In this article for Primary Care Respiratory Academy, Noel Baxter describes the 9 good care processes developed by a multidisciplinary and integrated respiratory team in Lambeth and Southwark with a novel way to disseminate the measures and show improvement.

• Download the asthma review MS Excel template described in the article.
• Download the asthma value pyramid.

PCRS offer two posters available for download and use in practice surgeries and pharmacies. The posters highlight the benefit of regular preventer inhaler therapy and a reduction in reliance on short -acting reliever inhalers. Both posters recommend talking to the practice nurse or pharmacist if patients feel they are reliant on their reliever inhaler more than three times per week of if asthma symptoms are frequent.

In this article first published in Primary Care Respiratory Update in 2016 as a poster for primary care and updated for asthma in November 2019 we discuss the building blocks of a good asthma review focusing on:

• Assessing control to target care
• Reviewing diagnosis and management
• Confirmation of  diagnosis
• Previous medical history
• Patient understanding
• Checking inhaler technique
• Discussing and reviewing adherence to therapy
• Checking smoking status and offering appropriate smoking cessation advice where appropriate
• Reviewing lifestyle and asthma triggers
• Reviewing other conconitant conditions
• Reviewing treatment in line with national guidance
• Reviewing and discussing asthma action plan
• Tailoring asthma action plan to meet patient's needs and setting agreed goals
• Utilising Asthma Right Care tools to assess reliance on short-acting beta-2-agonsts