Organisation and delivery of care

9.1 Routine care

9.1.1 STRUCTURED REVIEW

In primary care, people with asthma should be reviewed regularly by a nurse with training in asthma management.

General practices should maintain a list of people with asthma.

Clinical review should be structured and utilise a standard recording system.

Feedback of information to clinicians should link individual patients with recommendations from guidelines.

9.1.3 PATIENT SUBGROUPS

Health professionals who provide asthma care should have heightened awareness of the complex needs of ethnic minorities, socially disadvantaged groups, and those with communication difficulties.

9.1.4 ASTHMA ACTION PLANS

Offer a customised asthma action plan to all people with asthma.

9.2 Acute exacerbations

Hospital inpatients should be managed in specialist rather than general units.

Discharge from hospital or the emergency department should be a planned, supervised event, but may safely take place as soon as clinical improvement is apparent.