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To contact Dr Mark Levy, email info@consultmarklevy.com

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Introduction Lectures Research and Audit Writing and Editing Consultancy Formative Assessment Other Tools

Research and audit
I have been actively involved in primary care research and audit since 1981.
My main arease of current interest are:
  • National Review of Asthma Deaths (NRAD)
  • Uncontrolled asthma exacerbations, and severe asthma
  • Detecting uncontrolled COPD patients
  • management of COPD Exacerbations
  • Medical Audit

The UK National Review of Asthma Deaths (NRAD) - 2014

The National Review of Asthma Deaths (NRAD), was run by a consortium of asthma professional and patient bodies, led by the Royal College of Physicians. I was the clinical lead for this review which looked into the circumstances surrounding deaths from asthma in the United Kingdom from 1 February 2012 to 30 January 2013.

Nineteen recommendations were made
The multidisciplinary panel members of this confidential enquiry made 19 recommendations for improving care of people with asthma and these are available on the Royal College of Physicians website above. A set of teaching slides is also availaable on that site, as well as the data collection forms we used for collecting information from the clinicians caring for the people before they died.

If you would like to hear an interview I did on the BBC Today program with Sara Montague click here



Lessons from the recent National Review of Asthma Deaths (NRAD)
I was the Clinical Lead for the NRAD (2011-2013). One of the major lessons from this review was that people who died did not have their asthma control assessed, they did not have their routine asthma reviews, they were prescribed excess relievers and insufficient preventer inhalers, and they were not reviewed soon after hospital admission for asthma.

I have as a result developed a form for reflecting on the care provided for patients who have recently sufferred an asthma flare-up or attack, which includes hospital admission, treatment in an emergency department or in a practice in the community for an attack. This form enables a doctor or nurse to do an audit and reflect on the care preceding the attack. to download a word version of this form, click here

A suite of online medical audits for use by health professionals in primary care

The overall aim of these audits is to provide clinicians with a facility to audit and compare their care of patients with other colleagues. Participating in the one on acute asthma, entitled the 'UNSAFE' audit, may help in preventing asthma attacks and deaths.

What is it?
This is an internet-based international system for doing medical audit, located on a secure server, with password protected access to their own data for those participating as well as public access to anonymised data. This provides a benchmarking system for practices (or individual GPs or nurses) to compare their clinical management of patients. This process enables health care professionals to implement changes to their practice where appropriate when comparing their achievement against standards (based on guidelines) with those of others locally and internationally.

Would you like to participate? If yes its pretty simple to join in, for further information click here