Delivering improvements in childhood asthma outcomes; A collaborative approach

Dr Richard Iles24 March 2015

EOE CCGs compared to EU27/28

Admission rates IMD

Admission rate, coded

against EU27

Admission rate, colour coded

against Iceland (EU28 lowest)

Admission rate, colour coded

against Austria

Admission rate, colour coded

against Portugal

Admission rate, colour coded against

Finland

Admission rate rank, colour coded against

England average

NHS Basildon and Brentwood 17.6 113 113 113 113 113 17

NHS Bedfordshire 13.5 170 170 170 170 170 75

NHS Cambridgeshire and Peterborough 15.3 198 198 198 198 198 105

NHS Castle Point, Rayleigh and Rochford 12.2 158 158 158 158 158 65

NHS Corby 26.5 197 197 197 197 197 103

NHS East and North Hertfordshire 12.1 121 121 121 121 121 24

NHS Great Yarmouth and Waveney 24.6 244 244 244 244 244 142

NHS Havering 16.8 101 101 101 101 101 12

NHS Herts Valleys 11.2 114 114 114 114 114 19

NHS Ipswich and East Suffolk 15.7 184 184 184 184 184 87

NHS Luton 26.3 261 261 261 261 261 155

NHS Mid Essex 11.9 129 129 129 129 129 28

NHS Milton Keynes 15.6 200 200 200 200 200 106

NHS Nene 16.9 185 185 185 185 185 90

NHS North East Essex 19.2 166 166 166 166 166 70

NHS North Norfolk 16.1 144 144 144 144 144 49

NHS Norwich 20.8 147 147 147 147 147 50

NHS South Norfolk 13.3 179 179 179 179 179 81

NHS Southend 23.6 157 157 157 157 157 62

NHS Thurrock 20.1 141 141 141 141 141 44

NHS West Essex 15.4 133 133 133 133 133 33

NHS West Norfolk 20.8 342 342 342 342 342 187

NHS West Suffolk 13.6 376 376 376 376 376 194

31% 5%6

http://www.prescqipp.info/respiratory

High dose inhaled corticosteroids for children under 12 with a diagnosis of asthma

NB some products not licenced but if a child under 12 is being prescribed these it is still classed as high dose ICS.

These are grouped into the number of inhalers required per month. Searches pull off prescribing in the last 6 months for patients who have had, on average, the number of these inhalers per month who have not had an attempt to step down treatment in the last 4 months.

 

One inhaler per month= high dose ICS

Symbicort 400/12 turbohaler

Symbicort 200/6 turbohaler

Budesonide/formoterol 200/6 turbohaler

Budesonide/formoterol 400/12 turbohaler

Flixotide Evohaler ® 50mcg

Fluticasone inhaler 50mcg

Flixotide Accuhaler 100mcg

Fluticasone powder for inhalation 100mcg Disk

Respiratory SCN : Paediatric Asthma Forum

Asthma

Education Outcomes Commissioning