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At the heart of general practice since 1960

No point in big QOF changes

Dr Chris Woodforde gives parents special symptom diaries to ensure diagnoses of childhood asthma are based on the fullest possible information.

The diaries have sections for details of day and night symptoms, treatment, smoking and 'unusual events'.

Dr Woodforde, a GP fellow in respiratory health at Halton PCT in Cheshire, said it was useful to have a 'physical record' of his patients' condition. He also stressed the importance of keeping alert for other ­ possibly unusual ­ causes of cough and taking a detailed history.

'The history is very, very important. We have to look at the history and see if there are risk factors such as atopy or family history of atopy,' he said.

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