History and Control | Recording Asthma Exacerbations

History and Control | Recording Asthma Exacerbations

⚠️ Recording Asthma Exacerbations

Asthma exacerbations can signal poor control and impact QOF achievement, patient safety, and treatment planning. This shared template component is used in multiple PCIT templates and adapts based on patient data.


🧭 When Will I See This?

This component appears:

  • If an exacerbation is being recorded in a review

  • In the OneTemplate Acute for all asthma-related episodes

  • As part of the History & Control section in other templates


📋 What To Record



Field
Purpose
Date of ExacerbationWhen did it occur? Supports timeline and audit accuracy
SymptomsE.g. wheezing, breathlessness, cough
TriggerCold air, infection, allergens, exercise, unknown
DurationHelps differentiate between mild/moderate/severe flare-ups
Medication UsedSABA, steroids, antibiotics
Escalation NeededA&E visit, hospital admission, 111/999 contact
OutcomeResolved at home, hospitalised, ongoing symptoms

🧠 If multiple exacerbations occurred in the past year, summarise each or use the most significant event for clinical planning.


✅ QOF & Contractual Relevance

  • Used to assess control stability and inform AST007 planning

  • Exacerbation frequency contributes to decisions on:

    • Step-up therapy

    • Review frequency

    • Patient education needs

  • Required for many LES templates to confirm payment eligibility


💬 Suggested Questions to Ask Patients

  • “Have you had any asthma flare-ups in the past year?”

  • “Did you need to take steroids or go to hospital?”

  • “What usually sets it off?”

  • “Do you have a plan for what to do when symptoms worsen?”


🔗 Where Else Is This Used?



By capturing this data consistently, you improve clinical safety, meet QOF/LES requirements, and enable better long-term asthma control.