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National Asthma and COPD Audit Programme (NACAP) Children and Young People Asthma Audit 2019/20 Children and young people asthma organisational audit 2019-20 data description file

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orgcode hospital trust country emergency_adm respiratory_adm asthma_adm admsperbed respadmsperbed asthmaadmsper1000adms q1_1howmanypaediatr_icasthmapatients q1_2doesyourhospita_ntscanbeadmitted q1_2_1howmanybed_aediatrichduhave q1_3doesyourhos_ntscanbeadmitted q1_3_1howmanybedsdoesyourpicuhave fy1fy2filledcat fy1fy2filledwte fy1fy2filledphr fy1fy2filledpha st1st2filledcat st1st2filledwte st1st2filledphr st1st2filledpha st3andabovefilledcat st3andabovefilledwte st3andabovefilledphr st3andabovefilledpha paediatricconsultantfilledcat paediatricconsultantfilledwte paediatricconsultantfilledphr paediatricconsultantfilledpha paediatricrespi_sultantfilledcat paediatricrespi_sultantfilledwte paediatricrespi_sultantfilledphr paediatricrespi_sultantfilledpha associatespecialistfilledcat associatespecialistfilledwte associatespecialistfilledphr associatespecialistfilledpha staffgradefilledcat staffgradefilledwte staffgradefilledphr staffgradefilledpha asthmanursespecialistfilledcat asthmanursespecialistfilledwte asthmanursespecialistfilledphr asthmanursespecialistfilledpha nurseconsultant_stnursefilledcat nurseconsultant_stnursefilledwte nurseconsultant_stnursefilledphr nurseconsultant_stnursefilledpha specialistrespi_erapistfilledcat specialistrespi_erapistfilledwte specialistrespi_erapistfilledphr specialistrespi_erapistfilledpha paediatricpsychologistfilledcat paediatricpsychologistfilledwte paediatricpsychologistfilledphr paediatricpsychologistfilledpha paediatricpharmacistfilledcat paediatricpharmacistfilledwte paediatricpharmacistfilledphr paediatricpharmacistfilledpha othernotlistedfilledcat othernotlistedfilledwte othernotlistedfilledphr othernotlistedfilledpha fy1fy2unfilledcat fy1fy2unfilledwte st1st2unfilledcat st1st2unfilledwte st3andaboveunfilledcat st3andaboveunfilledwte paediatricconsultantunfilledcat paediatricconsultantunfilledwte paediatricrespi_ltantunfilledcat paediatricrespi_ltantunfilledwte associatespecialistunfilledcat associatespecialistunfilledwte staffgradeunfilledcat staffgradeunfilledwte asthmanursespecialistunfilledcat asthmanursespecialistunfilledwte nurseconsultant_nurseunfilledcat nurseconsultant_nurseunfilledwte specialistrespi_rapisunfilledcat specialistrespi_rapisunfilledwte paediatricpsych_ogistunfilledcat paediatricpsych_ogistunfilledwte paediatricpharmacistunfilledcat paediatricpharmacistunfilledwte othernotlistedunfilledcat othernotlistedunfilledwte q3_1_1aroutinelyr_raboveonweekdays q3_1_1broutinelyr_raboveonweekends q3_3whichadmitt_respiratorynurse q3_4accesstoano_mapatientsonsite q3_4accesstoano_tientsonthephone q3_4accesstoano_loutreachservice q3_6isyourservi_ricasthmanetwork q3_7designatedn_orasthmaservices q3_7_1isthisrolecurrentlyfilled q3_7_2istheasthm_paediatricasthma q3_8doesyourhos_paediatricasthma q3_8_1aifnotdoyou_ricasthmaservice q3_9doesasthmal_lorsevereillness q3_10smokingcess_ostparentscarers q3_10_1apleaseletu_ionofthisservice q3_11smokingcess_icasthmapatients q3_11_1pleaseletu_ionofthisservice q3_12doyouhavea_ntscanbereferred q3_13canthepaed_icepostdischarge q3_14doyouhaveac_tientsspirometry q3_14doyouhaveac_xpiratoryflowpef q3_14doyouhaveac_dnitricoxidefeno q3_14doyouhaveac_ntsskinpricktest q3_14doyouhaveac_thmapatientsnone q3_5picuoutreac_vicedaysweekdays q3_5picuoutreac_vicedaysweekends q3_5picuoutreac_cedaysoutofhours q3_5picuoutreac_ooutreachservice q3_1seniordecis_dpaudaysweekdays q3_1seniordecis_dpaudaysweekends q3_1seniordecis_audaysoutofhours q3_1seniordecis_roundpaudaysnone q3_2seniordecis_ardsdaysweekdays q3_2seniordecis_ardsdaysweekends q3_2seniordecis_dsdaysoutofhours q3_2seniordecis_ricwardsdaysnone q3_3_1respiratory_entsdaysweekdays q3_3_1respiratory_entsdaysweekends q3_3_1respiratory_tsdaysoutofhours q3_3_1respiratory_rynurseavailable q4_1doesthepaed_trecordeprsystem q4_2doesyourhos_tricoxygenpolicy q4_3dothewardba_criptionofoxygen q4_4doesyourhos_etectione_g_pews q4_4_1ew_targeto2 q4_4_1ew_actualo2 q4_4_1adoesyourea_ygenadministered q4_4_1doesyourea_ednoneoftheabove q4_4_2bearlywarni_echildyoungadult q5_1doesyourtru_icasthmaservices q5_1_1ifyesdoest_errepresentation q5_2howoftenisa_rvicesundertaken q6_1processfort_oftheircondition q6_1processfort_entthesamerecord q6_1processfort_eirparentscarers q6_1processfort_rersareaddressed q6_1processfort_dadultclinicians q6_1processfort_intheadultsystem q6_1processfort_totheadultsystem q6_1processfort_tinuedevaluation q6_1processfort_tionarrangements q7_1howisreimbu_thasthmaachieved q7_2hasyourcomm_iatricasthmacare
