Quality statement 10: Follow-up in primary care

Quality statement

People who received treatment in hospital or through out-of-hours services for an acute exacerbation of asthma are followed up by their own GP practice within 2 working days of treatment.

Rationale

For people treated for an exacerbation of asthma in hospital (both in accident and emergency departments and as inpatients) or through out-of-hours services, follow-up appointments are important to explore the possible reasons for the exacerbation and the actions needed to reduce the risk of further acute episodes.

Quality measure

Structure:

a) Evidence of local arrangements to ensure people who received treatment in hospital or through out-of-hours services for an acute exacerbation of asthma are followed up by their own GP practice within 2 working days of treatment.

b) Evidence of local arrangements to ensure effective communication between secondary care centres (such as hospitals and out-of-hours services) and primary care.

Process: Proportion of people who received treatment in hospital or through out-of-hours services for an acute exacerbation of asthma who are followed up by their own GP practice within 2 working days of treatment.

Numerator – the number of people in the denominator followed up by their own GP practice within 2 working days of treatment.

Denominator – the number of people who received treatment in hospital or through out-of-hours services for an acute exacerbation of asthma.

What the quality statement means for each audience

Service providers ensure systems are in place for people who received treatment in hospital or through out-of-hours services for an acute exacerbation of asthma to be followed up by their own GP practice within 2 working days of treatment.

Healthcare professionals follow up all people in their own practice who received treatment for an acute exacerbation of asthma in hospital or through out-of-hours services within 2 working days of treatment.

Commissioners ensure they commission services that specify effective communication between secondary care centres (such as hospitals and out-of-hours services) and primary care so that people who received treatment for an acute exacerbation of asthma in hospital or through out-of-hours services are followed up by their own GP practice within 2 working days of treatment.

People who received treatment in hospital or through out-of-hours services for a sudden worsening of their asthma see a healthcare professional in their own GP practice within 2 working days of treatment.

Source guidance

Consensus based on annex 3 and guidance from paragraphs 9.6.3 and 9.9.7 in BTS/SIGN (2016) British guideline on the management of asthma. SIGN clinical guideline 153

Data source

Structure: a) and b) Local data collection.

Process: Local data collection.

Definitions

People treated for an exacerbation of asthma in hospital

People who received treatment in hospital include both people treated in accident and emergency departments and those treated as inpatients.

Follow-up after an acute exacerbation of asthma

People admitted with an acute exacerbation should be followed up within 2 days of discharge; people not admitted but treated for an acute exacerbation should be followed up within 2 days of treatment.