Improving urgent care asthma management through guideline education

Outcomes and learning

Outcomes

  • Increased clinician confidence in managing acute asthma presentations in urgent care settings.

  • Improved understanding and explanation of AIR and MART regimes, with attendees reporting clearer knowledge and ability to communicate these to patients.

  • Strengthened alignment between urgent care and primary care through shared guideline messaging.

  • Enhanced awareness of SABA-free pathways and appropriate reliever prescribing.

  • Development of early infrastructure for system-wide implementation, including collaboration with pharmaceutical partners and respiratory networks.

  • Positive session engagement, with feedback describing content as "very relevant", "very clear", and "extremely useful", particularly around inhaler technique and MART in children.

Learning

  • Engagement varies significantly across urgent care sites due to workload pressures, staff turnover, and limited protected learning time.

  • Consistent communication channels between ED and UTC teams and primary care are essential to support safe follow-up after acute asthma presentations.

  • Centralised contact lists and ICB-supported coordination would streamline education delivery and reduce administrative burden.

  • Recorded induction-style education is needed for rotating staff to maintain consistent knowledge levels.

  • Data access remains a major barrier; without centralised reporting, it is difficult to measure impact on prescribing patterns or reattendance rates.

  • System restructuring and staff changes can slow progress, highlighting the need for clear governance and sustained leadership support.

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