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Services for people with severe asthma are commissioned by NHS England in line with a national specification to ensure patient numbers are sufficient to support safe services. NHS England has no plans to change the way it commissions these services in south west England.
Nationally, there are 27 trusts that have identified themselves as providing severe asthma services. NHS England is revising the national service specification to assist local teams in verifying and redefining the local service model to confirm the severe asthma services within each region.