BTS/SIGN British guideline on the management of asthma

Representatives from BTS, SIGN and NICE met in April 2018 to discuss the development of future asthma Guidelines. All three organisations have agreed to work together to develop a proposal for a single co-badged Guideline. 

Colleagues in the three organisations are now working on a comparison of the methodologies used by each organisation for their respective guidelines to establish how a single/joint guideline could be developed in future. This work will be completed in early 2019, and each organisation will then need to confirm agreement with the proposal for joint guideline development.   This statement will be updated when further information is available.

November 2018

BTS/SIGN asthma guideline 2019

BTS and SIGN are now working on the next update of the BTS/SIGN British guideline on the management of asthma. The draft udpdated guideline will be presented at the 2018 BTS Winter Meeting and will then be available for a period of public consultation. The final guideline is due for publication in mid-2019.

NICE Guidelines for Asthma: diagnosis, monitoring and chronic asthma management have been published.

BTS has produced a clinical response to the NICE Guidelines - available here.  We hope this will be helpful to people with asthma, their carers and healthcare professionals.

2016 BTS/SIGN Guideline for the management of asthma

The 2016 edition of the Guideline includes a complete revision of the section on diagnosis, a major update to the section on pharmacological management of asthma, and updates to the sections on supported self management, non-pharmacological management of asthma, acute asthma, difficult asthma, occupational asthma, and organisation and delivery of care.

The revised version includes changes to the following:

  • Tables 9 & 10:Categorisation of inhaled corticosteroids by dose – important changes to titles, footnotes and some product information 
  • Figure 1:Diagnostic algorithm – correction
  • Figure 2:Summary of management in adults – minor changes
  • Figure 3:Summary of management in children – minor changes
  • Various sections – minor corrections and revisions to text
  • Annexes 2-7 – minor corrections
  • Annex 8:Management of acute asthma in infants aged <2 years in hospital – addition to advice on immediate management

Quick Reference Guide
The QRG has been updated in line with changes to the full guideline. Changes include important revisions to the tables on doses of inhaled corticosteroids, and changes to the Figures summarising management in adults and children

Declarations of Interest
Information on Declarations of Interest for the Asthma Guideline Group members are available here.  

Quality Improvement:

BTS has published an Asthma Care Bundle comprising 5 evidence-based interventions which when performed reliably should improve outcomes for patients admitted with acute exacerbations. See the Related Links for further details.  

BTS has run a national adult asthma audit since 2008 and a sixth round of data collection took take place in autumn 2016. Reports from previous audits identifying areas for improvement are available via the Related Links. 

 

May 2018

Current Guidelines

Title Publication Date Description Status
BTS/SIGN Asthma Guideline 2016 2016-09 September September 2016

The BTS/SIGN Guideline for the management of asthma was published on 21 September 2016.

Valid
BTS/SIGN Asthma Guideline Quick Reference Guide 2016 2016-09 September September 2016 Valid

Previous Guidelines

Title Publication Date Description Status
BTS/SIGN Asthma Guideline 2008 2008-05 May May 2008

BTS/SIGN Guideline for the Management of Asthma, 2008

Superceded
BTS/SIGN Asthma Guideline 2009 2009-06 June June 2009 BTS/SIGN Guideline for the Management of Asthma, 2009 revision Superceded
BTS/SIGN Asthma Guideline 2011 2011-09 September September 2011 BTS/SIGN Guideline for the Management of Asthma, 2011 revision Superceded
BTS/SIGN Asthma Guideline 2012 2012-01 January January 2012

BTS/SIGN Guideline for the Management of Asthma, 2012 revision

Superceded
BTS/SIGN Asthma Guideline 2014 2014-10 October October 2014

BTS/SIGN British Guideline on the Management of Asthma, October 2014

Superceded
BTS/SIGN Asthma Guideline Quick Reference Guide 2014 2014-10 October October 2014 Superceded