Hospital code hospital name Trust name Country Number of paediatric medical emergencies did your hospital admit in the 2018/19 financial year Number of paediatric respiratory coded emergencies did your hospital admit in the 2018/19 financial year Number of paediatric asthma coded emergencies did your hospital admit in the 2018/19 financial year Number of paediatric admissions per bed Number of respiratory admissions per bed Number of paediatric asthma admissions per 1000 admissions Number of paediatric medical beds in your hospital which can be used for Children and Young People (CYP) with asthma Does your hospital have a paediatric high dependency unit(s) (HDU) to which CYP with asthma can be admitted? Number of beds in paediatric HDU (*Out of hospitals who had an HDU) Does your hospital have a paediatric intensive care unit (PICU) to which CYP with asthma can be admitted? Number of beds in PICU* (*Out of hospitals who had a PICU) Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): FY1/FY2 Number of filled staff posts (WTE) in the respiratory team (raw value): FY1/FY2 WTE per 100 paediatric respiratory admissions: FY1/FY2 WTE per 100 paediatric asthma admissions: FY1/FY2 Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): ST1/ST2 Number of filled staff posts (WTE) in the respiratory team (raw value): ST1/ST2 WTE per 100 paediatric respiratory admissions: ST1/ST2 WTE per 100 paediatric asthma admissions: ST1/ST2 Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): ST3 and above Number of filled staff posts (WTE) in the respiratory team (raw value): ST3 and above WTE per 100 paediatric respiratory admissions: ST3 and above WTE per 100 paediatric asthma admissions: ST3 and above Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric consultant Number of filled staff posts (WTE) in the respiratory team (raw value): Paediatric consultant WTE per 100 paediatric respiratory admissions: Paediatric consultant WTE per 100 paediatric asthma admissions: Paediatric consultant Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric respiratory consultant Number of filled staff posts (WTE) in the respiratory team (raw value): Paediatric respiratory consultant WTE per 100 paediatric respiratory admissions: Paediatric respiratory consultant WTE per 100 paediatric asthma admissions: Paediatric respiratory consultant Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Associate specialist Number of filled staff posts (WTE) in the respiratory team (raw value): Associate specialist WTE per 100 paediatric respiratory admissions: Associate specialist WTE per 100 paediatric asthma admissions: Associate specialist Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Staff grade Number of filled staff posts (WTE) in the respiratory team (raw value): Staff grade WTE per 100 paediatric respiratory admissions: Staff grade WTE per 100 paediatric asthma admissions: Staff grade Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Asthma nurse specialist Number of filled staff posts (WTE) in the respiratory team (raw value): Asthma nurse specialist WTE per 100 paediatric respiratory admissions: Asthma nurse specialist WTE per 100 paediatric asthma admissions: Asthma nurse specialist Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Nurse consultant /other specialist nurse Number of filled staff posts (WTE) in the respiratory team (raw value): Nurse consultant /other specialist nurse WTE per 100 paediatric respiratory admissions: Nurse consultant /other specialist nurse WTE per 100 paediatric asthma admissions: Nurse consultant /other specialist nurse Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Specialist respiratory /paediatric physiotherapist Number of filled staff posts (WTE) in the respiratory team (raw value): Specialist respiratory/paediatric physiotherapist WTE per 100 paediatric respiratory admissions: Specialist respiratory/paediatric physiotherapist WTE per 100 paediatric asthma admissions: Specialist respiratory/paediatric physiotherapist Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric psychologist Number of filled staff posts (WTE) in the respiratory team (raw value): Paediatric psychologist WTE per 100 paediatric respiratory admissions: Paediatric psychologist WTE per 100 paediatric asthma admissions: Paediatric psychologist Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric pharmacist Number of filled staff posts (WTE) in the respiratory team (raw value): Paediatric pharmacist WTE per 100 paediatric respiratory admissions: Paediatric pharmacist WTE per 100 paediatric asthma admissions: Paediatric pharmacist Number of filled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Other – not listed Number of filled staff posts (WTE) in the respiratory team (raw value): Other – not listed WTE per 100 paediatric respiratory admissions: Other – not listed WTE per 100 paediatric asthma admissions: Other – not listed Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): FY1/FY2 Number of unfilled staff posts (WTE) in the respiratory team (raw value): FY1/FY2 Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): ST1/ST2 Number of unfilled staff posts (WTE) in the respiratory team (raw value): ST1/ST2 Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): ST3 and above Number of unfilled staff posts (WTE) in the respiratory team (raw value): ST3 and above Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric consultant