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Asthma Outcomes

07 December 2021

Lead MP

Jim Shannon
Strangford
DUP

Responding Minister

Edward Argar

Tags

NHSTaxationMental Health
Word Count: 12477
Other Contributors: 6

At a Glance

Jim Shannon raised concerns about asthma outcomes in Westminster Hall. A government minister responded.

Key Requests to Government:

The MP asks the Minister to explain why patients are not receiving annual reviews, address the issue of SABA inhaler overuse, and include severe asthma in the unified guidelines. He also seeks a renewed commitment to achieving upper quartile access for biologic treatments and setting clear targets for improvement.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Strangford
Opened the debate
The MP is concerned about the high number of asthma sufferers in the UK, approximately 5.4 million people, and the fact that 65% of patients do not receive annual reviews despite recommendations from NICE. He highlighted the significant impact of asthma on quality of life, including work absences, social isolation, and mental health issues such as anxiety and depression. The MP also mentioned the increase in asthma-related deaths by one third over the past decade, with three people dying every day in the UK.

Government Response

Edward Argar
Government Response
It is a pleasure to serve under your chairmanship, Mr McCabe. The Government are dedicated to improving asthma outcomes. Over the past decade, initiatives such as the 2011 outcome strategy for COPD and asthma have been rolled out to improve identification, diagnosis, intervention, proactive care, and management of the disease. In 2013, a guide was produced to support accurate diagnosis of respiratory conditions. The national review of asthma deaths in 2014 aimed to identify avoidable factors and make recommendations for improvement. Since then, NHS England has established 13 respiratory networks across the country focused on improving clinical pathways for asthma patients. The NHS long-term plan includes respiratory disease as a national priority with objectives such as early diagnosis and prevention of emergency admissions due to asthma. Pharmacists in primary care networks will educate patients about inhaler use and contribute to multidisciplinary work. Since 2019, the quality outcomes framework (QOF) has improved respiratory indicators and incorporated key elements for better patient outcomes. The Minister acknowledges the particular impact of asthma on children and young people, and highlights NHSEI's transformation programme promoting a systemic approach to asthma management. The national bundle of care will be published in spring next year and includes an environmental impact section addressing air pollution. A complete version of the bundle of care will identify asthma care by race, geography, age, and social deprivation. The Government also set out their clean air strategy in 2019, recognising the health impacts of air pollution on people with chronic respiratory or cardiovascular conditions. NICE guidance provides advice for those facing these impacts, and ongoing efforts are made to tackle root causes of poor air quality. During the pandemic, specialist respiratory services for severe asthma continued to run, although some centres' ability to commence patients on biologics may have been impacted at the peak of surges. Prescription and access to biologics is coordinated through severe asthma centre multidisciplinary teams, ensuring all treatments are considered based on clinical judgment. The use of remote consultations and biologic medication taken at home has supported most people with severe asthma during the pandemic. NICE's updated guidance aims to streamline processes for moving patients onto biologic therapies. Community diagnostic centres (CDCs) will diagnose a number of conditions, including respiratory symptoms, enhancing capacity for earlier diagnosis. There are currently no plans to review or extend NHS prescription charge exemptions for asthma due to the need for balance with proportionate charges and contributions to the drugs budget. Approximately 89% of prescriptions are dispensed free of charge already, with arrangements in place to help those most in need.
Assessment & feedback
Summary accuracy

About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.