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This section is intended for clinicians caring for children with asthma in primary, community, hospital or tertiary care setting. It outlines examples of best practice in the assessment, treatment and ongoing management of children and young people with asthma in an acute setting. (It will help you achieve standards 3, 4, 9, 19, 24, 32 and 37).

Audit against the National bundle of care, London asthma standards and the NICE quality standards and ongoing improvement are essential components of good asthma care.

National bundle of care for CYP with asthma 

NICE Asthma Quality Standard [QS25]

London asthma standards

Example audit of asthma wheezy pathway in Bradford

Outcomes of an asthma audit in London

Healthy London Partnership in conjunction with Harrow CCG undertook an audit of management of asthma care across London. This audit was intended to highlight potential preventable problems related to the management of attacks and also to stimulate change by health professionals in the treatment of attacks; in particular by assessing all patients within a few days of treatment for an attack and optimising treatment and reducing future risk. This report demonstrated that the implementation of a clinical asthma audit has helped decrease CYP hospital admissions by 16%, with obvious advantages for patients, their families and the local health economy.

Download Management of CYP with asthma :a clinical audit report

Download the data collection form, more information how to complete the audit and an example report from Harrow’s audit. For more information contact Dr Mark L Levy.

National audits

The British Thoracic Society respiratory clinical audit programme undertakes an annual audit of paediatric care, visit the website for results. The Royal College of Physicians National Asthma and COPD Audit Programme (NACAP) presents information on the structure and resourcing of hospital-based services that provide acute asthma care to children and young people in England. PRIMIS asthma care audit tool for GP practices can be downloaded here. PrescQIPP provides two different audit tools both for SystmOne and EMIS. Visit the Primary Care Respiratory Society for more information on doing an asthma audit.