What is an Asthma Florey?
The Asthma Florey Questionnaire is used to help gather data that would be useful for an annual asthma review.
Florey allows you to send questionnaires out to patients to gather data and save coded responses back to EMIS/SystmOne.
Please note that there are two Asthma Florey Questionnaires: the Asthma ACT Questionnaire and the Asthma RCP Questionnaire. The ACT Questionnaire was added in 2020 to align with the 2020-21 QOF requirements and remains aligned with 2021-22 QOF requirements.
This article details:
Asthma ACT Florey content and the SNOMED codes added (Codes added align to QOF requirements).
Asthma RCP Florey content and the SNOMED codes were added.
Asthma ACT Florey content (if the patient is ≥ 12 years old)
💬 Enrolment SMS:
Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire 📆
Questions:
1. During the past 4 weeks, how often did your asthma prevent you from getting as much done at work, school or home?
All of the time
Most of the time
Some of the time
A little of the time
None of the time
2. During the past 4 weeks, how often have you had shortness of breath?
More than once a day
Once a day
3 to 6 times a week
Once or twice a week
Not at all
3. During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?
4 or more nights a week
2 to 3 nights a week
Once a week
Once or twice
Not at all
4. During the past 4 weeks, how often have you used your reliever inhaler (usually the blue inhaler) or nebuliser medication?
3 or more times per day
1 or 2 times per day
2 or 3 times per week
Once a week or less
Not at all
5. How would you rate your asthma control during the past 4 weeks?
Not controlled at all
Poorly controlled
Somewhat controlled
Well controlled
Completely controlled
6. How many asthma exacerbations have you had in the past 12 months?
An exacerbation is where your symptoms got worse, your reliever did not help and you needed to seek medical attention (for more information see here)
Free text
7. Do you have any further information about your asthma that you feel is relevant to this review?
Please note that your answers will not be seen immediately and you should direct any urgent queries to your GP surgery
Free text
8. What is your smoking status?
Current smoker
Ex-smoker
Never smoked
9. How much do you smoke? (if answered Current smoker to the previous question)
<1 cigarette per day or equivalent
1-9 cigarettes per day or equivalent
10-19 cigarettes per day or equivalent
20-30 cigarettes per day or equivalent
40+ cigarettes per day or equivalent
10. Does anyone else in your household smoke? (if the patient is 19 years old or younger)
Yes
No
11. Who smokes in your household? (if the patient is 19 years old or younger)
Free text
When they have submitted their answers they will be thanked for completing the survey and sent a confirmation SMS 👇
Response in the Accurx Desktop toolbar: Asthma Team 👇
Please then select the save to record button if you wish for these results to be saved to the patient's medical record 📚
SNOMED codes saved to the record
The codes added are in bold and italics
The following codes are added to all Asthma Florey invitations:
Asthma monitoring invitation SMS sent
The following codes are added to all Asthma Florey responses: Asthma Control Test score /25
The following codes are also saved according to the patient's response:
"What is your smoking status?"
"Current smoker" - Current smoker
"Ex-smoker" - Ex-smoker
"Never smoked" - Never smoked
[if chose 'Current Smoker' above]
Answers to "How much do you smoke?"
"Trivial smoker (<1 cigarettes/day or equivalent)" - Trivial smoker (<1 cigarettes/day or equivalent)
"Light smoker (1-9 cigarettes/day or equivalent)" - Light smoker (1-9 cigarettes/day or equivalent)
"Moderate smoker (10-19 cigarettes/day or equivalent)" - Moderate smoker (10-19 cigarettes/day or equivalent)
"Heavy smoker (20-30 cigarettes/day or equivalent)" - Heavy smoker (20-30 cigarettes/day or equivalent)
"Very heavy smoker (40+ cigarettes/day or equivalent)" - Very heavy smoker (40+ cigarettes/day or equivalent)
Smoking cessation advice given - This code is added for anyone who says they are a current smoker. We display a standard short bit of smoking cessation advice with a link to nhs.uk/smokefree.
