No. | Topic | Statement | Level of consensus, % |
3* | Necessity to mitigate delays | Every patient with suspected severe asthma should be seen within 4 weeks of referral to an appropriate specialist severe asthma service | 59 |
21 | Initiation of advanced therapies for severe asthma | If a patient’s adherence to ICS has already been assessed as adequate, prior to referral, using an objective method, then it is not necessary to repeat this before initiating advanced therapy treatments to severe asthma patients | 48 |
26 | MDT (or equivalent) meetings (to decide about advanced therapies) should occur at least weekly and should review every systematically assessed case | 62 | |
27 | Instead of a full MDT discussion, two senior clinicians should review every systematically assessed case to initiate a biologic at the severe asthma service | 40 | |
33* | Role of homecare | Considering patient preference, home initiation of biologics should be the default way to initiate these medicines to severe asthma patients | 44 |
*Statements shared with patients.
ICS, inhaled corticosteroid; MDT, multidisciplinary team.