This page provides a series of resources to support services who are participating in the audit of children and young people asthma secondary care, or who are eligible to participate and would like more information.
New CYP asthma resource!
We’re proud to share with you our new resource, a children and young people's asthma discharge letter.
The National Respiratory Audit Programme (NRAP) recognise the quality of discharge letters in paediatric asthma care is hugely variable and the information often scarce. The NRAP team, including clinical lead Professor Ian Sinha and clinical fellow Aleksandra Gawlik-Lipinski, along with a group of subject experts, have produced this letter to support consistent, high-quality communication for healthcare providers and families following an asthma-related hospital discharge.
Listen to our clinical fellow, Alexsandra Gawlik-Lipinski explain this new resource in more detail here.
Download the resourceChildren and young people's asthma: V5 dataset now open!
The new V5 dataset for patients discharged from 1 April 2025 is now live on the webtool. You can still enter data for patients discharged before 1 April 2025 using the V4 dataset:
To ensure you are receiving all relevant correspondence from NRAP, we ask that you contact your IT department and ask for nrapinbox@rcp.ac.uk and asthma@rcp.ac.uk to be included in your ‘safe sender’ contact list.
Supporting documentation
Introductory information- Children and young people asthma user guide - detailed support for accessing and using the webtool as well as advice on information governance, data collection and submission.
- Children and young people welcome pack - detailed information for new users of the webtool as well as links to other useful materials.
- Children and young people asthma frequently asked questions - find answers to the common questions asthma services have about the NRAP clinical audit of children and young people asthma. Questions cover general information on the audit, technical questions on how to use the audit webtool, and questions on how we collect, store, use and share data.
Data submission documentation
- Children and young people clinical audit dataset version 3 (for patients discharged until 31 March 2024) - see the full list of data points you will be asked to enter on the audit webtool for each patient included in the audit. The document includes help notes to help you respond to each question.
- Children and young people asthma data collection sheet version 3 (for patients discharged until 31 March 2024)
- Children and young people clinical audit dataset version 4 (for patients discharged on and after 1 April 2024 - see the full list of data points you will be asked to enter on the audit webtool for each patient included in the audit. The document includes help notes to help you respond to each question.
- Children and young people asthma data collection sheet version 4 (for patients discharged on and after 1 April 2024)
- Importing technical guidance for the NRAP audits
- Guidance for using the webtool import function
- Data entry deadlines 2023-2026
Video support
- New user video (part 1) - welcome and registration
- New user video (part 2) - entering and accessing data and reports
- Video tutorial - how to use NRAP benchmarking table
- Video tutorial - how to use NRAP run chart
Patient information
- Children and young people patient information leaflet (4-7)
- Children and young people patient information leaflet (8+)
- Parent and carers patient information leaflet
- What should you expect to receive when you're discharged from hospital after an asthma attack? Resource for children, young people and their family, friends, and caregivers. Co-produced with the Royal College of Paediatrics and Child Health Asthma &Me Ambassadors.
- Children and young people's asthma: checklist for discharge from hospital after an asthma attack. Co-produced with the Royal College of Paediatrics and Child Health Asthma &Me Ambassadors.
- Sharing identifiable data - information on when and how NRAP might share identifiable data, and a record on when this has occurred.
- Data flows for children and young people asthma - diagram showing how NRAP and its stakeholders access and use clinical data on children and young people asthma.
- Children and young people asthma clinical fair processing - detailed explanation of NRAP’s approval to collect and store clinical data on children and young people asthma, and how data is shared with NRAP’s stakeholders.
- Information governance frequently asked questions
- Children and young people asthma metrics
All hospitals in England and Wales who admit 1-18-year olds with asthma attacks are eligible to participate. To register your hospital, please complete and send the registration and Caldicott Guardian approval forms below to asthma@rcp.ac.uk.
Data submission support
Please note NRAP do not have information governance permission to view or receive patient identifiable data (including, but not limited to date of birth, NHS number and patient address).
Please do not send NRAP any patient identifiable information. We will still assist with your query to the best of our ability. Crown Informatics do have this permission in place. Therefore, for support in resolving import error messages, we have been advised that you contact the webtool provider Crown directly (helpdesk@crownaudit.org).
Healthcare quality improvement
Generic and asthma specific HI support is available for everyone on the NRAP website. This includes:
- Recommendations for HI priorities
- Slide sets highlighting key findings from clinical audit reports to inform and support clinical teams to make improvements
- Templates for driver diagrams, PDSA cycles and SMART aims.
For more information about NRAP's HI strategy and activities, click here.
