Some areas of London have developed clinical pathways of care to ensure seamless management of CYP with asthma across a wider area. These pathways incorporate community and primary care through to specialist tertiary care, including details of referral to different services.

Excellent local examples of pathways of care include:

• North West London acute asthma/pre-school wheeze guideline
• Clinical Effectiveness South East London’s guide for general practice on asthma in children and young people (preschool to 17 years)