Identifying people with poor symptom control and at future risk of asthma attacks enables targeting of care:
at the level of the individual patient, their families and carers (eg by increasing frequency of review, commencing/increasing preventer medication, personalisation of an asthma action plan, avoiding triggers such as smoking, shifting the necessity/concerns balance for ICS treatment)
from a public health perspective (eg addressing any inequities of care due to deprivation)
for policy makers (ensuring access to care)
targeting care on people/populations identified as being poorly controlled or at greater risk of asthma attacks has the potential to improve the quality of life of people with asthma and their families.
The NSHI Respiratory Audit Tool; designed by NSHI and hosted by OPEN VIE (OPEN Health) is not routinely available in Practice.
All the data relating to the respiratory patients care and current health status, currently exists within the practice records. The NSHI Respiratory Audit Tool (MIQUEST/SNOMED) is used to run queries through the clinical reporting functionality of the GP Operating system to identify patients who fulfil a list of respiratory criteria in line with national guidelines.
All data flows remain within the NHS NET HSCN environment, between the GP Clinical System and the HSCN. Such access to the GP Clinical System is time limited and fully auditable.
A full therapeutic review for each identified patient can be conducted, using the NSHI MIQUEST/SNOMED based audit application, resulting in the identification of specific patients who are most likely to benefit from a review.
This enables the Health Care Professional to optimise the patients care/treatment, in line with local and/or national guidelines, resulting in improved health outcomes for the individual.