🌬️ Detailed Asthma Review (Adult)

💷 How much is this worth to me?

This template supports comprehensive asthma care for adults and is often used to satisfy:

• QOF indicators (e.g. AST007 – annual asthma review with self-management plan)

• Local Enhanced Service (LES) contracts that require in-depth review elements

• Good clinical practice in identifying patients with poor control or at risk of exacerbations

While not all fields are required for QOF, completing this template can significantly improve patient outcomes and streamline coding for contract performance.

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📊 High-level overview of the specification requirements

This review includes detailed data points on:

• Asthma control and severity

• Medication use (inhalers, steroids)

• Emergency admissions

• Inhaler technique and compliance

• Exacerbation history

• Self-management and peak flow monitoring

Some fields are mandatory for QOF, while others enhance clinical understanding and support safe prescribing.

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📌 What do you need to know?

This template is divided into several themed sections:

🧪 Assessment of Severity

• Record:

  • Asthma Control Test score (link provided)

  • Exacerbation count in past year

  • Severity: Mild, Moderate, Severe

  • Inhaled steroid use: Tick correct dose

  • Oral steroid use: Date of last course

🏥 Hospital Use & Compliance

• Emergency visits or admissions since last review

• Alert to check repeat inhaler prescriptions – overuse or underuse can indicate poor control

• Bronchodilator frequency: Once daily vs. more often

• Is asthma currently dormant?

🧠 Patient Understanding

• Links to education tools including:

  • Slide rule to reduce short-acting beta agonist reliance

  • NICE patient decision aids

  • Inhaler training videos and steroid dose guides

🌿 Triggers & Co-morbidities

• Tick known asthma triggers (e.g. damp, pollen, perfume)

• Co-morbidities: Allergic rhinitis, hayfever

📈 Peak Flow & Self-Management

• Peak expiratory flow (pre/post bronchodilation)

• Best-ever peak flow

• Record whether the patient has a home peak flow meter

💨 Inhaler Technique

• Confirm correct technique and inspiratory effort

• Guides to assess DPI vs. MDI suitability based on environmental and patient factors

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💡 Hints and Tips

• Control test scores can be submitted separately – just link them with the review.

• If more than 3 SABA inhalers/year, consider stepping up therapy or reviewing compliance.

• For LES templates, ensure all relevant sub-sections (e.g. self-management plan) are completed for payment.

• The inhaler technique section includes educational video links — great for both clinicians and patients.

• Use narrative boxes for nuance – especially if management decisions deviate from standard pathways.