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

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

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

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

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

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

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Vivien De Greef created Sustainable Quality Improvement in the Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, 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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