Asthma RCP Florey content
💬 Enrolment SMS:
Once the patient has accessed the link, they will be prompted to enter their date of birth in order to access the questionnaire 📆
Questions:
1. Do you have asthma?
Yes
No
2. How often does your asthma cause symptoms during the day
Never
1 to 2 times per month
1 to 2 times per week
Most days
3. How often does your asthma cause symptoms at night?
Never
1 to 2 times per month
1 to 2 times per week
Most nights
4. How often does asthma limit your activities?
Never
1 to 2 times per month
1 to 2 times per week
Most nights
5. On average, how many times a week do you need to use your reliever inhaler?
Free text
6. How many asthma exacerbations have you had in the past 12 months?
An exacerbation is where your symptoms got worse, your reliever did not help and you needed to seek medical attention (for more information see here)
Free text
7. Do you have any further information about your asthma that you feel is relevant to this review?
Please note that your answers will not be seen immediately and you should direct any urgent queries to your GP surgery
Free text
8. What is your smoking status?
Current smoker
Ex-smoker
Never smoked
9. How much do you smoke? (if answered Current smoker to the previous question)
<1 cigarettes per day or equivalent
1-9 cigarettes per day or equivalent
10-19 cigarettes per day or equivalent
20-30 cigarettes per day or equivalent
40+ cigarettes per day or equivalent
10. Does anyone else in your household smoke? (if patient is 19 years old or younger)
Yes
No
12. Who smokes in your household? (if patient is 19 years old or younger)
Free text
When they have submitted their answers they will be thanked for completing the survey and sent a confirmation SMS 👇
Response in the Accurx Desktop toolbar: Asthma Team 👇
Please then select the save to record button if you wish for these results to be saved to the patient's medical record 📚
SNOMED codes saved to the record
The codes added are in bold and italics
The following codes are added to all Asthma Florey invitations: Asthma monitoring invitation SMS sent
The following codes are added to all Asthma Florey responses: History of asthma (situation)
The following codes are also saved according to the patient's response:
Daytime symptoms: "How often does your asthma cause symptoms during the day?"
"Never" - Asthma never causes daytime symptoms
"1 to 2 times per month" - Asthma causes daytime symptoms 1 to 2 times per month
"1 to 2 times per week" - Asthma causes daytime symptoms 1 to 2 times per week
"Most days" - Asthma causes daytime symptoms most days
Nighttime symptoms: "How often does your asthma cause symptoms at night?"
"Never" - Asthma not disturbing sleep
"1 to 2 times per month" - Asthma causes night symptoms 1 to 2 times per month
"1 to 2 times per week" - Asthma causes nighttime symptoms 1 to 2 times per week
"Most days" - Asthma causes symptoms most nights
Limiting activities: "How often does your asthma limit your activities?"
"Never" - Asthma not limiting activities
"1 to 2 times per month" - Asthma limits activities 1 to 2 times per month
"1 to 2 times per week" - Asthma limits activities 1 to 2 times per week
"Most days" - Asthma limiting activities most days
Smoking status: "What is your smoking status?"
"Current smoker" - Current smoker
"Ex-smoker" - Ex-smoker
"Never smoked" - Never smoked
[if chose 'Current Smoker' above]
Smoking: "How much do you smoke?"
"Trivial smoker (<1 cigarettes/day or equivalent)" - Trivial smoker (<1 cigarettes/day or equivalent)
"Light smoker (1-9 cigarettes/day or equivalent)" - Light smoker (1-9 cigarettes/day or equivalent)
"Moderate smoker (10-19 cigarettes/day or equivalent)" - Moderate smoker (10-19 cigarettes/day or equivalent)
"Heavy smoker (20-30 cigarettes/day or equivalent)" - Heavy smoker (20-30 cigarettes/day or equivalent)
"Very heavy smoker (40+ cigarettes/day or equivalent)" - Very heavy smoker (40+ cigarettes/day or equivalent)
Smoking cessation advice is given - This code is added for anyone who says they are a current smoker. We display a standard short bit of smoking cessation advice with a link to nhs.uk/smokefree.
Frequently Asked Questions (FAQs)
Why do you no longer include the 'Asthma Annual Review' SNOMED code?
We used to have this "Asthma Annual Review" code included in the asthma Florey Questionnaire but we'd received a large amount of feedback from practices asking for this to be removed as they weren't comfortable with marking a review as completed through the questionnaire alone.
Why do you have both the RCP and the ACT questionnaires?
We have historically only had one asthma questionnaire that had RCP questions.
In the QOF year 2020-21, ACT questions became a requirement so we added this.
We have left the original RCP questionnaire if practices still require it, if we find from our review that it is no longer used, it will be removed.
If you still have any questions or concerns, feel free to chat with us using the green message bubble in the bottom right-hand corner of this page. 👉