Smart Peak Flow for monitoring asthma

Equality considerations

NICE is committed to promoting equality of opportunity, eliminating unlawful discrimination and fostering good relations between people with particular protected characteristics and others.

Asthma is a common condition that affects 1 in 11 children and 1 in 12 adults. In children, asthma is more common in boys, but it is more common in women by adulthood. Incidence rates are 36% higher in communities of people who are most under served, compared with those who are least under served.

Smart Peak Flow needs to be used with a smartphone. Over 95% of people under 55 use a smartphone, with similar use in men and women. Use decreases in people aged 55 to 64 years (77%) and 65 and older (53%). Smart Peak Flow is indicated for people aged over 5 years. Lung function tests may be unreliable in children younger than 5 as well as in people who have a learning disability or coordination difficulties. People with a learning disability or additional accessibility needs may need more support using Smart Peak Flow. Healthcare professional statements submitted by the company stated that some people had difficulties downloading and setting up the Smart Asthma app and adding data. Some people may therefore need additional guidance and support to set up and use the app. Age, sex, and disability are protected characteristics under the Equality Act 2010.