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Found 32 results
  1. Content Article
    Key findings Adult asthma: 0.4% died within 30 days of admission to hospital, 0.8% within 90 days COPD: 6.1% died within 30 days of admission, 11.9% within 90 days.
  2. Content Article
  3. Content Article
    Recommendations Every person to receive an early and accurate diagnosis based on a guideline-defined approach and a plan for their care Care to be provided to people with asthma and COPD within the recommended timeframe after hospital admission, to support optimal outcomes People with asthma and COPD to receive care by appropriately trained healthcare professionals, at each stage of their care pathway, and Primary, secondary and community services to implement ways to work together, offering people with asthma and COPD a seamless pathway of care.
  4. Content Article
  5. Content Article
    The report highlights that countries need to take urgent action to address the inequities in health caused by unjust and unfair factors within health systems. These factors—which account for many of the differences in health outcomes between persons with and without disabilities—can take the form of: negative attitudes of healthcare providers, health information in formats that cannot be understood, or difficulties accessing a health centre due to the physical environment, lack of transport or financial barriers. 9789240063600-eng.pdf
  6. Content Article
  7. Community Post
    It's rare that I post personal information of any kind on a website such as this, but this really irked me so felt it was worth sharing. Context: I've been an Asthma sufferer since the age of 3 years old. I know exactly how to manage my condition having had it for over 50 years, and have always used a blue ventolin inhaler as and when necessary (perhaps once every 2-3 months). I have not had any serious issues with my Asthma for at least 20 years, and then only in Hayfever season. Issue: I only renew my inhaler when it expires, every 2 years or so. Therefore it is not listed on my repeat medications list. My most recent one had just run out, so I needed a replacement. Action: I emailed the GP's website as I knew I was meant to, and received an automated email back saying that I would receive a response within 5 working days. So far so good. Response: I received another email response 2 days later (pretty good!) saying that the GP would have to call me to run through why I needed a new inhaler. GP call: The GP rang on the set day and within the allocated time window and started asking me how often I used the inhaler, for what, and did I really need that or the preventative one (which I've had before). At the end of our 10 minute call, she agreed that I just needed a replacement blue ventolin inhaler, as I had asked for in the first place. What a waste of the GP's time, and mine!! It made me think that it would be a helpful thing if certain patients with decades of experience in managing their condition(s) in a very stable way could be classed as 'expert patients' on their GP record. This could save a huge amount of wasted time on both sides!! This blog post first appeared on Linkedin on 30 October 2022. I will post some of the responses to it below for added insight.
  8. Content Article
  9. News Article
    More than a million people in the UK have experienced life-threatening asthma attacks after cutting back on medicine, heating or food amid the soaring cost of living crisis, a survey suggests. One in five (20%) people living with asthma in the UK – of which there are 5.4 million – have had an attack as a result of changes they have been forced to make due to rising energy, food and household bills, according to the research by Asthma + Lung UK. Fuel poverty campaigners described the figures as “distressing”. Almost half of the 3,600 people with lung conditions such as asthma, chronic obstructive pulmonary disease (COPD) and bronchiectasis surveyed by the charity said their health had worsened since the crisis began. Asthma + Lung UK warned there could be a “tidal wave” of hospital admissions in the next few months as cold weather, an abundance of viruses and people cutting back on medicines, heating, food and electricity put them at increased risk. Sarah Woolnough, the charity’s chief executive, said: “Untenable cost of living hikes are forcing people with lung conditions to make impossible choices about their health. “Warm homes, regular medicine and a healthy diet are all important pillars to good lung condition management – but they all come at a cost. We are hearing from people already reporting a sharp decline in their lung health, including many having life-threatening asthma attacks. Read full story Source: The Guardian, 28 September 2022
  10. Content Article
  11. Content Article
  12. Content Article
  13. News Article
    Children with asthma are at risk of avoidable deaths in England because of poor NHS systems and a failure to appreciate the dangers posed by the condition. A new investigation by NHS safety watchdog the Healthcare Safety Investigation Branch (HSIB) has revealed a series of risks to children with asthma, as concerns emerge of the impact of the pandemic on asthma patients more generally. The latest inquiry was sparked by the deaths of three children between 2014 and 2017. All were caused by asthma attacks which were later the subject of warnings by coroners. In each case HSIB said there were missed opportunities to recognise asthma as a life-threatening condition as well as problems with how the children were managed by doctors working in different parts of the NHS. Read full story Source: The Independent, 5 May 2021
