🫁 OneLTC Asthma Template Guide

📄 Overview

The OneLTC Asthma Template is a structured, dynamic tool that guides clinicians through a full asthma review. It supports high-quality documentation, guideline adherence, and achievement of QOF, LES, and IIF targets.

For more context on how this template compares with others, see: 🔗 Asthma in OneTemplates (Prescriber & Non-Prescriber)

🧭 Template Navigation

This template includes:

• Dynamic logic based on patient status (age, diagnosis, inhaler use, etc.)

• Highlighted contractual items using:

  • 🔵 Blue text – NICE guidance

  • 🟣 Purple text – Local funding or LES elements

  • ⭐ Asterisks – Payment-relevant fields

📋 Key Sections and Links

🧪 Diagnosis

• Introduces diagnosis workflow and coding requirements

• Includes:

  • 🔗 AST012 QOF Requirements

  • 🔗 Spirometry prompts if no prior lung function test

  • 🔗 Inhaler review alerts for dormant/resolved coding

  • 🔗 Occupational cause flag if newly diagnosed

⚠️ Exacerbation History

For recording symptoms, triggers, and interventions during past flare-ups.

• 🔗 Recording Asthma Exacerbations

📈 History & Control

• Includes:

  • Symptom frequency, ACT or GINA scoring

  • SABA overuse alert (if ≥6 in 6 months)

  • 🔗 Paediatric considerations
    

  • Hospital admissions

🧠 Understanding & Triggers

• Assesses patient's asthma literacy and understanding

• Identify known triggers

🩺 Physical Examination

• Captures vital signs and weight (BMI logic for adults vs children)

• Pulse
  

• Respiratory examination

🫁 Inhaler Technique & Adherence

• 🔗 Shared Component: Inhaler Technique
  

• 🔗 Shared Component: Adherence

🚬 Smoking Status

• 🔗 Shared Component: Smoking Status Handling

🏠 Social Factors

• Living conditions (mould, ventilation, pets)

• Alcohol screening
  

• Impact of childhood wheeze
  

• Employment and Armed Forces status

💉 Vaccinations

• Influenza
  

• Pneumococcal
  

• COVID vaccination
  

✅ Management Plan

• 🔗 Shared Component: Self-Management Plan

• 🔗 Shared Component: Managing maintentance Therapy
  

• 🔗 Shared Component: Follow-Up

🔚 Summary

The OneLTC Asthma Template is designed to deliver:

• Contract-aligned, structured asthma reviews

• Real-time, dynamic prompts based on patient context

• Safe and efficient care for clinicians at all levels

Use the links above to explore each component in more detail and ensure you're using the most up-to-date, modular approach to asthma management.