Clinical care and assessment

This section is intended for clinicians caring for children with asthma in a hospital or tertiary care setting. It outlines examples of best practice in the assessment, treatment and ongoing management of children and young people with asthma in an acute setting.


We need to improve asthma identification and access to treatment to improve quality of life for patients. However, diagnosis is difficult as there is no single diagnostic test, but it should be in line with BTS/Sign guidelines.

Sample guides

Clinical care and assessmentKings College Hospital pro forma and discharge bundle

Clinical care and assessmentSample emergency department admittance form – Whittington NHS Trust

Clinical care and assessmentAcute wheeze guideline – Whittington

Clinical care and assessmentNational Paediatric Asthma Collaborative Secondary care guideline over 2

Clinical care and assessmentNational Paediatric Asthma Collaborative Secondary care guideline under 2

Clinical care and assessmentAsthma guideline for over 5 year olds – Islington

Clinical care and assessmentClinical management of acute exacerbations of asthma and wheeze (part 1) – London North West Healthcare Trust

Clinical care and assessmentClinical management of acute exacerbations of asthma and wheeze (part 2) – London North West Healthcare Trust

Clinical care and assessmentClinical management of acute exacerbations of asthma and wheeze (part 3) – London North West Healthcare Trust

Clinical care and assessmentSynacthen guidelines – Whittington Health

Guidelines for transport

​​​​Clinical guidelines have also been developed specifically outlining acute service transport systems for severe asthma cases.

Clinical care and assessmentClinical Guidelines: Acute Severe Asthma – The North London Children’s Acute Transport Service (CATS)

Clinical care and assessmentSevere asthma guideline – South Thames Retrieval Service

Clinical care and assessmentSee also the primary and community care assessment and management section

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