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Respiratory Lead Pharmacist
Barnet CCG
RESPIRATORY UPDATERIGHTBREATHE – HOW IT CAN SUPPORT YOU?DOING THE RIGHT THINGS RIGHT
Darush Attar-Zadeh
https://solutions.hsj.co.uk/story.aspx?storyCode=7016376&preview=1&hash=D21778F74E462A096A771C03AAC48A30
Thank you for your support!
Assuming diagnosis is correct and a high probability of Asthma
Asthma Control = Improved Health & Savings
Blanket switching of inhalers not a good idea = safety issue
Consistency of Device for Safety
Maintaining patient at lowestpossible ICS strength (monitorICS Adherence & SABA usage)
Aim for at most < 6 SABA a year (Good Asthma control = <2 SABA puffs a week)
ICS/SABA Ratio? 12:6Not 2:12! (Medical emergency)
www.rightbreathe.comCCG Training
Contact me [email protected]
1) Inhaler technique/Meds optimisation2) COPD - Tiotropium patient group sessions.
Smoking Cessation
Stop smoking, PR, preventing exacerbations is medicine to our patients
10
Three key messages about smoking•Tobacco dependence is a major problem for the NHS
– main cause of most cancers
– causes 10–20 years premature death for people with mental illness
– main cause of three top reasons for hospital admission of people <75 years of age (cancer, COPD, CVD)
– most modifiable factor in reducing stillbirth
•Helping people stop smoking is the single highest value contribution to health that any clinician can make
– yet cost effective and clinically effective diagnostic tools and treatments are substantially underused
– improvement in use offers the greatest opportunity to add value in the NHS today
•Effective diagnosis and treatment of tobacco dependence requires urgent improvement in clinical training, use of CO monitoring and medicines optimisation
More than 1 in 3 (36%) childhood asthma deaths were in ‘smoking families’
NRAD
Under reportingEarly diagnosis of COPD –worse than similar 10 CCGs
232 quit smoking in Barnet! Best CCG 5529
Online training moduleWWW.NCSCT.CO.UK/VBA
Enabling conversations
For every 2 people a clinician helps stop smoking 1 life is saved!
• Pharmacotherapy in combination with intensive behavioural
support gives the optimum chance of success1
1. NHS. Local stop smoking services. Service delivery and monitoring guidance, 2011/12. 3
2. West R, et al. Thorax 2000;55:987─999.
3. Hilton A. Prescriber 2003; February:14─20.
4. Fowler G. Update 2000; May supplement:3─7.
https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england
Respiratory Lead Pharmacist
Barnet CCG
RESPIRATORY UPDATERIGHTBREATHE – HOW IT CAN SUPPORT YOU?DOING THE RIGHT THINGS RIGHT
Darush Attar-Zadeh