Asthma Guidance part 2
BTS/SIGN and NICE present service providers with conflicting advice on key issues in asthma diagnosis and management: to FeNO test or not to FeNO test? trials of treatment as a diagnostic tool? bronchial challenge testing? LABAs or LTRAs as first choice add-on therapy? possible increased referrals to secondary care? Where is the commissioning community to invest, to ensure a quality respiratory service? Duncan Keeley (GP and Executive Committee Policy Lead PCRS-UK) and Liz Wilson (Respiratory Specialist Nurse Prescriber) explore the contradictions in asthma guidance through the eyes of providers of respiratory services, and propose a way forward.