews at pharmacies, aiming for medicines optimisation and ensuring inhaler technique is correct. No additional funding available 2
Lewisham Asthma CQUIN 2016/17 Extensive scoping of service and modelling of a new integrated community/acute service ( including self assessment against the London Asthma Standards) Aims- Better control, reduced ED attendance and LOS, improved School attendance, improved overall health and wellbeing including psychological impacts, better outcome for families Model agreed – recruitment of 2 Band 7 Asthma nurses based in community 2
Implementation of new asthma nurse model Lewisham Implementation of new asthma nurse model Comprehensive training of nurses, communication strategy to advertise service Accept referrals from ED and inpatient ward Development of clinics in GP practices ( referrals gradually increasing) Educational training of practice nurses and school nurses in community based setting Home visits Development of patient information leaflets 2
CYPHP project developed and implemented by Evelina London Lambeth/Southwark CYPHP project developed and implemented by Evelina London Specialist nursing teams In reach to practices from paediatricians Health check for long term conditions including asthma http://www.cyphp.org/cyp-families/survey More details during the day in presentations from CYPHP 2
In process of developing a plan Bromley Bromley CCG are currently working in collaboration with partners to develop an asthma network In process of developing a plan Engagement of the key stakeholders is underway Includes primary, secondary and community care, Public Health, schools and pharmacies Aim is to form an integrated pathway Then to replicate for other long-term conditions in children and young people 2