Respiratory care has some of the biggest problems (inhalers) and many good solutions for sustainable healthcare.

QI Inhaler Project in Primary Care

Hi all,

Does anyone have experience of reducing MDI prescribing/use in a community GP setting?

Inhalers and NHS Long Term Plan

The NHS Long Term Plan, published earlier this month, makes two references to inhaler climate change

UN report addresses propellant gases in inhalers

A report has just been presented to the United Nations Environment Programme (UNEP) in respect of the Montreal Prot

United Nations Environment Programme

January, 2019

Alternative to pMDI? Reduced environmental impact of a reusable soft mist inhaler

Hänsel M, Bambach T, Wachtel H M32 Reduced environmental impact of a reusable soft mist inhaler. Thorax 2018; 73:A262.

Abstract

Hansel M et al. Thorax

December, 2018

Expert Working Group on reducing the climate change impact of inhalers

A national (English) working group has been formed to establish the approach and a potential target for reducing the climate change impact of

Moving beyond the air quality crisis

Realising the health benefits of acting on air pollution

This report on air pollution describes the current problem, the reasons it exists and the critical need to resolve it, and includes high level recommendations on the measures required to act on it.

UK Health Alliance on Climate Change

October, 2018

"Can a Whisper become a Roar" A call to action for the healthcare community

"As clinicians we are taught to value evidence based interventions that benefit health and wellbeing.

Outpatients: the future – adding value through sustainability

The Royal College of Physicians published a new report 'Outpatients: the future – adding value through sustainability' which seeks to re-evaluate the purpose of outpatient care and align those objectives with modern-day living and expectations.

November, 2018

Natural resources footprint for NHS and social care

This is the most recent carbon/natural resources footprint of health and social care in England, based on 2017 data. Of note, the greenhouse gas emissions from metered dose inhalers are estimated at 0.85 Mt CO2e, which is around 3.2% of total emissions for the sector.

Sustainable Development Unit, NHS England & Public Health England

September, 2018

Sustainable inhaler prescribing driver diagram

This example driver diagram shows how principles of sustainable clinical practice can be applied to improve respiratory inhaler prescribing. Hopefully it shows a holistic approach (MDI>DPI is not the whole story...).

Centre for Sustainable Healthcare

March, 2017

RCP video on NHS environmental impact

Short animation to raise awareness of the NHS contribution to environmental issues such as climate change and air pollution, and encourage health professionals to look for environmentally friendly ways to practise.

Royal College of Physicians

September, 2018

Calling all Q members (Health Foundation) with a passion for sustainability

Calling all sustainability friends… are you a Q member (Health Foundation)?

Sustainability in QI - the time has come!

Health systems are in constant need of improvement - and in some cases total redesign.

Air Pollution - GPs

Hello - Im a final year medical student doing a 2 week placement with CSH.

MPs call on NHS to reduce use of MDIs to tackle climate change

The Environmental Audit Committee has called on the Government, the NHS and manufacturers to reduce the production and use of metered dos

WFOT Launches Guiding Principles for Sustainability in Occupational Therapy

Last week saw the launch of the World Federation of Occupational Therapists publication ‘Sustainability Matters: Guiding Principles for Sustainabil

Call for submissions: heatwaves (adapting to climate change) select committee inquiry

The House of Commons Select Committee for the environment, the Environmental Audit Committee, is calling for evidence as part of its heatwave enqui

Summary of Climate and health session - All Party Parliamentary Group on Climate Change

This was a very research-rich event which clearly put climate change on the health 'to-do' list. The All Party Parliamentary Group on Climate

The Adult Health and Social Care Crisis - Green Infrastructure as Part of the Solution

I was asked to contribute a health-related article for a special Green Infrastructure themed edition of Town and Country Planning, the journal of t

National Institute of Health and Care Excellence Surveying its Environmental Impact

As a proof of concept project, the National Institute of Health and Care Excellence (NICE) is exploring its guidance's environmental impact.

Sustainability in QI - the time has come!

Health systems are in constant need of improvement - and in some cases total redesign.

Reducing the carbon footprint of hospital-based care

Nephrologist, Charlie Tomson, gives an overview of the challenge of reducing carbon in the NHS and potential solutions - from energy and waste reduction to Sustainable Care Pathways.

Tomson, C., Future Hospital Journal

February, 2015

Browse this Networks's Resources in the Resource Library

The impact of respiratory virtual clinics in primary care on responsible respiratory prescribing and inhaled corticosteroid withdrawal in patients with COPD: a feasibility study

Poster which was presented at the BTS winter meeting 2014.

King's Health Partners

January, 2015

Sustainable Respiratory Inhalers Programme - Table of Actions

Table of Actions for a Sustainable Respiratory Inhalers Programme - first created in consultation with Sustainable Respiratory Care Advisory Group in February 2013. This table can be updated as actions are completed or proposed.

Centre for Sustainable Healthcare

February, 2013

Sustainable Respiratory Inhalers Programme - briefing note

The continued use of metered-dose inhalers in respiratory care will have a potentially catastrophic effect on global warming if production is not controlled, largely because these inhalers use potent green-house gas hydroflourocarbons (HFCs) as propellants.