  14. News Article
    A cheap drug, commonly used to treat asthma, can help people at home recover more quickly from COVID-19, a UK trial has found. Two puffs of budesonide twice a day could benefit many over-50s with early symptoms around the world, said the University of Oxford research team. There are also early signs the drug could reduce hospital admissions. The NHS says it can now be prescribed by GPs to treat Covid on a case-by-case basis from today. At present, there are few options for treating people with Covid who are not in hospital, apart from paracetamol. This widely-available asthma drug works in the lungs, where coronavirus can do serious damage, and could improve the recovery of at-risk patients who are unwell with Covid at home. Prof Stephen Powis, national medical director of NHS England, said he was "delighted" by the trial results so far and he said GPs could prescribe it after "a shared decision conversation" with patients. Read full story Source: BBC News, 12 April 2021
  15. News Article
    People previously admitted to hospital or needing "continuous or repeated" steroid use because of asthma are to be prioritised for the Covid vaccine. The most severe cases will fall into priority-group four, the "clinically extremely vulnerable", who should have received a letter advising they shield. And the government has now confirmed the rest who meet the above category will be included in group six, the clinically "at risk", including some but not all those usually eligible for a free flu jab. It follows patients' calls for clarity. The government said it was following independent experts' advice. Read full story Source: BBC News, 11 February 2021
  16. News Article
    Emergency attendances for several conditions are still well below their normal levels, despite a steady increase in overall activity since the peak of the coronavirus outbreak. Weekly data from Public Health England suggests overall A&E attendances increased to around 105,000 in the last week of May, which was an increase from 98,813 over the previous seven days. Data from the 77 A&E departments included in the research suggests that overall attendances are up to an average of 15,000 day, compared to around 10,000 at the peak of the pandemic and the long-term trend of just under 20,000. However, attendances for bronchitis, acute respiratory infections, respiratory, pneumonia, asthma, gastroenteritis are still far below their normal levels. It did not offer an explanation for why attendances for these conditions have remained low, while those for cardiac, influenza, myocardial Ischaemia, and gastrointestinal problems have returned to normal levels or above. Read full story Source: HSJ, 5 June 2020
  17. News Article
    Four in ten people are not seeking help from their GP because they are afraid to be a burden on the NHS during the pandemic, polling by NHS England reveals. The findings – from a survey of 1,000 people – are the latest in a wave of evidence that fewer people are seeking care for illnesses other than those related to coronavirus during the pandemic. GP online reported on 20 April that data collected by the RCGP showed a 25% reduction in routine clinical activity in general practice, and figures from Public Health England (PHE) and the British Heart Foundation show that A&E attendances overall and patients going to hospital for heart attacks are down 50%. Warnings that patients' reluctance to come forward could put them at risk come as leading charities warned that suspension of some routine GP services during the pandemic could also lead to a 'future crisis' if control of conditions such as asthma and COPD deteriorate. Professor Carrie MacEwen, chair of the Academy of Medical Royal Colleges, said: 'We are very concerned that patients may not be accessing the NHS for care because they either don’t want to be a burden or because they are fearful about catching the virus. 'Everyone should know that the NHS is still open for business and it is vitally important that if people have serious conditions or concerns they seek help. This campaign is an important step in ensuring that people are encouraged to get the care they need when they need it.' Read full story Source: GP online, 25 April 2020
  18. Content Article
    The frameworks are comprehensive and include: Comprehensive search tools to risk stratify patients – built for EMIS and SystmOne. Pathways that prioritise patients for follow up, support remote delivery of care, and identify what elements of long-term condition care can be delivered by staff such as Health Care Assistants and link workers. Scripts and protocols to guide Health Care Assistants and others in their consultations. Training for staff to deliver education, self-management support and brief interventions. Training includes health coaching and motivational interviewing. Digital and other resources that support remote management and self-management. The frameworks are being implemented by GPs across the country, helping practices to identify who needs priority care, and those whose care can safely be delayed. These frameworks are designed to be adapted to local context and preferences.
