1. Delivering improvements in childhood asthma outcomes; A collaborative approach Dr Richard Iles 24 March 2015

5. 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

6. 31% 5% 6

11. http://www.prescqipp.info/respiratory

12. High dose inhaled corticosteroids for children under 12 with a diagnosis of asthma NB some products not licenced but if a child under 12 is being prescribed these it is still classed as high dose ICS. These are grouped into the number of inhalers required per month. Searches pull off prescribing in the last 6 months for patients who have had, on average, the number of these inhalers per month who have not had an attempt to step down treatment in the last 4 months. One inhaler per month= high dose ICS Symbicort 400/12 turbohaler Symbicort 200/6 turbohaler Budesonide/formoterol 200/6 turbohaler Budesonide/formoterol 400/12 turbohaler Flixotide Evohaler ® 50mcg Fluticasone inhaler 50mcg Flixotide Accuhaler 100mcg Fluticasone powder for inhalation 100mcg Disk

14. Respiratory SCN : Paediatric Asthma Forum Asthma Education Outcomes Commissioning