Introduction

• This toolkit supports implementation of the recommendations for adults within the updated guidance, Quality Prescribing for Respiratory using a QI approach.
• This toolkit allows individuals to select the step(s) which are most useful to themselves, their practice or their boards. 
• It is interactive and flexible and allows you to select an area an area to focus on which is most relevant to your practice.
• Clicking on each step will link to a range of suggested actions and resources that will help towards implementing each step.
• This is the first edition of a live document and will develop over time as individuals, practices and boards add their experiences and resources. If you have any comments or suggestions for improvement, please email EPandT@gov.scot.
• A PDF version of this implementation toolkit is available to download.

How to use this toolkit

This toolkit focuses on asthma and COPD respiratory care. 

It covers high priority areas such as

• Accurate diagnosis
• Prevention
• Self-management
• Medicines optimisation
• Non-pharmacological interventions
• Environmental impact
• Links to useful resources from trusted sources for healthcare professionals and people living with the conditions

The actions to support implementation will help you to identify and prioritise ideas for change in your practice, to improve respiratory care. They guide you through current guidance, current data and suggested areas which you may wish to focus on.

You do not have to address everything at once, start small, for example, with one or two tests of change. Remember you can always pause and revert (if the change process is too difficult). You may wish to start with the NTIs or ideas in the Greener asthma toolkit (categorised as the 4D’s: Diagnosis, Disease control, Device, Disposal). There are examples of projects already carried out to give you inspiration.