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Information for professionals - asthma service


Information for professionals

Please outline in your referral the main reason for referral, current medication and past medication trials, details of previous investigations and of any recent admissions to hospital. Please let us know the name of the consultant responsible for the patient in secondary care and if possible a secure NHS email contact email.

We are happy to receive referrals for children and young people meeting any of the following criteria:

  • Uncertainty about asthma diagnosis or suspicion of significant exacerbating factors or additional diagnoses
  • On-going poor control despite a trial of daily preventer medication
  • Frequent admissions or courses of oral steroids
  • Complex psychosocial / safeguarding issues

Children likely to benefit from referral to the Problematic Severe Asthma clinic include those:

1. Children prescribed maintenance or frequent courses of oral steroids (four weeks or more in last year)

2. Children under consideration for biological agents or immunosuppressive treatment

3. On-going poor control despite optimised management with high dose inhaled corticosteroids and a long acting beta agonist. Poor control being defined as one or more of:

  • Persistent chronic symptoms (most days for >3 months) or an Asthma Control <20
  • Prescription of ≥6 salbutamol inhalers per year
  • Persistent airflow obstruction (FEV1 <80% post bronchodilator) 
  • Two or more attacks within the past year requiring hospital admission or oral steroids
  • PICU admission within the past year

The Severe asthma service can also help with:

  • Annually review of all aspects of care for children and young people with severe asthma, including monitoring of side effects and difficulties associated with taking prescribed medication
  • MDT assessment of the need for novel drug therapies, including monoclonal therapy
  • Liaison with primary and secondary care teams to support the care of individual patients and education and service development