Introduction: UK has one of the highest prevalence of asthma related morbidity and mortality in the Western world.  Children and Young People (CYP) from deprived and ethnic minority backgrounds have higher rates of morbidity and mortality.

Aims and Objectives: We evaluated the effecteviness of a community based asthma clinic located in a deprived area of Birmingham.The clinic aimed to provide a high quality asthma care by integrating Primary and Secondary Care Services. 

Methods: Prospective data of CYP with asthma were reviewed between March 2022 and January 2023. The intervention program was set up in an urgent treatment centre (UTC). Clinical model consisted of Specialist Nurse delivered asthma clinics at the UTC for CYP deemed at higher risk of exacerbations based on a risk stratification tool. The tool (red, amber and green) was based on the asthma attacks, medications dispended including the number of Salbutamol inhalers dispensed in the previous 12 months. Patients were discussed at a weekly virtual huddle supported by a GP, Paediatrician, and an early help representative. The demographics, medication, spacer changes , ACT Scores  were analysed.

Results: A total of 390 patients attended the community clinic. 179 (46%) were under 11 years of age; 261 (67%) males. 370 (97%) had a reliver medication, 270 (70%) had a preventer medication prescribed. BDP was the commonest preventer precribed. 167(43%) had an inappropritae technique. 101(26%) had the prophylaxis changed. ACT scores improved significantly. 

Conclusion: Community based asthma clinics are effective, can potentially reduce morbidity in CYP from deprived areas by early interventions.