It means your asthma is not well-controlled on your current treatment — which may reflect that the treatment needs stepping up, rather than that it was necessarily prescribed incorrectly in the first place. Asthma is a dynamic disease that often progresses over time, and the treatment that was adequate three years ago may no longer be sufficient today. Additionally, GINA guidelines have changed significantly — GINA 2026 recommendations differ meaningfully from guidelines of even 3–4 years ago, and many GPs have not yet updated their prescribing to reflect this. The right response to 4 NO answers is a specialist review at Pulmovista Clinics — not self-blame or GP-blame.