Step 3b. Develop aims – consider holistic person-centred care

Are there specific aspects of lifestyle management which you could focus on improving?

Suggested actions

Empower people

• Are practitioners using consultation techniques that provide equity to all. Are there leaflets/electronic resources/links available to support everyone, not only those with respiratory disease, and encourage active lifestyle, physical activity, healthy diet, weight management and smoking cessation? Is there peer support available, such as local support groups for people with respiratory conditions? See Core resources for people with respiratory conditions.
• Support preparation for effective reviews How to prepare for an asthma review
• Consider inclusion on practice website and refer to Manage meds - for patients and carers patient resource.

Ensure effective use of inhalers

• Videos available from:  My Lungs My Life resources, Asthma + lung UK inhaler videos
• Inhaler technique checks Inhaler technique poster

Empower people to self-manage their condition

• Personal Asthma Action Plans 

There is substantial evidence to support the value of personalised actions plans for asthma in both adults and children and this is a benchmark for quality asthma care. Clinicians should refer to local guidance and resources. A generic template is also available from Asthma action plans | Asthma + Lung UK.  

• Self-management: COPD self-management plans

Traffic light plan from  CHSS or Asthma and Lung UK Traffic lights for COPD or COPD self-management plan

Resources to support holistic person-centred care and signposting to wider resources

• Do practitioners and local co-ordinators know and have lists available of local groups, e.g. walking groups, weight management groups, sports centres?
• Practitioners may wish to consider starting up their own groups to support their population.
• How does the practice work with community link workers to help achieve this support? 
• ALISS - find services, groups and activities for health and wellbeing across Scotland

Consider additional support which can improve respiratory care

• Be aware of local pathways available for smoking cessation and social prescribing support Stop smoking advice, Smoking cessation NHS inform 
• Air quality information e.g. pollution, thunderstorms* Pollution forecast, Daily air quality index, Lowering your risk from air pollution
• Housing, damp and mould WHO indoor air quality guide: dampness and mould