🌬️ Detailed Asthma Review (Child)

💷 How much is this worth to me?

This template supports comprehensive paediatric asthma reviews and contributes to:

• QOF indicator AST007 – Annual asthma review with self-management plan

• Local Enhanced Service (LES) delivery where additional requirements (e.g. inhaler technique, education) are specified

Accurate use of this template ensures structured clinical review and captures contractually required data points for QOF and ICB-led asthma programmes.

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📊 High-level overview of the specification requirements

A compliant asthma review for children should include:

• Assessment of control and severity

• Medication usage and adherence

• Emergency care episodes

• Trigger identification

• Inhaler technique assessment

• Provision of a self-management plan

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📌 What do you need to know?

This template is organised into clear sections:

🧪 Assessment of Severity

• Asthma Control Test score (link included)

• Exacerbation count in the past year

• Severity classification: Mild, Moderate, Severe

• Inhaled steroid use: Tick correct option based on dose

• Oral steroid use: Date of last course

🏥 Emergency Use & Compliance

• Emergency visits or admissions since last review

• Inhaler prescription usage – prompt to review repeat patterns

• Bronchodilator frequency (once vs. more than once daily)

• Tick if asthma is currently dormant

🧠 Understanding & Triggers

• Guidance for explaining asthma physiology and medication use (including Slide Rule links)

• Trigger checklist (e.g. dust, pollen, emotion, pets)

📈 Peak Flow and Self-Management

• Peak flow before/after bronchodilation

• Best-ever peak flow

• Whether the patient has a home peak flow meter

💨 Inhaler Technique

• Links to education tools and videos:

  • Wessex AHSN, Asthma UK, NICE decision aids

• Technique checks:

  • Is the child using a DPI or MDI correctly?

  • Tips for confirming correct inspiratory effort

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💡 Hints and Tips

• Slide Rule conversations are especially useful with parents and carers — reinforce understanding of reliever vs. preventer inhalers.

• Record actual peak flow values if measured — useful for longitudinal tracking and emergency care decisions.

• If repeat prescriptions are excessive, address with child/parent and consider step-up or adherence concerns.

• Ensure inhaler technique is observed — it is often a limiting factor in control.

• This review can be used alongside other paediatric templates (e.g. wheeze or allergy) for more complex patients.