The Asthma Audit Development Project informed the specification of a national asthma audit to cover England and Wales, established what audit approach should be adopted and carried out some of the foundation work required.
A key recommendation from the National Review of Asthma Deaths (NRAD) national report Why asthma still kills was that 'a national ongoing audit of asthma should be established, which would help clinicians, commissioners, and patient organisations to improve asthma care'.
In 2015 the National Clinical Audit and Patient Outcomes Programme (NCAPOP) administered by HQIP met and agreed to assess whether an audit of asthma is possible. Subsequently, the RCP has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) to scope the work. The Clinical Effectiveness and Evaluation Unit managed the project and Dr Shuaib Nasser was been appointed as clinical lead.
The AADP covered children and adults and was mainly focused on secondary care. However, it also explored and put forward recommendations on the incorporation of primary care data and investigated inclusion of prescribing data, pharmacy and ambulance service data and Patient Reporting Outcome and Experience Measures (PROMS/PREMS).
A steering group involving key stakeholders guided the work to assess how a national audit of asthma care could be delivered.
In March 2018 the National Asthma and COPD Audit Programme (NACAP) was commissioned. It will deliver audits of primary care (COPD and asthma), secondary care (COPD and asthma (adult and paediatric)) and pulmonary rehabilitation (COPD only).
The Royal College of Physicians has been commissioned by the Healthcare Quality Improvement Partnership (HQIP) to deliver this development project.
We have established a steering group that includes representation from:
Regular meetings of the steering group will take place during project development.