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International Primary Care Respiratory Group created an international pilot to explore how to use social movement approaches to create a desire for change in the management of asthma. Our hunch was, and remains, that there is a relatively high degree of comfort with the status quo, which means there is not much "noise" about the need for change.  And yet those in the IPCRG network know that there is a real need for improvement and we need to disrupt that thinking.

We set up a multi-national Delivery Team from four pilot countries, Canada, Portugal, Spain and the UK that includes patients, pharmacists, GPs and nurses who have been helping us create resources - some of which are featured on this page.   Each pilot has run its own "design charrette" to take these prototypes, test them, adapt them, and suggest additional approaches.  

Our priority, in the first phase in each country, is in getting conversations started about the over-reliance on short-acting beta2 agonists (SABAs). We have been testing how to trigger these between patients, pharmacists, GPs, nurses and others involved in front line care.  We have aimed to create a sense of discomfort and dissatisfaction with the present state so that there is a felt need for information about better options for improving patient outcomes.  

This programme is now spreading to the Netherlands, France and, we hope during 2019-20, more countries in the IPCRG network.   We now have a full implementation pack including videos, slide rules and other material to share to take you through the process from the stakeholder mapping, design charrette to a range of interventions to gain Asthma Right Care followers.  

The original sites are now also helping colleagues think through how to improve care, and we have a set of five Asthma Right Care case studies to support teaching.   

Asthma Right Care Case Studies

We now have five case studies on using Asthma Right Care with patients in different situations including moderate asthma, chest infection, adolescents, patients seen at the Emergency Department and difficult to manage asthma.

A slide set is available for each scenario. Click below to see the chest infection slides, including a voice over by author Noel Baxter.

If you would like more information on the Asthma Right Care case studies contact

Video showing the Asthma Right Care Slide Rule and Question Cards in action

 Link to four Portuguese Videos about Asthma Right Care



Asthma Right Care at Conferences

Slides from Sep 2019 ERS Symposium

Leading a Social Movement to Overcome SABA Overreliance

For ERS members a video of the presentation is available here 

Typical primary care case: an asthma patient that uses his blue inhaler three times a day

For ERS Members a video of the presentation is available here

EUROPREV Workshop Porto - November 2018

A short version of the Asthma Right Care symposium 

WHO-GARD Helsinki - 1st September 2018 

Jaime Correia de Sousa presented on Asthma Right Care

Slides from the symposium 31st May 2018 - IPCRG Porto

Asthma Right Care Slide Rule Guidance Notes

Literature on Social Movements in Health Care

NESTA.  Health as a Social Movement: The Power of People in Movements. 2016.  Download here.

NHS Institute for Innovation and Improvement (2009) The Power of One, The Power of Many: What Health and Healthcare Improvement Can Learn from Social Movements. Download here

Ganz M (2010) Leading Change: Leadership, Organization, and Social Movements in Handbook of Leadership Theory and Practice, Nohria N and Khurana R (eds), Chapter 19, HBS Press.  Download here.

Battilano J, Casciaro T, (2013), The network secrets of the great change agents Harvard Business Review, July-August.  Download here.

Asthma Right Care Slide Rule



 Interactive Asthma Slide Rule available at PCRS-UK

Asthma Right Care Question & Challenge Cards

March 2019 - New versions of the Asthma Right Care Question & Challenge Cards are available and you can download the PDF versions below.

Please note, if you would like to print these locally then the cards should be printed full colour both sides, size A6, on 350gsm White silk, with a gloss lamination and the first card used as the back for each other card.

IPCRG Asthma Right Care Q&C Cards All Practioners and Patients - March 2019

IPCRG Asthma Right Care Q&C Cards Health & Care Professionals - March 2019

IPCRG Asthma Right Care Q&C Cards Patients - March 2019

IPCRG Asthma Right Care Q&C Cards Pharmacists - March 2019

Spanish video about why somebody should join the initiatives for raising the right care of asthma 

Spanish video about how to use Asthma Right Care slide rule 

GRESP Asthma Right Care

Portuguese Team - Tree planting in celebration of World Asthma Day - 4th May 2019

Video of Dr Noel Baxter introducing Asthma Right Care at the AZ Asthma Right Care meeting, Dubai April 2019