Asthma Project Update Dr Richard Iles, Clinical Lead for Paediatric Asthma Programme, EoE SCN Maternity, Newborn, Children & Young People

Local Updates Working closely with Respiratory SCN One “size” does not fit all Working as advisors / project design / overview Need to increase & expand “advisory” group

Local Updates Active “project management” with CCGs West Suffolk Bedfordshire Cambridgeshire and Peterborough South Norfolk Addenbrookes A&E

Avoid duplication of effort Make best use of resources Share and spread success and innovation Provide equivalent access to intelligence and information Be more effective in implementing national improvement Shared and aligned objectives provide opportunities to Update on national asthma collaborative project

12 SCN and senate areas, broadly based around major patient flows

Team and Partners Jackie Cornish Mike Morgan Niall McDermott Katie Walkin Lorraine Comley Richard Iles Linda Pearce Louise Raybould Alex Burroughes Joanna Lynne Asthma UK BTS / BPRS PCRS Education for Health

New Commissioning 2016 Best Practice Tariff A named paediatrician with a specialist interest in asthma A named specialist asthma/respiratory nurse Take part in the BTS paediatric asthma audit Provide evidence of inhaler technique review and the presence of a personalised action plan for each admitted / clinic patient. See in Clinic in 1 month The CQUIN designed to incentivise providers to deliver quality and innovation improvements over and above the baseline requirements set out in the NHS standard contract, and will complement the best practice tariff for secondary care, It is designed to be applied to a regional referral or tertiary level centre. It defines the structure and activity of the clinic

CQUIN Asthma Consultant Asthma Nurse Allergy Consultant ( 0.1WTE) Specialist Physiotherapist Specialist Psychologist Pharmacist

CQUIN Principles 70 per cent funding to the assessment and investigation of children with severe and difficult asthma (home visits, GP information on compliance, education, monitoring) 10 per cent funding for evidence of a commitment to ongoing education of the networked secondary care units within the region, and be enabled to audit the educational achievement. This should be in close alignment and reportable to the local CCGs / area team. 10 per cent funding for evidence of a commitment to ongoing assessment of networked secondary care unit activity within the region, and data entry into a National Severe paediatric asthma registry. Accountable to local CCGs, and area team. 10 per cent funding for strong communication structure with the patients secondary and primary care providers, school and above all the child and family.

EOE CCGs compared to EU27/28 Admission rates IMD Admission rate, coded against EU27 Admission rate, colour coded against Iceland (EU28 lowest) Admission rate, colour coded against Austria Admission rate, colour coded against Portugal Admission rate, colour coded against Finland Admission rate rank, colour coded against England average NHS Basildon and Brentwood NHS Bedfordshire NHS Cambridgeshire and Peterborough NHS Castle Point, Rayleigh and Rochford NHS Corby NHS East and North Hertfordshire NHS Great Yarmouth and Waveney NHS Havering NHS Herts Valleys NHS Ipswich and East Suffolk NHS Luton NHS Mid Essex NHS Milton Keynes NHS Nene NHS North East Essex NHS North Norfolk NHS Norwich NHS South Norfolk NHS Southend NHS Thurrock NHS West Essex NHS West Norfolk NHS West Suffolk CCG engagement and next steps

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CCG engagement and next steps West Suffolk Bedfordshire Cambridgeshire and Peterborough South Norfolk Addenbrookes A&E

Old Workstreams Workforce, Requirements, Training & Education Communication & Transition Prevention and Self-Management Effective Commissioning Specialist Medicine CQUIN Paediatric Asthma Best Practice Tarrif 16

New Workstreams Local Networks Primary and Secondary Care interface “Education” Hubs “Clinical” Hubs HDU Network

Education Education for Health Project SCNs working with Education for Health to develop e-learning modules CAKES