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

2. 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

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

4. 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

5. 12 SCN and senate areas, broadly based around major patient flows

6. 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

7. aileen.muir@brit-thoracic.org.uk

8. 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

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

10. 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.

11. 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 Brentwood17.6113 17 NHS Bedfordshire13.5170 75 NHS Cambridgeshire and Peterborough15.3198 105 NHS Castle Point, Rayleigh and Rochford12.2158 65 NHS Corby26.5197 103 NHS East and North Hertfordshire12.1121 24 NHS Great Yarmouth and Waveney24.6244 142 NHS Havering16.8101 12 NHS Herts Valleys11.2114 19 NHS Ipswich and East Suffolk15.7184 87 NHS Luton26.3261 155 NHS Mid Essex11.9129 28 NHS Milton Keynes15.6200 106 NHS Nene16.9185 90 NHS North East Essex19.2166 70 NHS North Norfolk16.1144 49 NHS Norwich20.8147 50 NHS South Norfolk13.3179 81 NHS Southend23.6157 62 NHS Thurrock20.1141 44 NHS West Essex15.4133 33 NHS West Norfolk20.8342 187 NHS West Suffolk13.6376 194 CCG engagement and next steps

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

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

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

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