1. Adult Asthma Report
5 Coles Lane, Oakington, Cambridge, CB24 3BA

2. The adult asthma report only concerns patients aged ≥ 18 years
Practice Overview
The adult asthma report only concerns patients aged ≥ 18 years
Asthma Patient: asthma QOF diagnosis code & no asthma resolved code & issued respiratory therapy in last 2 years
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3. Contents Patient Demographics Asthma Diagnosis Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
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4. Age Distribution Co-morbidities Smoking Status Patient Demographics
Contents
Patient Demographics
Age Distribution
Co-morbidities
Smoking Status
Asthma Diagnosis
Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
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5. The adult asthma report only concerns patients aged ≥ 18 years
Patient Demographics
Age Distribution
The adult asthma report only concerns patients aged ≥ 18 years
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6. Co-morbidities Patient Demographics Page 5
Rhinitis: Read code entry in last 2 years or nasal steroid therapy in last year GERD, Depression/Anxiety: Read code entry in last 2 years
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7. Smoking Status Patient Demographics Page 6
Smoking status is obtained from patient questionnaires where available or from routine practice data
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8. Confirming Asthma Diagnosis Potentially Undiagnosed Patients
Contents
Patient Demographics
Asthma Diagnosis
Confirming Asthma Diagnosis
Potentially Undiagnosed Patients
Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
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9. Confirming Asthma Diagnosis
Asthma Diagnosis: asthma QOF diagnosis code Excluding Patients ≤ age 7 years: QOF AST002
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10. Potentially Undiagnosed Patients
Asthma Diagnosis
Potentially Undiagnosed Patients
LRTIs: measured as occurrence of 3 or more LRTIs in last 2 years Asthma Diagnosis: asthma QOF diagnosis code
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11. Control Status from RCP Data, SABA use, etc.
Contents
Patient Demographics
Asthma Diagnosis
Asthma Control
Control Status from RCP Data, SABA use, etc.
Smoking, Rhinitis and Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
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12. Measuring Asthma Control
Information from three sources is used to assess patients’ asthma GINA control score* and other measures of asthma control:
Practice recorded data from RCP3 questions, ACT questions, reliever use and PEFR.
Data from patient questionnaire responses: RCP3 questions, reliever use, etc.
Quantity of SABA prescriptions, which can be used as proxy measure of asthma control.
Global INitiative for Asthma (GINA) control score can be calculated from RCP3 questions responses, reliever use and lung function data
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13. Asthma Control Status: RCP Data*
RCP data is obtained from patient questionnaires where available or from routine practice data
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14. Asthma Control Status: SABA as Proxy*
Where RCP Data Unknown
Quantity of short acting bronchodilators issued is used as proxy measure of asthma control where RCP data is not available
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15. Smoking and Asthma Control*
OPC Service
Control status is based on RCP data obtained from patient questionnaires where available or from routine practice data
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16. Rhinitis and Asthma Control*
OPC Service
Control status is based on RCP data obtained from patient questionnaires where available or from routine practice data
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17. Management by BTS Steps
Contents
Patient Demographics
Asthma Diagnosis
Asthma Control
Asthma Management
Management by BTS Steps
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
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18. BTS/SIGN Step Guidelines: Adults
Asthma Management
BTS/SIGN Step Guidelines: Adults
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19. Management by BTS Step: Adults
Asthma Management
Management by BTS Step: Adults
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20. Asthma Control by BTS Step: RCP Data*
Asthma Management
Asthma Control by BTS Step: RCP Data*
OPC Service
Control status is based on RCP data obtained from patient questionnaires where available or from routine practice data
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21. Asthma Control by BTS Step: SABA Proxy*
Asthma Management
Asthma Control by BTS Step: SABA Proxy*
OPC Service
Quantity of short acting bronchodilators issued is used as proxy measure of asthma control where RCP data is not available
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22. High Risk Patients Exacerbations Patient Demographics Asthma Diagnosis
Contents
Patient Demographics
Asthma Diagnosis
Asthma Control
Asthma Management
Risk and Exacerbations
High Risk Patients
Exacerbations
Adherence and Asthma Reviews
Recommendations
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23. High Risk Asthma Patients
Risk and Exacerbations
High Risk Asthma Patients
High Risk: 2 or more exacerbations per year Very High Risk: 2 or more exacerbations per year & at BTS Step 4 or 5
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24. Exacerbation* by BTS Step
Risk and Exacerbations
Exacerbation* by BTS Step
OPC Service
Exacerbations: exacerbation Read code entry or patient reported exacerbation & hospitalisations & number of courses of oral steroids in last 12 months
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25. Acute Oral Steroid Use* by BTS Step
Risk and Exacerbations
Acute Oral Steroid Use* by BTS Step
OPC Service
Courses of acute oral steroids issued in the last 12 months
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26. Adherence to Inhaled Steroids Inhaler Technique Asthma Reviews
Contents
Patient Demographics
Asthma Diagnosis
Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Adherence to Inhaled Steroids
Inhaler Technique
Asthma Reviews
Recommendations
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27. Adherence to Inhaled Steroids*
Adherence and Asthma Reviews
Adherence to Inhaled Steroids*
Number of scripts in last 1 year
Number of scripts expected
based on prescribed dosage
Adherence =
X 100
Inhaled steroids include ICS and combination therapies
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28. Inhaler Technique* and Asthma Control Status
Adherence and Asthma Reviews
Inhaler Technique* and Asthma Control Status
OPC Service
Inhaler technique review provided in last 12 months and recorded by Read code entry
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29. Asthma Reviews and Self-Management Plans*
Adherence and Asthma Reviews
Asthma Reviews and Self-Management Plans*
Asthma reviews and self-management plans provided in last 12 months and recorded by Read code entry
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30. Asthma Reviews* by BTS Step
Adherence and Asthma Reviews
Asthma Reviews* by BTS Step
Asthma reviews provided in last 12 months and recorded by Read code entry
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31. Therapy Recommendations Management Recommendations
Contents
Patient Demographics
Asthma Diagnosis
Asthma Control
Asthma Management
Risk and Exacerbations
Adherence and Asthma Reviews
Recommendations
Therapy Recommendations
Management Recommendations
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32. PLEASE NOTE Recommendations
The practice report recommendations have been grouped into ‘Therapy Recommendations’ and ‘Management Recommendations’. Please consider both groups of recommendations together, as a holistic approach is vital for effective patient care and optimising patient outcomes.
Patients covered within each recommendation and the patient questionnaire responses can be viewed on your asthma patient level reports, through the OPC Tools application on your practice computer. Please refer to the ‘Viewing Patient Reports’ user-guide to assist you in this regard. Alternatively, please contact the OPC service delivery team for assistance.
Optimum Patient Care
5 Coles Lane, Oakington, Cambridge, CB24 3BA
Tel:
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33. Therapy Recommendations
Please review patient adherence/concordance and inhaler technique before stepping up therapy
Adapted from BTS/SIGN and Global Initiative for Asthma (GINA) guidelines
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34. Your Practice Therapy Recommendations
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35. Management Recommendations
Adapted from BTS/SIGN and Global Initiative for Asthma (GINA) guidelines
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36. Your Practice Management Recommendations
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