  19. News Article
    Women with asthma are twice as likely to die from an asthma attack compared with men in the UK, new figures show as health experts called for urgent research into the condition’s sex-related differences. They are more likely to have the condition, more likely to need hospital treatment for it and more likely to die from an attack, Asthma + Lung UK said. Over the past five years women have accounted for more than two-thirds of asthma deaths in the UK. The charity said the current “one size fits all” approach to asthma treatment is “not working” because it does not take into account the impact that female sex hormones during puberty, periods, pregnancy and menopause can have on asthma symptoms and attacks. More must be done to tackle the “stark health inequality”, it added. Between 2014-15 and 2019-20 more than 5,100 women in the UK died from an asthma attack compared with fewer than 2,300 men. Meanwhile, emergency hospital admissions in England show that, among those aged 20 to 49, women were 2.5 times more likely to be admitted to hospital for asthma treatment compared with men. Asthma + Lung UK said many people were unaware that fluctuations in female sex hormones can cause asthma symptoms to flare up or even trigger life-threatening attacks. It is calling for more research to examine the sex-related differences in asthma. Read full story Source: The Guardian, 27 April 2022
  20. News Article
    The UK has the highest death rate for lung conditions in western Europe, research reveals, prompting calls from health leaders for urgent action to tackle the “national scandal”. More than 100,000 people in the UK die from conditions including asthma attacks, bronchitis, chronic obstructive pulmonary disease (COPD) and pneumonia every year, according to data analysis by the charity Asthma and Lung UK. Across Europe, only Turkey has a higher respiratory death rate than the UK, analysis of data up to 2018 shows. It described the UK figures as “shameful”, and said that lung conditions had for too long been treated like the “poor relation compared with other major illnesses like cancer and heart disease”. Even before the pandemic, significant numbers of lung patients were not receiving “basic care” from their GP services such as medicine checks and help using their inhalers, the charity said. Over the past two years, the health of thousands more has deteriorated while they waited for respiratory care, and diagnosis rates have fallen. Katy Brown, 64, a retired nursery nurse from Bristol, who was diagnosed with COPD in February 2021, said she was shocked by the lack of medical support she has received, and the poor general awareness of her condition. “I spent two years struggling to breathe and with constant chest infections, before I finally got a diagnosis of COPD,” she said. “Even now, over a year after my diagnosis, I’m still waiting for a test that will show how bad my condition is, and further treatment. “There is a lack of awareness about how serious lung conditions are and how terrifying it is to struggle to breathe. It’s like having an elephant sitting on your chest. If I’d been diagnosed with another serious condition like a heart problem, I believe my treatment and the way I was dealt with would have been completely different.” Read full story Source: The Guardian, 28 February 2022
  21. News Article
    A promise to ensure that people with severe asthma and smokers who want to quit can get the drugs they need has been broken by ministers and the NHS, a health service report reveals. Health charities criticised the persistent lack of access to vital medications for patients in England as very worrying and warned that it could damage the health of those affected. In 2019 the Department of Health and Social Care (DHSC), NHS England, Association of the British Pharmaceutical Industry (ABPI) and makers of branded medicines signed an agreement, called the voluntary scheme, to increase the number of patients able to obtain cost-effective medicines on the NHS. It covered five key areas of disease in which receipt of drugs would result in “high health gain”. These were cystic fibrosis, severe asthma, stopping smoking by using the drug varenicline, hepatitis C and atrial fibrillation and thromboembolism. However, a report which NHS England commissioned – but has not published – shows that while the target has been met for cystic fibrosis and hepatitis C, it has been missed for severe asthma and smokers seeking to quit using varenicline. It compares England’s progress against that in 10 other European countries, including France, Spain and Italy. “It’s deeply concerning that England languishes near the bottom of the league table for uptake of biologic treatments for severe asthma, the deadliest form of the condition,” said Alison Cook, the director of external affairs at Asthma UK and the British Lung Foundation. Read full story Source: The Guardian, 20 December 2021
  22. News Article
    Children with poorly controlled asthma are up to six times more likely to be admitted to hospital with Covid than those without the condition, research has suggested. Scientists involved in the study said 5 to 17-year-olds in this category should be considered a priority for Covid vaccination. About 9,000 children in Scotland would benefit from the jab, researchers said. Vaccines are offered to the over-12s in Scotland, but not to younger children. In the study, poorly controlled asthma was defined as a prior hospital admission for the condition, or being prescribed at least two courses of oral steroids in the last two years. Prof Aziz Sheikh, director of the University of Edinburgh's Usher Institute and Eave II study lead, said: "Our national analysis has found that children with poorly controlled asthma are at much higher risk of Covid-19 hospitalisation. "Children with poorly controlled asthma should therefore be considered a priority for COVID-19 vaccination alongside other high-risk children." Prof Sheikh said it was important to consider both the "risks and benefits" from vaccinations. He added: "Emerging evidence from children aged five and older suggests that COVID-19 vaccines are overall well-tolerated by the vast majority of children." Read full story Source: BBC News, 1 December 2021
  23. Content Article
    The West of England's A&S-SIP ambitions: Support an increase in the proportion of patients in acute hospitals receiving every element (for which they are eligible) of the British Thoracic Society COPD discharge care bundle. Support an increase in the proportion of eligible sites adopting three evidence-based tracheostomy safety interventions. From April 2021, support an increase in the proportion of patients in acute hospitals receiving every element (for which they are eligible) of the asthma discharge care bundle. From April 2021, to support an increase in the proportion of patients receiving all elements (for which they are eligible) of the emergency laparotomy care bundle.
  24. Content Article
  25. Event
    until
    The Healthcare Safety Investigation Branch (HSIB) would like to invite you to their webinar marking the launch of the new report ‘Management of chronic asthma in children aged 16 years and under’. Asthma is the most common lung disease in the UK, and diagnosis and management of the condition, particularly in children and young people can be complex. The case study in our investigation features a 5 year old who had a near fatal asthma attack. In this webinar you will hear from families, our HSIB investigators and from experts in respiratory illness including Dr Jen Townshend and Professor Andrew Bush. The webinar will provide an opportunity for you to explore in greater depth our findings, what we are recommending to improve the outcomes of children and young people with asthma, and give you an opportunity to ask questions. This webinar will help you understand how HSIB’s experience can be applied to your own healthcare setting, as well as finding out what work will be undertaken nationally to implement our recommendations. Register
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