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

New BTS asthma guidelines encourage use of low-GWP inhalers

Section 8.6 of the new BTS/SIGN Guideline for the management of asthma highlights the environmental impact of metered dose inhalers (pMDI) and recommends that inhalers with low global-warming potential (GWP) should be used when likely to be equally effective.

British Thoracic Society

July, 2019

NICE inhaler decision aid - feedback anyone?

Does anyone have experience of using the NICE patient decision aid for inhalers (which includes a section on environmental impacts)?&nbsp

Asthma UK inhaler videos

Are you confident in teaching patients how to use their inhalers? The first step in improving environmental sustainability of inhaler use is to ensure that people use the correct technique to get the drug to where it is needed.

Asthma UK

July, 2019

Doctors call for nonviolent direct action over climate crisis

"More than 1,000 doctors including 40 professors, several eminent public health figures and past presidents of royal colleges are calling for wides

Climate advocacy networking

Doctors and all health professionals are highly respected.

Inhalers in primary care

Hi all,

Patient and Environmentally friendly spacer for Metered Dose Inhalers

Asthma summary

Asthma is very common. Almost 10% of people living in the European Union have a diagnosis of asthma. Among children, asthma is the most common chronic medical condition.

April, 2019

NICE patient decision aid for asthma inhalers

This is an information tool to help people with asthma and their healthcare professionals discuss their options for inhaler devices.

National Institute for Health and Clinical Excellence (NICE)

April, 2019

NICE encourages use of greener asthma inhalers

"People with asthma will be helped to choose the inhaler that is best for them, and best for the environment, by a new patient decision aid from NI

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

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

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

Sustainable Respiratory Care - Summary Statement (March 2012)

In March 2012, leading members of the respiratory care community attended a Summit entitled “Respiratory Care 2020: High Quality, Low Carbon” . The meeting identified priority areas for action to improve the environmental sustainability of respiratory services.

Centre for Sustainable Healthcare

March, 2012

Sustainable COPD Summit 23.3.2012 - Slides (first batch)

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

Further slides to follow when available.

Centre for Sustainable Healthcare

February, 2012

Draft summary statement from COPD summit

Dear Network,

this is the draft Summary Statement from the 23 March sustainable COPD summit ("Respiratory Care 2020: High Quality Low Carbon").

Centre for Sustainable Healthcare

March, 2012

Smoking ban - policy reunion

The Institute for Government held a policy reunion of the key players that were involved in policies to reduce tobacco use in England, which lead to the enactment of the ban on smoking in public places in 2005.

Panel

Institute for Government

April, 2011

Sustainable COPD Summit 23.3.2012 - Meeting Note

The first meeting of the Sustainable Respiratory Care programme: a diverse group (including respiratory physicians, GPs, nurses, academics, industry representatives, commissioners and sustainability experts) identified priority areas for action in care for patients with COPD.

Centre for Sustainable Healthcare

February, 2012

Sustainable Anaesthesia

This is a good starting point for anaesthetists with an interest in the impact their care is having on the carbon footprint of the NHS, and what actions can be taken to reduce that impact.

Association of Anaesthetists of Great Britain and Ireland

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

BTS position statement on the environment and lung health

In case you didn't see it, the British Thoracic Society released its

Unmask My City: Anti-air pollution campaign launched in Europe

The anti-air pollution campaign 'Unmask My City' has been launched today, 2nd May, coinci

Harvard school of public health climate change and health podcasts

These 15/20 minute entry-level podcasts recorded in February 2017 look at what we know about the way in which climate change affects health and the

Naturally Healthy?

On 2nd March CSH and the Ecosystems Knowledge Network delivered a Valuing Nature Programme event to ensure that tools and methods are available to

Atlas on Children's Health and the Environment

The first of these World Health Organisation reports, Inheriting the World, was published in 2004. This is new edition, Inheriting a Sustaina

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Upcoming events

CSH Sustainability School

Oct 01 to 02 2019, 9:30am - 5:00pm

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Frances Mortimer created New BTS asthma guidelines encourage use of low-GWP inhalers in the Sustainable Respiratory Care and Sustainable Primary Care groups

Wed, 7/31/2019 - 4:36pm

Matthew Sawyer commented on CSH Sustainability School in the Sustainable Healthcare Education, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Occupational Therapy Susnet, Dental Susnet, EyeHealth Susnet, and Green Nurse Network groups.

Sat, 7/20/2019 - 2:37pm

Sat, 7/20/2019 - 2:34pm

Frances Mortimer posted NICE inhaler decision aid - feedback anyone? in the Sustainable Respiratory Care and Sustainable Primary Care groups

Fri, 7/19/2019 - 6:09am

Featured in this Network

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