Improving Pediatric Asthma Care in North East London: A Collaborative Approach
The North East London Clinical Commissioning Groups have formed a network to improve care for children with asthma following a critical review after a child's death. Strategies include workforce development, pathway enhancements, safeguarding measures, user involvement, and education/training initiatives. The network focuses on enhancing air quality awareness, school interventions, and tailored management plans for high-risk children. Collaboration between CCGs and acute trusts is key to ensuring better asthma care delivery in the region.
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NEL CYP Asthma Network 18thSeptember 2019 Lynda Hassell Divisional Director of Nursing, CYP & Chair NEL CYP Asthma Network Rita Ara jo Transformation Manager THCCG & Co-chair NEL CYP Asthma Network An alliance of North East London Clinical Commissioning Groups City and Hackney, Newham, Tower Hamlets, Waltham Forest, Barking and Dagenham, Havering and Redbridge CCGs
Context 2019 January 2019 Following death of Sophie Holman, Coroner critical of care provided by both primary and secondary care Regulation 28 issued to Secretary of State for Health and NHS CEO requested Government acts to legislate improvements to care of children with asthma Collaborative response from CCG and acute trust - work plan focussing on: Workforce - 3 new CNS s recruited Pathways - new SOP for acute Trust, model of clinics, documentation Safeguarding - awareness of Trust policy and GP s to have these in place Close liaison with ED - screening, alerts, frequent attenders vs DNA appts Education & training - across locality incl. practice/school nurses User involvement - scoping views and experiences - every child should have an asthma plan, annual review, GP follow up 48 hrs after discharge North East London Commissioning Alliance 2
Workforce development NEL CYP Network founded 2017 Michelle Johnson Barts Health Trust 2017: 2 Nurses 2019: 7 nurses networking/learning/teaching Borough Commissioner Asthma nurse Dan Devitt Laura King Rachel Young Starter Oct 19 BHR Siobhan Hawthorne Emily Guilmant -Farry Newham Rita Ara jo Tori Hadaway TH Deborah Russell Louise Cherry WF Sarah Darcy Gemma Parish C&H North East London Commissioning Alliance 3
Air quality interface asthma Co-producing materials on air quality to be distributed in health settings Educating professionals across the system (voluntary sector, social workers, SENCOs, health professionals, administrative staff) North East London Commissioning Alliance 4
School intervention Tailored intervention Asthma Friendly status Group consultation to children, families and staff Management plan ACT identified to high risk clinic based in primary care 86 children 21 risk of asthma attack (ACT score) Need specialist intervention 62% not been seen by GP in last year 70% no asthma annual review in last year 100% children had no contact with acute care in last year 75% wrong spacer (device to deliver medication) North East London Commissioning Alliance 5
Next steps Continue to work on consistent approach to basics: (Asthma plan/inhaler technique/annual review/48 hr follow up post discharge) Explore commissioning incentives to encourage primary care Network/Local Incentive schemes Encourage more consultants to attend again Review pathways, policies and procedures Delivery of asthma nursing provision varies across NEL best use of specialised resource? North East London Commissioning Alliance 6
Questions l.hassell@nhs.net rita.araujo@nhs.net North East London Commissioning Alliance 7