Centre for Sustainable Healthcare

March, 2013

Thorax editorial - Prevention is best: lessons from protecting the ozone layer

Published late last year in BMJ Thorax, editorial by Ashley Woodcock: "The Montreal Protocol was signed 25 years ago. As a result, the irreversible destruction of the ozone layer was prevented.

Ashley Woodcock

July, 2012

Dr Vince Mak speaks about value in respiratory prescribing

Vince Mak's talk presents an important opportunity to reduce environmental harm from use (and over-use) of respiratory inhalers, which have a huge carbon footprint due to the use of HFC propellants:

NHS London Respiratory Team Conference

October, 2012

Sustainable COPD Inhalers

The document is a framework for a review of key issues in inhaler use leading to 3 action points.

Centre for Sustainable Healthcare

July, 2012

Selected topics for Sustainable COPD 2012

Inhalers will be the primary focus of our research over the next 4 months - looking at both a clinician-focused shift from MDIs to DPIs and a patient-focused recycling intiative.

Centre for Sustainable Healthcare

May, 2012

Sustainable COPD 2012 Topic Selection Consultation

Sustainable COPD 2012 Consultation – selection of content areas for research and implementation projects.

Centre for Sustainable Healthcare

April, 2012

Sustainable COPD Summit 23.3.2012 - Slides (second batch)

More slides from the 23 March 2012 Summit, "Sustainable Respiratory Care: High Quality Low Carbon" attended by leading members of the respiratory care community.

Centre for Sustainable Healthcare

February, 2012

Sustainable COPD Priorities 2012 survey

The Summit on 23 March came up with too many ideas - we need to decide where to start with improving sustainability of COPD care in 2012. Please help us by completing this survey, which scores each area for clinical/environmental impact, programme development impact, and achievability.

Centre for Sustainable Healthcare

March, 2012

Summary of Climate and health session - All Party Parliamentary Group on Climate Change

This was a very research-rich event which clearly put climate change on the health 'to-do' list. The All Party Parliamentary Group on Climate

The Adult Health and Social Care Crisis - Green Infrastructure as Part of the Solution

I was asked to contribute a health-related article for a special Green Infrastructure themed edition of Town and Country Planning, the journal of t

National Institute of Health and Care Excellence Surveying its Environmental Impact

As a proof of concept project, the National Institute of Health and Care Excellence (NICE) is exploring its guidance's environmental impact.

CSH event on innovation and sustainability

On the 26th July 2017, the Royal College of Psychiatrists (RCPsych) hosted a Centre for Sustainable Healthcare event on sustainability and innovati

New 'Active 10' app from PHE to get adults active

Nearly 1 in 4 people in England are classified as ‘inactive’, doing under 30 minutes of physical activity a week, and face the greatest risks to he

The Impact of Paper Procurement in the NHS.

The NHS has committed to reduce its carbon footprint but, aside from ensuring that legislative targets are reached, the benefits of decreasing greenhouse gas emissions are well documented. Yet the NHS faces increasing financial and service pressures; meaning that ‘green’ working is not always at the forefront of consideration. Many NHS organisations in England procure paper through the NHS Supply Chain Core Stationary list, which only contains paper produced from virgin (non-recycled) sources. As such, out of the 3.6 million reams of paper procured through NHS Supply Chain, only 29,000 were produced from recycled sources.

Green Nurse Network launched

Today CSH has launched the Green Nurse Network in collaboration with the Royal College of Nursing, the Faculty of Heath & Human Sciences at Ply

Remediating hospital paper cup wastage - challenges and recommendations.

Remediating paper cup wastage in the John Radcliffe Hospital, Oxford – A summary

Innovation and Sustainability - how to make it happen - 26th July event

On the 26th July 2017 the Centre for Sustainable Healthcare and the Royal College of Psychiatrists will be hosting an event, “Innovation and Sustai

Work experience opportunity with Centre for Sustainable Healthcare: Reminder

The Centre for Sustainable Healthcare is looking for a dynamic, creative and analytical Research and Communications Officer (volunteer position)&nb

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Deana Gershuny posted QI Inhaler Project in Primary Care in the Sustainable Respiratory Care network

Thu, 2/14/2019 - 3:53pm

Frances Mortimer posted Inhalers and NHS Long Term Plan in the Sustainable Respiratory Care network

Thu, 1/31/2019 - 11:03pm

Jerome Baddley CEnv MIEMA created UN report addresses propellant gases in inhalers in the Sustainable Respiratory Care network

Thu, 1/31/2019 - 2:20pm

Ben Whittaker created Toasting Good Health! Monthly Sustainable Healthcare Social in Brighton in the Occupational Therapy Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Sustainable Healthcare Education, Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Dental Susnet, EyeHealth Susnet, and Green Nurse Network groups.

Wed, 1/9/2019 - 7:41am

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Sustainability in QI - the time has come!

Health systems are in constant need of improvement - and in some cases total redesign.

Reducing the carbon footprint of hospital-based care

Nephrologist, Charlie Tomson, gives an overview of the challenge of reducing carbon in the NHS and potential solutions - from energy and waste reduction to Sustainable Care Pathways.

Tomson, C., Future Hospital Journal

February, 2015

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Inhalers and NHS Long Term Plan

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