Asthma-Friendly Schools in Gloucestershire: Improving Asthma Management in Children
Asthma is a prevalent condition in children, with initiatives like asthma-friendly schools aiming to enhance care and reduce avoidable factors contributing to asthma-related deaths. Collaboration among healthcare, education, and local authorities is key, with strategies such as student registries, individual management plans, staff training, and emergency inhaler policies to support children with asthma effectively.
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Asthma friendly schools Gloucestershire Carol Stonham MBE RN,MSc, Queen s Nurse CYP Asthma clinical Lead NHS Glos ICB
Background and Context Asthma is the most common long-term medical condition in children in the UK, with around 1 in 11 children and young people in the UK having asthma1. In 2015, The Royal College of Physicians, looked at deaths from asthma between 1 February 2012 and 31 January 2013 in the UK and published a report (NRAD4)3 identifying a number of avoidable factors in relation to both the care people received and the recognition of risk and avoidable factors relating to patients and their families and environments. The UK has one of the highest prevalence, emergency admission and death rates for childhood asthma in Europe2. 13 children (0-14years) died from asthma in 20161. This report found that two in three deaths from asthma could be prevented. In 2017, NICE published a set of guidelines for the Diagnosis and Monitoring of Asthma and also for the Management of Stable Asthma in Adults and Children4. NHS England and NHS Improvement s ambition is to prevent deaths, reduce the number of admissions and improve the quality of life of CYP with asthma. This will be achieved by improving the accuracy of diagnosis and taking a whole system approach to managing asthma. Sources: 1https://www.asthma.org.uk/about/media/facts-and-statistics/, 2https://www.england.nhs.uk/2019/09/nhs-warning-to-parents-as-asthma- season-hits/, 3Royal College of Physicians. Why Asthma Still Kills 2014, 4https://www.nice.org.uk/guidance/ng80
What is an asthma friendly school? Adoption of government policy on emergency inhalers and early years settings (education, individual healthcare plans) Partnership between health, education and local authorities for managing CYP with asthma aged 5-18
Register of all students with asthma Management plan for each child Named individual responsible for asthma in each school (Asthma champion) Implementation Policy for inhaler techniques and care of students with asthma of: Policy regarding asthma and emergency treatment System to identify children missing school because of asthma, or avoiding sports or activities because of asthma Asthma training for all school staff - 85% target
Face to face Completion of online module during inset day 1 hour available at https://www.e- lfh.org.uk/programmes/children-and- young-peoples-asthma/ (Tier 1) Local training available from https://www.ghc.nhs.uk/our-teams- and-services/school- nursing/awareness-sessions/ Training
Policy. Schools policy should be available to view, all staff should be aware of where it is kept. Asthma register Example checklist Emergency kits/procedure Individual health care plan. Whole school training
Plan for Gloucestershire Develop a network of asthma friendly schools across primary and secondary Pilot in 2 or 3 primary and 1 or 2 secondary (volunteers needed!) Improve care of children and young people with asthma
