Create conditions for change - consider the impact of respiratory conditions locally, using local and national data, related to new guidance.
Suggested actions
Guidance available
Read and familiarise yourself with these key documents:
- Quality Respiratory Prescribing Guidance 2024 – 2027
- British guideline on the management of asthma (sign.ac.uk), Overview
- Chronic obstructive pulmonary disease in over 16s: diagnosis and management, NICE
- GINA 2023 - Global Strategy for Asthma Management and Prevention
- 2023 GOLD Report - Global Initiative for Chronic Obstructive Lung Disease - GOLD
- NHS Scotland climate emergency and sustainability strategy: 2022-2026
- Scottish Respiratory Care Action Plan
Incidence of Asthma and COPD
Consider the incidence and prevalence locally, at board, cluster and practice level. Does this vary with national and other local data?
- General practice - demographics data visualisation - Public Health Scotland
- Respiratory Dashboard
Level of asthma and COPD care
- How up to date are your annual reviews for asthma and COPD? Examine your practice level data.
- How do you prioritise reviews for those most at risk? Are individuals reviewed within 48 hours after an exacerbation?
Outcomes for people living with respiratory conditions
|
|
|
Cost of managing Asthma and COPD
Consider the cost of respiratory care to the individual and the board in managing these – personally, financially and resource involved? Can this be optimised?
- Prescribing costs – PRISMs etc
- DALYs etc PHO
Environmental impact of respiratory care
Consider the environmental impact of respiratory care and take steps to reduce the carbon impacts for this, considering the co-benefits of improving environmental impact and improving respiratory care:
- Carbon impacts due to inhaler propellant and safe disposal of inhalers. See High quality and low carbon respiratory care video below.
Consider factors to reduce/prevent long-term complications/manage co-morbidities
- Ensure accurate timely diagnosis and coding
- Optimising care to reduce exacerbations
- Monitoring adherence
- Provision of bone protection
- Vaccination uptake
- Smoking cessation
- Address inequalities in respiratory care