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

Greener AHP Hub launched

Yesterday saw the launch of the Greener AHP Hub. This was

Greener AHP Hub

The Greener AHP Hub is a resource for Allied Health Professionals. It provides information and clear actionable steps which AHPs can take to improve their own environmental sustainability. The hub complements the

NHS England

October, 2021

URGENT - COP26

I wanted to say Hello! I'm Hayley Pinto - I have just joined CSH as the new Education and Training lead.

CFMS HEART: NATIONAL REPORT ON PLANETARY HEALTH EDUCATION 2021

The Canadian Federation of Medical Students Health and Environment Adaptive Reponse Task Force recently released this report:

Climate Change Urgency and Action webinar series

The Intensive Care Society has a fantastic lineup of speakers for a weekly lunchtime (one hour) webinar series called Climate Change Urgency and Ac

Remote Consultations: Do they reduce Greenhouse Gas Emissions? Your Guide to calculating the Answer

This guide and carbon calculator have been developed by the Centre for Sustainable Healthcare in collaboration with PD Transformation and funded through Q by the Health Foundation and NHS England and NHS Improvement.

September, 2021

A Simple Sustainability Audit - would you like to join us?

Dear Colleague,

CSH is hiring! Specialities Lead & Networks Coordinator

We are creating two new roles in my team at CSH - if you would like to help us work with clinical specialties and/or develop our online networks, please get in touch!

Oxygen waste

Here’s a very short but useful article about oxygen waste from turning the flow all the way up to the top (past 15 l/min) which is commonly done:

Sustainable Spirometry?

Hi all,

Sustainable Healthcare Reading List

Hi all, I work in the sustainability team for my Trust and I'm collaborating with our libraries to curate a sustainable healthcare reading list for

GREEN-ICU study seeking volunteers for survey and online interviews

The GREEN-ICU research study is seeking views o

Gloucester Hospitals Respiratory Care Guidelines

Dear All,

This maybe useful to those interested in producing local guidelines on environmentally friendly inhaler use.

Sustainable Paediatric Respiratory Care

Free podcast on sustainable paediatric respiratory care with Paediatric Trainees Kirsten Dykes and Rosie Spooner.

New Environmentally Sustainable Healthcare elearning programme

The Centre for Sustainable Healthcare has partnered with Health Education England elearning for healthcare (HEE elfh)(link is external) to develop elearning resources designed to equip healthcare workers with the knowledge and skills they need to deliver healthcare that is financially, socially, and environmentally sustainable.

framework for sustainable inhaler practices in GP

SSC report + recorded workshop
- background/context of sustainable respiratory care
- summary of interviews with practice patients
- framework for action/SusQI projects in GP

May, 2021

Asthma and Climate Change: European Respiratory Society Webinar

The ERS held a webinar on World Asthma day last week, and released a statement alongside. Link here to YouTube

Online survey and interview for GREEN-ICU research project

The GREEN-ICU research team is exploring ways t

Help: carbon footprint of medical oxygen?

Hi network,

The carbon footprint of waste streams in a UK hospital

This article by CSH's Sustainable Surgery Fellow, Chantelle Rizan, and co-authors, provides greenhouse gas emission factors for the different healthcare waste streams in the UK.

Highlights:

Journal of Cleaner Production

December, 2020

Remote Consultations: Do they reduce Greenhouse Gas Emissions? Your Guide to calculating the Answer

September, 2021

New GP contract incentivises lower carbon inhalers

The new GP contract published last week includes a new incentive to encourage lower carbon inhalers.

Green Inhaler website

This patient- and clinician-facing website gives guidance on choosing inhalers with lower environmental impact - something which is now included in the BTS asthma guidelines.

Dr Alex Wilkinson

September, 2019

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

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

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

Sustainability in QI - the time has come!

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

Sustainability in Quality Improvement learning resources

Sustainability has been recognised as a domain of quality in healthcare, and building it into quality improvement (QI) is a practical way to drive incremental change towards a more ethical, sustainable health system.

Centre for Sustainable Healthcare

March, 2017

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

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

Making Sense of Social Prescription

The University of Westminster has published an excellent explanatory document on social prescription. It's a fantastic end to end resource with explanations of terminology, structures, different types of social prescription, and referral examples.

August, 2017

Sustainability in Quality Improvement learning resources

Centre for Sustainable Healthcare

March, 2017

Top tips for mental health teams to improve respiratory outcomes for their clients

A ten-point summary of best practice for mental health teams to improve respiratory outcomes for people with mental health problems developed by the London Respiratory Network. This matters because:

London Respiratory Network

June, 2016

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

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

We're scaling up to carbon-neutral healthcare

The recent huge interest in climate change has created an unprecedented demand for our charity to help people to take action.

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

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,

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

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

"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.

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Vivien De Greef created Sustainable Quality Improvement in the Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Sustainable Kidney Care, Education for Sustainable Healthcare , Sustainable Primary Care, Sustainable Respiratory Care, Green Nurse Network, Critical Care Susnet, Green Endoscopy, and Sustainable Healthcare groups.

Wed, 10/13/2021 - 5:15pm

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Remote Consultations: Do they reduce Greenhouse Gas Emissions? Your Guide to calculating the Answer

September, 2021

New GP contract incentivises lower carbon inhalers

The new GP contract published last week includes a new incentive to encourage lower carbon inhalers.

Green Inhaler website

This patient- and clinician-facing website gives guidance on choosing inhalers with lower environmental impact - something which is now included in the BTS asthma guidelines.

Dr Alex Wilkinson

September, 2019

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