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Thornley House Medical Centre
Thornley Street, Hyde, Cheshire, SK14 1JY Thornley House Medical Centre telephone 0161 367 79100161 367 7910
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Guardian Article - Patients need access and understanding of their electronic health records Royal College of General Practitioners
 

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Asthma care

Helping our patients who have ASTHMA to get the best from the practice, the NHS and other resources you might find useful

Terms highlighted in RED are key words that you should find in your own medical record. Staff are highlighted in BLUE. Equipment is highlighted in GREEN.

You may ask why?The most recent patient survey has shown that patients want to be able to see the clinician sooner (ie less than 2 weeks) and on time (ie not have to wait an hour for a scheduled appointment) and feel that all their concerns have been met. It has been independently confirmed that the practice already offers more appointments than the average to its patients.

So how can we meet the demand? 
Being prepared for the consultation greatly helps as does recognising the length of the appointment slot and helping the clinician to stay within the time limit. 

You may ask how? 
There are some simple steps that are essential for you to understand, that will help you on your journey of discovery for your health and well-being:

What do you need to see in your record? 
Your record should state that you have Asthma.

What does that mean?
 Here are some links for asthma that you may wish to see. Please note that asthma in 
CHILDREN is different to asthma in ADULTS. The treatment and management plans are different. Asthma is a serious condition and can lead to death if not managed appropriately. See the links below and to the side to learn more. Take the Triple A Test to help avoid asthma attacks.

NHS Choices in adults / in children

Patient.co.uk 

Breathe Easy group (Tameside & Glossop) self help group

Asthma action plan

Click here to download an Asthma action plan
  

Asthma UK - see links on the right for more information

Kick- A - Kick asthma for kids

What to do in an asthma attack

Asthma in Children - talk by Dr Levy, consultant paediatrician with an interest in asthma. This talk is for CHILDREN with asthma

Asthma UK - Watch the latest videos on using your inhalers

How to use a Peak Flow Meter


Inhaler technique


Space Devices 1


Spacer Devices 2


Videos on Inhaler technique for aerochamber, easi-breathe, turbohaler and handibreathe

What help is available for you to use? 
Asthma is primarily managed by the practice nurses who are supported by the doctors in the practice. They treat both CHILDREN and ADULTS too. 

The pharmacist knows a lot about the devices too and can help you too if you are not sure.

The websites listed above will give you lots of information to help you. (Please let us know if you find other resources that our patients could benefit from).

What does asthma mean for you? 
You need to know what asthma is, what trigger factors cause your asthma to worsen, how to monitor your asthma (including ensuring you take your medicines on time, have your flu jab, ensure you stop smoking and have regular reviews of your asthma with your nurse or doctor), identify when your symptoms are worsening, what to do if you have an exacerbation (you should have a personal action plan) and see the nurse or doctor if you are admitted into hospital for a further review. 

What needs to happen now and in the future? 
The typical patient with asthma should:

  • See the nurse at least once a year for a review of their asthma. This may need to be more often if your control is poor.
  • Stop smoking. If you are still smoking then it is essential you get help to stop smoking.

What can you do to help? 


  • Get access to your GP-held electronic health record. Without knowing what is in your records and what you need to do, it will be very hard to know what to do when and with who. This is an essential first step for anybody with any condition or who wants the best from the practice.
  • Get a PEAK FLOW meter and bring your Peak Flow readings if you have been monitoring them. You can record your own readings by downloading a form here.
  • Look at the web page – pre-consultation care – and go through it prior to your review with the clinician. This can help us to understand your needs better and what you want out of the consultation.
How are we doing? 
The Quality Outcomes Framework was set up so that practices can look at how successful they are in delivering services to their practice population and also give an opportunity to see how we compare with others around the country. This data is readily available from here (www.qof.ic.nhs.uk/search.asp). Overall we got 937 points out of a maximum of 1000 last year indicating that we are a very high performing practice across the board which is reassuring for you and us.  We achieved a maximum score in the Asthma domain gaining all 45 points that were allocated for this. Although we performed spectacularly, there is still some room for improvement. For instance, are you one of the few patients that has not had your smoking status recorded? Or perhaps you have not had an asthma review in the last 15 months or perhaps you have not had reversibility testing done to confirm the diagnosis of your asthma.

How can you help us do even better and help other patients too? This is very important. In your journey of discovery about your health, you may come across odd things that do not make sense about the way the practice runs and you may have a better suggestion. Or you may come across something new that we have not considered that helps you even more. Tell us about it next time you see a clinician or preferably write it down and hand it in or send it as a comment to the Patient Participation Group (PPG) so that they can bring it up with the practice the next time we meet up. Even better, why don’t you join the PPG and become an active member. We are always on the look out for new members and new ideas.

Most importantly, by working together and understanding each other’s needs better, we can help you to get the best out of the practice and the wider NHS.

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Thornley House
0161 367 7910
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