To ask the Scottish Executive what consideration it has given to making asthma a national priority in health care in light of new research from Asthma UK stating that for 20% of people with asthma in Scotland, there are still no medicines that adequately control their condition.
The importance we attach to tacklingasthma is reflected in the range of measures currently underway in Scotland, including:
The new GP contract includesasthma as a condition, which will attract extra remuneration for doctors, if theymeet standards of care. All practices are required to provide essential services,including management of chronic disease in a manner determined by the practice indiscussion with the patient.
The new contracts for other healthprofessionals enable the use of their expertise to address the review and managementof people with asthma in the wider primary care teams. For example, the pharmacystrategy, The Right Medicine, is developing the role of community pharmacists throughmodel schemes. This includes pharmacists taking part in the chronic disease managementof asthma.
Some personal medical pilots,which are another form of GP contract, have also been funded to develop improvedchronic disease management in asthma.
Practice accreditation procedureslook into the management of chronic diseases including asthma. This involves followingprotocols and guidelines and the intention is that all practices should be accreditedby the end of 2004.
The Scottish IntercollegiateGuidelines Network, which is funded by the Executive through NHS Quality ImprovementScotland, published good practice guidelines on asthma management jointly with theBritish Thoracic Society in February last year.
Other initiatives by the Executivewhich will benefit people with asthma include our efforts to reduce smoking in publicplaces and the yearly influenza vaccination for high-risk groups including asthma.
In addition, the Chief ScientistOffice is currently committed to funding nine research projects on asthma at a costof £783,439.
Community Health Partnerships(which were signalled in the White Paper, Partnership for Care) will havea particular focus on delivering improvements in the management of chronic conditions.They will have a critical role as the main focus for service integration for localcommunities with a particular emphasis on closing the health gap and deliveringimprovements particularly in relation to the management of chronic diseases foradults and children. One of their strengths will be their ability to provide a holisticapproach to care.