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Asthma Incidence

Dáil Éireann Debate, Thursday - 17 July 2014

Thursday, 17 July 2014

Ceisteanna (662)

Róisín Shortall

Ceist:

662. Deputy Róisín Shortall asked the Minister for Health if his attention has been drawn to the rate of asthma deaths over the past ten years and that this rate could be significantly reduced if a Government commitment to the implementation of a National Clinical Programme for asthma is met; and the actions he will take to ensure that this programme is implemented in the coming months or to otherwise meet the Government target of reducing asthma deaths by 90%. [32174/14]

Amharc ar fhreagra

Freagraí scríofa

The HSE, through its Clinical Strategy and Programmes Division, established the National Clinic Programme for Asthma (NCPA), which is one of a number of chronic disease programmes aimed at bringing a systematic approach to changes in how services for patients are delivered.

The overarching aim of the Programme is to reduce the morbidity and mortality associated with asthma in Ireland and to improve clinical outcomes and the quality of life of all patients with asthma. A key component is the improved management of people with asthma in primary care, thereby avoiding emergency attendance at General Practitioner (GP) out-of-hours services, emergency departments and in-patient services. Implementation of the programme is ongoing and will continue in 2015.

The National Model of Care for Asthma in general practice has been agreed by the HSE's Clinical Programmes, the Asthma Society and the ICGP. As the Deputy will be aware, implementation of this model in general practice involves consultation on the GP contract with representative bodies.

A Framework Agreement with the Irish Medical Organisation (IMO) has recently been signed, which allows progress on these issues, initially in the context of the provision of GP care free at the point of access for children under 6 years. It has been agreed that the discussions with the IMO which are now underway should also work towards agreement on a new GMS GP contractual framework.

The following revised reply was received on 23 October 2014.

The HSE, through its Clinical Strategy and Programmes Division, established the National Clinic Programme for Asthma (NCP A), which is one of a number of chronic disease programmes aimed at bringing a systematic approach to changes in how services for patients are delivered.

The overarching aim of the Programme is to reduce the morbidity and mortality associated with asthma in Ireland and to improve clinical outcomes and the quality of life of all patients with asthma. A key component is the improved management of people with asthma in primary care, thereby avoiding emergency attendance at General Practitioner (GP) out-of-hours services, emergency departments and in-patient services. Implementation of the programme is ongoing and will continue in 2015.

The National Clinical Programme for Asthma Model of Care has been approved by the HSE and the Asthma Society and planning is underway for implementation. Implementation of this model in general practice will require consultation with the Irish Medical Organisation (IMO).

A Framework Agreement with the IMO has recently been signed, which allows progress on these issues, initially in the context of the provision of GP care free at the point of access for children under 6 years. It has been agreed that the discussions with the IMO which are now underway should also work towards agreement on a new GMS GP contractual framework.

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