Table 2

Consensus statements achieving high consensus (≥75 and <90%)

No.	Topic	Statement	Level of consensus, %
2*	Necessity to mitigate delays	Every patient with suspected severe asthma should be seen within 8 weeks of referral to an appropriate specialist severe asthma service	86
8	Patient criteria (stratification) for referral to a specialist asthma service	Patients who continue to require two or more courses of oral corticosteroids during the last 12 months should be referred to a specialist severe asthma service	85
13		Severe asthma patients need access to community diagnostic hubs	81
15	Role of the referring clinician when referring patients to a specialist asthma service	The referral to a specialist severe asthma service should include information of the ratio of inhaled corticosteroid prescriptions collected to total inhaled corticosteroid prescriptions provided	88
16		The referral to a specialist severe asthma service† should include information of the ratio of inhaled corticosteroids prescribed and prescriptions collected	86
19*		Primary care should refer patients suspected with severe asthma directly to a specialist severe asthma service	76
22*	Initiation of advanced therapies for severe asthma	Once a patient has been approved by the severe asthma service† MDT (or equivalent) for an advanced therapy, initiation of treatment should not be delayed by more than 12 weeks	88
24*		Once a patient has been approved by the severe asthma service† MDT (or equivalent) for an advanced therapy, initiation of treatment should not be delayed by more than 4 weeks	75
25		MDT (or equivalent) meetings (to decide about advanced therapies) should occur at least monthly and should review every systematically assessed case	85
35*	Role of homecare	Virtual (ie, remote) care delivery is appropriate for (welcomed by) most asthma patients	79
40	Performance measures	Severe asthma centre performance measures should be available in the public domain	88
41	Performance measures	Commissioning decisions should be informed by performance measures	78

*Statements shared with patients.
†Or equivalent specialist service for Wales, Scotland and Northern Ireland.
MDT, multidisciplinary team.