Number of unfilled staff posts (WTE) in the respiratory team (raw value): Paediatric consultant Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric respiratory consultant Number of unfilled staff posts (WTE) in the respiratory team (raw value): Paediatric respiratory consultant Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Associate specialist Number of unfilled staff posts (WTE) in the respiratory team (raw value): Associate specialist Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Staff grade Number of unfilled staff posts (WTE) in the respiratory team (raw value): Staff grade Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Asthma nurse specialist Number of unfilled staff posts (WTE) in the respiratory team (raw value): Asthma nurse specialist Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Nurse consultant /other specialist nurse Number of unfilled staff posts (WTE) in the respiratory team (raw value): Nurse consultant /other specialist nurse Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Specialist respiratory /paediatric physiotherapist Number of unfilled staff posts (WTE) in the respiratory team (raw value): Specialist respiratory/paediatric physiotherapist Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric psychologist Number of unfilled staff posts (WTE) in the respiratory team (raw value): Paediatric psychologist Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Paediatric pharmacist Number of unfilled staff posts (WTE) in the respiratory team (raw value): Paediatric pharmacist Number of unfilled staff posts (whole time equivalent [WTE]) in the respiratory team (category): Other – not listed Number of unfilled staff posts (WTE) in the respiratory team (raw value): Other – not listed How often are CYP patients on the paediatric admissions ward routinely reviewed on weekdays by a senior decision maker (ST3 or above)? How often are CYP patients on the paediatric admissions ward routinely reviewed on weekends by a senior decision maker (ST3 or above)? Which admitted CYP asthma patients have access to a paediatric respiratory nurse? On site access to an on-call paediatric respiratory consultant for CYP asthma patients Over the phone access to an on-call paediatric respiratory consultant for CYP asthma patients Regional outreach service access to an on-call paediatric respiratory consultant for CYP asthma patients? Is your service part of a regional paediatric asthma network? Does your hospital have a designated named clinical lead for asthma services? If yes, is the designated named clinical lead role currently filled?* (*Out of hospitals who had a designated named clinical lead) Is the asthma lead responsible for formal training in the management of acute paediatric asthma?* (*Out of hospitals how had a designated named clinical lead) Does your hospital have a specific service for paediatric asthma? If not, do you have set criteria for referral to an offsite specialist paediatric asthma service?* (*Out of hospitals who did not have a specific service for paediatric asthma or selected not known) When CYP with poor asthma control or severe illness have been identified in clinic, does the asthma lead review the CYP prior to referral to a specialist paediatric asthma service?* (*Out of hospitals how had a designated named clinical lead) Is there a smoking cessation service to which you can refer or signpost parents/carers of your CYP asthma patients? Please let us know more about the provision of this service* (*Out of hospitals that have a smoking cessation service they can sign post parents/carers to) Is there a smoking cessation service to which you can refer CYP asthma patients? Please let us know more about the provision of this service* (*Out of hospitals that have a smoking cessation service they can sign post CYP asthma patients to) Do you have a dedicated service for childhood obesity, to which your CYP asthma patients can be referred? Can the paediatric team refer CYP asthma patients to a home-based community service post discharge? In your hospital, do you have access to the following diagnostic tools for CYP asthma patients? Spirometry In your hospital, do you have access to the following diagnostic tools for CYP asthma patients? Peak expiratory flow (PEF) In your hospital, do you have access to the following diagnostic tools for CYP asthma patients? Fractional exhaled nitric oxide (FeNO) In your hospital, do you have access to the following diagnostic tools for CYP asthma patients? Skin prick test In your hospital, do you have access to the following diagnostic tools for CYP asthma patients? None Does your hospital provide a PICU outreach service, on weekdays, for critically ill CYP requiring PICU management? Does your hospital provide a PICU outreach service, on weekends, for critically ill CYP requiring PICU management? Does your hospital provide a PICU outreach service, out of hours, for critically ill CYP requiring PICU management? Does your hospital not provide a PICU outreach service for critically ill CYP requiring PICU management? (No outreach service) Does a