- Respiratory disease is identified as a clinical priority in the NHS Long Term Plan.
- The NHS Accelerated Access Collaborative (AAC) is the umbrella organisation for UK health innovation. It supports the NHS to quickly adopt clinically proven and cost-effective innovations, and to ensure patients get access to the best new treatments and technologies.
The AHSN Network
Clinical pathways, guidelines, and guidance
Ardens, providers of TPP SystmOne and EMIS Web templates and resources, have created templates to support the use of FeNO testing and associated data collection.
Available to all TPP and EMIS users free of charge - regardless whether a practice is an existing Ardens customer.
Download the guidance document here - which contains links to and descriptions on how to access the templates.
Guidance details are also available on the Ardens FeNO template webpage.
You can also download a Data Protection Impact Assessment (DPIA) template to support data sharing here.
If you do not use Ardens, then an Excel based reporting template has been developed - download it here. Guidance specific to use of the Excel based reporting template is downloadable here.
FeNO Learning Collaborative
Our FeNO Learning Collaboratives aim to bring together people interested in FeNO, planning to use FeNO or who are already using FeNO in their practice.
You can register for the next FeNO Learning Collaborative here
You can see resources and recordings from past Collaboratives here
ARTP COVID 19 Pandemic Guidance
1. Bedfont general information and guidance around Coronavirus
2. Guidance on care of NObreath product
3. Guidance and care of NIOX VERO product
In addition to the product specific guidance, use the links below to review wider sources of advice.
Support with Business Case Development
- We have created a template Case for Change to support clinical teams looking to implement FeNO testing at scale. This Case for Change template is supported by an interactive data dashboard that allows you to identify the cost of asthma across CCGs in England, and estimate the cost of FeNO equipment as part of your project deployment.
- Our colleagues at Eastern AHSN have developed a tool to
help you think through the elements needed for a successful business case. You
can access the toolkit here following
a short data capture page (our thanks to our colleagues at Eastern AHSN for
access to this great tool).
- A table of funding examples shows the funding opportunities and the application process required. The AHSN may be able to offer support with the application process.
- You can view a case study of the impact of
FeNO diagnostics on medicines costs here.
Searches for undiagnosed asthma and disease prevalence
- To identify patients who could have their care improved by clarifying their diagnosis, practices can run a simple system search using criteria that can include, for example, specific respiratory symptoms and/or repeat prescriptions of inhalers or oral steroids and/or those coded 'suspected asthma'. Alternatively, practices can use ePACT2 / NHSBSA prescription data dashboards to generate lists of patients who have been prescribed these medicines.
- CDRC Precision digital resources are developed by clinicians in the North East of England, working on existing clinical IT systems (SystmOne and EMIS) and are quality assured by the North of England Care Support Unit (NECS). You can contact CDRC to access these tools using this link; Resources - Clinical Digital Resource Collaborative (cdrc.nhs.uk).
- UCLP proactive care frameworks provide a platform for optimising clinical care and self-care for people asthma and COPD, supporting primary care teams to do things differently and at scale (Asthma and COPD). For more information you can visit https://uclpartners.com/proactive-care/. To understand more about the prevalence of asthma and other respiratory diseases, we have included examples of accessible supporting data/information below;
Implementation and Reporting
- You can access a copy of the AAC Patient Guidance leaflet using this link - AAC FeNO Patient Communications
- Circassia have developed and published a patient leaflet that you can access here.
- You can also view an example of local Trust patient communications here.
- The National team have also pulled together a generic FeNO patient leaflet, a copy of which is available to download.
Help for Patients
- Asthma tests (Diagnosing asthma in adults | Asthma
- You may be given a peak
flow meter to use at home for a couple of weeks. This is so you can record your own peak flow scores in a diary.
- The good news is there
are lots of effective medicines available to help manage your symptoms. With
the right treatment plan and good support from your GP you could stay symptom
- An asthma action plan is a simple tool to help you
manage your asthma well. You fill it in with your GP or asthma nurse
- Once you have a confirmed diagnosis of
asthma, it is important that you learn to use your inhalers correctly. Asthma
UK has a number of educational videos that allow you to review technique for
your specific inhaler. You can access these videos via this link How
to use your inhaler | Asthma UK.
- For more detail,
information and advice please go to www.asthma.org.uk
- Our team of clinical educators have been working on a free of change, CPD accredited, clinical education piece that will be available in July. It will be accessible via this site.
- You can also view Asthma UK advice on FeNO testing by following the link below https://www.asthma.org.uk/advice/diagnosis/tests/#Feno
- You can review all of the NICE diagnostic protocols, using the links below;
- Algorithm A. Initial clinical assessment for adults young people and children with suspected asthma
- Algorithm B. Objective tests for asthma in children and young people aged 5 to 16
- Algorithm C. Objective tests for asthma in adults aged 17 and over