Transcript Lothian Stroke MCN

CHP Respiratory meeting
Welcome
Dr Ninian Hewitt
What we do well
• Asthma
- Control improved with ICS in the 90’s
What we do well
• COPD
- More patients diagnosed
- Referrals to PR
What we do well
• Prescribing
- Lothian is one of the most efficient low
cost Regions in Scotland
Objectives
•If we are doing
reasonably well
why the fuss?
Objectives
Correct
Correct
Correct
DIAGNOSIS
DRUG
DOSE
 All quality based
 We can do better for our patients
Quality Improvement
• Asthma
Isle of Wight
• Involved all Practices and Pharmacies
• Result
• Reduced Acute episodes
• Reduced admissions
• Reduced prescribing
All by concentrating on drug concordance and
inhaler technique
Quality Improvement
• Asthma
Northern Ireland
Co-ordinated drug control by GP pharmacy and
Patients
Led to lower prescribing and better control
This has been sustained!
Quality Improvement
• Asthma



Step down
Inhaler usage
Acute Prescribing
• COPD


Diagnosis (spirometry)
Inhaler for appropriate
• Severity

Maximising exercise tolerance
CORRECT DDD
 Prescribing to be introduced by - Katie Johnston
& Maureen Reid
 LJF first line may cover 90% of all patients
 Asthma
 COPD
CORRECT DDD
• Practical sessions – Anne Ritchie/Liz
Young
• Central to all review
 Inhaler technique
•Central to diagnosis esp. COPD
 Spirometry
Future
 We are at an unprecedented time with
new inhalers especially for COPD
 Watch out for news from LJF this
autumn
 New Combined
 New dose schedules
 LAMA/ LABA
Respiratory Toolkit
•
•
•
•
•
•
The paper bag
Contents
Web addresses
Paper inserts
Trainhaler
COPD 6
Thank You and Enjoy the
day