1. SE London STP Asthma
5 Sep 2018

2. 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

3. 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

4. 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 Not deemed to be cost effective and funding withdrawn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

5. 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

6. 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

7. 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
More details during the day in presentations from CYPHP 2

8. 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