Service Information
We are three nurses who specialise in Asthma and Pre-school Wheeze. Our working hours are Monday to Friday 0900-1700 at The Appleby Health Centre in Canning Town (except bank holidays) and the second Saturday of every month at East Ham Care Centre.
We provide support and advice on the management of Asthma and Pre-school wheeze with an aim to keep children out of hospital where we can, and support children, young people and their families to safely manage their condition at home.
The best outcome is to keep children managing their Asthma and Wheeze at home using their personalised asthma action plan, with support from us as needed. We work with children and young people, families, GP, Health Visitors, School Nurses, and Respiratory Consultants in the local hospitals (along with others) to provide well-rounded support for children's Asthma and Pre-school Wheeze.
Referral Criteria and Sources
We see children aged 2-18 years, who have a diagnosis of asthma/wheeze and any of the following:
- have had a high dependency admissions to hospital
- have needed intensive care for their asthma/wheeze
- have attended hospital (A&E) and/ or been admitted more than twice in 12 months for their asthma or wheeze
- new diagnosis of asthma
- professionals concern about them taking their medicines on a regular basis
- missing a large percentage of school due to asthma (although this is usually first approached with 0-19 school nursing service)
We accept referrals from any professional who knows the child, and can accept a parental referral if it meets the criteria above
*Children under 2 years need to be discussed with their local Consultant Paediatrician
Referral Route
Once we have a referral, we aim to consider it and contact the family within 2 working days, and aim to see the child as soon as possible (within a month, usually – sometimes there is a waiting list)
We will initially invite the children, young people and their families to a 'Group Consultation' which involves a short wheeze and asthma education session, followed by an individual assessment. In special circumstances, we may conduct a home visit to complete our initial assessment.
All children, young people will be followed up, usually around 8 weeks, by a telephone call or in a face-to-face clinic with their named nurse.
At the clinic we will check the child’s observations, and take a follow-up history, and propose new treatments/care/advice as appropriate. Children and families can ask any questions or address any concerns they may have about their child’s asthma and wheeze.
We would ask the families to bring all personalised asthma action plans, inhalers, spacers and peak flows with them to help with this.
Once the child and family are happy with their management and stable on it, we will stop seeing them in the clinic, and discharge the child, but the family can call us back if they have concerns, and we will readmit them to our caseload and see them again if appropriate.
Please visit our page dedicated to how to make a make a referral to our service.
We are contactable on 0203 738 7063. We are based at Appleby Health Centre, Canning Town, E16 1LQ.
Useful Links for Asthma Service
Asthma and Lung UK - Asthma charity providing information and support for families living with asthma.
Here you can find:
Itchy Sneezy Wheezy - Everything you need to know about Asthma, Allergies & Eczema
Staying healthy with Asthma and Pre-school wheeze: