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National Asthma and COPD Audit Programme (NACAP): secondary care workstream – children and young people asthma

What we are doing

The secondary care (children and young people asthma) workstream, commenced in June 2019, comprises two parts: a continuous clinical audit of people admitted to hospital paediatric services in England, Scotland (3 June 2019 until 13 March 2020)* and Wales with asthma attacks, and a snapshot audit of the organisation and resourcing of care. Participation in the secondary care workstreams of the National Asthma and COPD Audit Programme (NACAP) is a requisite of trust quality accounts.

*The Scottish Government, on behalf of NHS Scotland and other stakeholders, has been working with HQIP since November 2018 to try and identify a mutually agreeable legal basis that will support Scotland’s continued participation in the NCAPOP (which is a programme of a number of audits including NACAP), specifically around the financial payment for that participation.

Unfortunately, this has not been identified, resulting in withdrawal by the Scottish Government from paying to participate in the national clinical audits. This means that Scottish hospitals and pulmonary rehabilitation services in Scotland will no longer participate in the NACAP.

Children and young people asthma – continuous clinical audit

This audit aims to collect information on children and young people aged 1-18 years, admitted to hospital paediatric services with an asthma attack. Admission data, obtained from patient case notes, is collected, and entered into a secure and bespoke audit web tool

Children and young people asthma – organisational audit

A biennial snapshot organisational audit collects data on the organisation and resource of services, via the bespoke audit web tool.

Adult asthma

Due to differences in the asthma care and management of adults and children and young people, these are run as separate audit workstreams. For more information on the adult asthma workstream click here.

Register to participate in the children and young people asthma workstream

Registration remains open. Hospitals in England and Wales who admit paediatric patients with asthma attacks are eligible to participate. If you would like further information about how to register your hospital for the audit, please contact us via asthma@rcplondon.ac.uk or visit the workstream's resources page to download a copy of the registration form.  

Workstream timelines

  • August 2018 – June 2019: recruitment of hospitals
  • February 2019: web tool and dataset pilot
  • June 2019: start of continuous clinical audit data collection period
  • June 2019 – February 2021: continuous clinical audit data collection
  • December 2019: planned launch organisational audit
  • September 2020: planned publication of national clinical and organisational report

The above timeline may be subject to change. However, we will keep you updated regarding any changes to the above, and provide additional timeline details as they are confirmed.

Contact

If you think your data may have been collected as part of this audit and wish to have it removed, please speak to a member of your respiratory team at the hospital that treated you, or contact a member of the NACAP audit programme team by email at asthma@rcplondon.ac.uk or by phone on +44 (0)20 3075 1526.

NACAP was preceded by the National Review of Asthma Deaths (NRAD), a case note review of asthma deaths, and the Asthma Audit Development Project (AADP), which worked to inform the specification of, and carry out the foundation work require for, a national asthma audit.

Who's involved

Organisations

All relevant secondary care providers in England and Wales are expected to participate. NACAP is included in the list of national audits for inclusion in trusts’ Quality Accounts, and is also included in the NHS Wales Clinical Audit & Outcome Review Plan.

What we have produced

Information and resources developed to help organisations participating in the NACAP secondary care (children and young people asthma) workstream.