FeNO: Plan-on-a-Page
A personal perspective on using the plan on a page tool to support the development of FeNO services. An article on using the FeNO Plan-on-a-Page tool, with accompanying working example and editable template.
In November 2024 NICE, in collaboration the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN), released guidance NG245. It stated that the results of FeNO testing should be used, where possible, to confirm eosinophilic airway inflammation to support an asthma diagnosis in people aged 17 years and older particularly in those patients with diagnostic uncertainty and/ or a diagnosis of mild asthma.
Integrated Care Boards (ICBs), Trusts and Health Boards in the UK are responsible for commissioning asthma services within their geographic area, which includes diagnosing, monitoring and managing asthma in adults, young people, and children. However, with many being asked to make savings before commissioning new services, persuading them to implement FeNO will be challenging.
This paper is an approach/quick guide for respiratory champions who are considering asking a healthcare commissioner to implement FeNO as a service.
The article is accompanied by an editable Plan-on-a-Page template which users can use, as well as example Plan-on-a-Page sections from Dr Sanjeev Rana's webinar in April 2025.
| Attachment | Size |
|---|---|
| PCRU_SS25_FeNO plan on a page a personal perspective | 2.91 MB |
| FeNO_Plan on a page: Example sections | 3.88 MB |
| FeNO Plan-on-a-Page template (Editable) | 23.02 KB |
On Demand webinar: FeNO Plan on a Page
Are you struggling to persuade your Integrated Care Board (ICB) to fund FeNO testing? With the new BTS/NICE/SIGN asthma guideline recommending FeNO for asthma diagnostic testing, this can create quite a challenging for primary care providers. There can also be uncertainty around when to use it and when not to and many will not be alone in this uncertainty.
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The PCRS Integrated Care Board (ICB), Health Board and Trust toolkit aims to support healthcare commissioners across the UK to implement the new BTS/NICE/SIGN asthma guideline effectively and ensure the best possible care and outcome for all their asthma patients.