Department of Health and Social Care written question – answered on 14th March 2019.

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Photo of Paul Farrelly Paul Farrelly Labour, Newcastle-under-Lyme

To ask the Secretary of State for Health and Social Care, with reference to the finding in Asthma UK's report, The Reality of Asthma Care in the UK - Annual Asthma Survey 2018 that two-thirds of patients do not receive a follow-up appointment with their GP after receiving emergency care, if he will take steps tackle the reasons for that finding.

Photo of Steve Brine Steve Brine The Parliamentary Under-Secretary for Health and Social Care

Respiratory disease is a clinical priority within the recently published NHS Long Term Plan. The Plan has the overarching objective of improving outcomes for people with respiratory disease, including asthma.

NHS England supports the national asthma audit programme that provides data on a range of indicators to show improvements and opportunities for further improvements in asthma outcomes.

The recently published general practitioner (GP) contract has made improvements to the Quality and Outcomes framework through the introduction of quality improvement modules. This replaces the current system of exception reporting with a personalised care adjustment approach, which will better reflect individual clinical situations and patients’ wishes. NHS England and GPC England have agreed to an ongoing programme of indicator review in key priority areas, including asthma in 2019/20. Through the GP contract and Primary Care Networks, clinical pharmacists will take responsibility for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, and those with multiple long term conditions, in particular people with chronic obstructive pulmonary disease and asthma.

National programmes such NHS RightCare are using leading edge medical evidence and practical support to help local health economies to make best use of their resources and using tested evidence based processes to make sustainable improvements to patient care. As part of this programme, a RightCare asthma pathway will be published in the spring which will outline the optimal pathway for patients, including the need for follow-up appointments following emergency care.

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