Optimum Patient Care is committed to making a difference to patients. We provide free and annual comprehensive respiratory review service to help general practices manage patients with Asthma and Chronic Obstructive Pulmonary Disease (COPD). Anonymised data is gathered from practice clinical systems and combined with data gathered from asthma and COPD questionnaires returned by patients. All data collected for review is anonymised at the practice, so no patient identifiable information leaves the practice in accordance with NHS Information Governance and Data Protection laws. A bespoke data analysis is then conducted, in accordance with national guidelines and world renowned expert advisors.

An example service agreement can be downloaded from here:

OPC Clinical Review Service Agreement

A Service Description can be downloaded from here:

OPC Clinical Review Service Information

Patients, practices and CCG’s will benefit from:

– Targeted prioritisation of patient care (identification of your most at risk patients)
– Improved guideline based decision making
– Improved achievement of QOF targets
– Reduced hospitalisations
– Increased appropriate prescribing
– Identification of clinical practice needs which enable targeted initiatives
– Improvements in patient reported quality of life and self-management confidence

We offer free questionnaires mailing to patients in order to attain information on patient reported outcomes for enhanced and meaningful reporting. Patient questionnaires are dispatched at no cost to your practice, through DOCMAIL – a secure, NHS-approved, N3 accredited remote mailing service provider. Patients may also complete their questionnaires online.

The three questionnaires we mail as part of our respiratory review service are:

  • Child asthma questionnaire
  • Adult asthma questionnaire
  • COPD questionnaire

The patient questionnaires are anonymised and have no patient identifiable information. Each patient questionnaire has a unique bar code which allows us to link it to the correct practice. It also enables the questionnaire data to be incorporated into your reports. Completed questionnaires are returned via FREEPOST to Optimum Patient Care Offices and scanned by our service team. The questionnaire data including those attained online, is then incorporated into both your tailored practice reports and patient level reports. The anonymised questionnaire data forms part of our service and research database and may be used for academic research to improve and advance respiratory care.

Practices are provided with annual tailored child asthma reports, adult asthma reports and COPD reports. The reports are provided both in hard-copy and electronically. The reports are specific to each practice and outcome measures are compared with that of the general service.
This enables a practice to evaluate its performance against an average practice in our service. The reports enable a practice to target patients in need of review and intervention to optimise their care. They also help a practice to meet QoF targets and guideline recommendations for best practice. Subsequent annual reports allow a practice to track its progress and improvements from year to year.

Practice reports cover extensive aspects of Asthma & COPD care including, but not limited to:

  • Diagnosis and potentially undiagnosed patients
  • Patient demographics (age, co-morbidities and smoking status)
  • Disease control and severity status
  • Patient risk stratification and exacerbations
  • Adherence and concordance with therapy
  • Patient reviews and self-management plans
  • Management and therapy recommendations based on guidelines
  • Focus areas for improvement – if requested by your practice

Example practice reports can be downloaded below.

Example Practice Adult Asthma Report

Example Practice Child Asthma Report

Example Practice OPC COPD

We recognise that change can only happen at a patient level. As such, we provide practices with individual patient reports for Asthma and COPD. These reports are accessible on practice computers via our bespoke Optimum Patient Care Tools software. Along with receiving a user-guide on how to use Optimum Patient Care Tools, our service team will visit your practice to provide support on accessing your patient level reports and using our tools.

Individual patient reports support clinicians with face-to-face patient consultations. They help identify high-risk patients and other specific patient groups for review and intervention to optimise their care. Each patient has a personalised feedback section which can be provided to them as a self-management plan. Patient reports cover extensive aspects of Asthma & COPD care including, but not limited to:

  • Individual patient summary
  • Summary of patient questionnaire response
  • Identification of high risk patients
  • Patients associated with recommendations in practice reports
  • Personalised feedback for patients (self-management plan)
  • Disease symptoms and control status
  • Co-morbidities and smoking status
  • Therapy status and overview
  • Tools for referral to respiratory specialist
As part of our commitment to supporting general practices with managing their respiratory patients, we offer available resource to conduct healthcare professional-led asthma review clinics – popularly called the iHARP clinics. As a social enterprise, provision of our free asthma review clinics is dependent on availability of resource and funding.

In our comprehensive asthma review clinics, each patient is assessed for 20-30 minutes by one of our dedicated respiratory healthcare professionals. The review covers:

  • Patient symptoms
  • Therapy adherence and concordance
  • Side-effects, disease impact, etc are reviewed
  • Peak expiratory flow rate (PEFR)
  • Fractional exhaled nitric oxide (FeNO) assessment for airway inflammation
  • Basic Spirometry (FEV1, FVC measurements)
  • Inhaler technique assessment (nurse observed)
  • Inhaler technique assessment (technology recorded)
  • Inhaler technique training for patients on their current inhaler(s)

Your practice will receive a full asthma review report with recommendations for improving each patient’s asthma. Any asthma templates and codes are entered into your practice clinical system to support with achievement of your annual QoF targets.

Some of the key assessments mentioned above are illustrated in the subsequent page

Optimum Patient Care service impact
Practices that have used Optimum Patient Care clinical review services experience an approximate 20% reduction in respiratory patient exacerbations based on preliminary results from ongoing analysis of the impact of the service.