To ask the Scottish Executive whether it will draw up a national healthcare strategy to tackle asthma in light of recent research highlighting that it is a widespread and complex condition.
A spectrum of measures is intrain within Scotland which reflects the importance the Executive attachesto addressing asthma. These include:
The new GP contract includesasthma as a condition, which will attract extra remuneration for doctors, ifthey meet standards of care. All practices are required to provide essentialservices, including management of chronic disease in a manner determined by thepractice in discussion with the patient.
The new contracts for otherhealth professionals enable the use of their expertise to address the reviewand management of people with asthma in the wider primary care teams. Forexample, the pharmacy strategy, The Right Medicine, is developing the role ofcommunity pharmacists through model schemes. This includes pharmacists takingpart in the chronic disease management of asthma.
Some personal medical pilots,which are another form of GP contract, have also been funded to developimproved chronic disease management in asthma.
Practice accreditationprocedures look into the management of chronic diseases including asthma. Thisinvolves following protocols and guidelines and the intention is that allpractices should be accredited by the end of 2004.
The Scottish IntercollegiateGuidelines Network, which is funded by the Executive through NHS QualityImprovement Scotland, published good practice guidelines on asthma managementjointly with the British Thoracic Society in February last year.
Other initiatives by the Executive which will benefit people with asthma include our efforts to reducesmoking in public places and the yearly influenza vaccination for high riskgroups including asthma.
In addition, the ChiefScientist Office is currently committed to funding nine research projects onasthma at a cost of £783,439.
Community HealthPartnerships (which were signalled in the White Paper, Partnership for Care)will have a particular focus on delivering improvements in the managementof chronic conditions. They will have a critical role as the main focus forservice integration for local communities with a particular emphasis on closingthe health gap and delivering improvements particularly in relation to themanagement of chronic diseases for adults and children. One of their strengthswill be their ability to provide a holistic approach to care.