senior decision maker from the paediatric team (ST3 or above) undertake a ward round of new CYP asthma patients, on Weekdays, on the paediatric admission unit (PAU)? Does a senior decision maker from the paediatric team (ST3 or above) undertake a ward round of new CYP asthma patients, on Weekends, on the paediatric admission unit (PAU)? Does a senior decision maker from the paediatric team (ST3 or above) undertake a ward round of new CYP asthma patients, out of hours, on the paediatric admission unit (PAU)? Does a senior decision maker from the paediatric team (ST3 or above) not undertake a ward round of new CYP asthma patients on the paediatric admission unit (PAU)? Does a senior decision maker from the paediatric team (ST3 or above) undertake, on weekdays, a ward round of new CYP asthma patients on the paediatric ward(s)? Does a senior decision maker from the paediatric team (ST3 or above) undertake, on weekends, a ward round of new CYP asthma patients on the paediatric ward(s)? Does a senior decision maker from the paediatric team (ST3 or above) undertake, out of hours, a ward round of new CYP asthma patients on the paediatric ward(s)? Does a senior decision maker from paediatric team (ST3 or above) not undertake a ward round of new CYP asthma patients on the paediatric ward(s)? Is a respiratory nurse(s) available to review CYP asthma inpatients on weekdays?* (*Out of hospitals with access to respiratory nurse) Is a respiratory nurse(s) available to review CYP asthma inpatients on weekends?* (*Out of hospitals with access to respiratory nurse) Is a respiratory nurse(s) available to review CYP asthma inpatients out of hours?* (*Out of hospitals with access to respiratory nurse) Is there no paediatric respiratory nurse available to review CYP asthma inpatients?* (*Out of hospitals with access to respiratory nurse) Does the paediatric service in your hospital have an Electronic Patient Record (EPR) system? Does your hospital have a paediatric oxygen policy? Do the ward-based paediatric medication charts/records have a designated place in which to record the prescription of oxygen? Does your hospital use a system of paediatric early warning detection, eg PEWS? Does your early warning detection system allow the following to be recorded? Target oxygen saturation* (*Out of hospitals with a PEWS system) Does your early warning detection system allow the following to be recorded? Actual oxygen saturation* (*Out of hospitals with a PEWS system) Does your early warning detection system allow the following to be recorded? Amount of oxygen administered* (*Out of hospitals with a PEWS system) Does your early warning detection system not allow the following to be recorded? (Target oxygen saturation, Actual oxygen saturation, Amount of oxygen administered)* (*Out of hospitals with a PEWS system) Does your early warning detection system incorporate a section in which nurses can record a qualitative measure of how worried they are about the CYP?* * (*Out of hospitals with a PEWS system) Does your trust have a strategic group for paediatric asthma services? If yes, does this group have CYP or parent/carer representation?* (*Out of hospitals that have strategic group for paediatric asthma services) How often is a formal survey seeking CYP and parent/carer views on paediatric services undertaken? Do your processes for transitioning young people from paediatric to adult service include ensuring that: The young person has a full record of their condition Do your processes for transitioning young people from paediatric to adult service include ensuring that: The GP is sent the same record Do your processes for transitioning young people from paediatric to adult service include ensuring that: The young person is given the opportunity to be seen without their parents/carers Do your processes for transitioning young people from paediatric to adult service include ensuring that: The needs of the parents/carers are addressed Do your processes for transitioning young people from paediatric to adult service include ensuring that: The young person has a transition plan that has been agreed with both paediatric and adult clinicians Do your processes for transitioning young people from paediatric to adult service include ensuring that: The young person is allocated a coordinator/case worker to support them until settled within the adult system Do your processes for transitioning young people from paediatric to adult service include ensuring that: We provide individual/group education sessions to young people transitioning to the adult system Do your processes for transitioning young people from paediatric to adult service include ensuring that: The transition service undergoes continued evaluation Hospital does not have any formal transition arrangements How is reimbursement of costs of care for CYP patients with asthma achieved? Has your commissioner/health board agreed a Commissioning for Quality and Innovation (CQUIN) payment or Local Incentive Payment (LIP) in relation to CYP asthma care?
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