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

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Browse this Networks's Resources in the Resource Library

The environmental footprint of health care: a global assessment

Background: Health-care services are necessary for sustaining and improving human wellbeing, yet they have an environmental footprint that contributes to environment-related threats to human health.

July, 2020

Blue, brown and now green

Useful information resource / infographic about different inhalers and the main differences between them - including environmental impact.

Could be helpful in teaching...

The Pharmaceutical Journal

June, 2020

Recording: National Allied Health Professions Sustainability Webinar

This is a recording of the AHP Sustainability webinar from June 18th 2020, part of the National Allied Health Professions fornightly webinar series.

June, 2020

Millions of Nurses Call The World To Action #HealthyRecovery

From the Alliance of Nurses for Healthy Environments, this a short video (see link below) which accompanies the

May, 2020

Prescribing Movement resource

This toolkit gives you everything you need for a 1 minute, 5 minute and even more minute conversation, complete with step-by-step guides, behavioural change insights and all the evidence to back it up.

Moving Medicine

January, 2020

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

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

British Thoracic Society

July, 2019

Asthma UK inhaler videos

Asthma UK

July, 2019

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

Three days left to apply for Sustainability Volunteer positions

The closing date for applications for three Sustainblity Volunteer positions at CSH is this Monday 14th September at 9am

Opportunity for an AHP Sustainability Volunteer at CSH

A position is available for an AHP Sustainability Volunteer at the Centre for Sustainable Healthcare.

Invitation for Doctors working in Europe to complete Survey

Students from the University of Amsterdam would like to hear from you regarding COVID-19 induced e-health implementation and its contrib

Introduction to Sustainable Healthcare goes international!

Our first Introduction course was by attended remotely by health professionals from across the UK, Australia and Canada.

AHP Sustainability Survey: Deadline Extended Until 31st July

NHS Improvement's AHP Sustainability Survey has 11 questions and should take about 5-15 minutes to complete:

BTS Position Statement on The Environment and Lung Health 2020

This was released in March of this year, unfortunately I think I and many others were a bit distracted by COVID, but it is definitely worth a read

AHP Sustainability Survey: Four Days Left

NHS Improvement's AHP Sustainability Survey is designed to help understand how Allied Health Professionals are addressing sustainability issue

FINAL CALL: Free training workshop on advising patients about air pollution

It your last chance to join a free training workshop on how to advise patients on air pollution. Our final workshop of this series wil

Advising on air pollution - a workshop with Prof Stephen Holgate

Want to help protect your patients from air pollution, but don't know where to start?

New GP contract incentivises lower carbon inhalers

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

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Ben Whittaker posted Three days left to apply for Sustainability Volunteer positions in the AHP Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Education for Sustainable Healthcare , Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Occupational Therapy Susnet, EyeHealth Susnet, Critical Care Susnet, Green Endoscopy, Sustainable Healthcare, and Green Space and Health groups.

Fri, 9/11/2020 - 8:40am

Ben Whittaker posted Opportunity for an AHP Sustainability Volunteer at CSH in the AHP Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Education for Sustainable Healthcare , Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Occupational Therapy Susnet, EyeHealth Susnet, Critical Care Susnet, Green Endoscopy, Sustainable Healthcare, and Green Space and Health groups.

Wed, 8/26/2020 - 8:33am

Margaret Jackson commented on Blue, brown and now green in the Sustainable Respiratory Care, Sustainable Primary Care, and Green Nurse Network groups.

Mon, 8/24/2020 - 7:16pm

Jennifer Nixon commented on Blue, brown and now green in the Sustainable Respiratory Care, Sustainable Primary Care, and Green Nurse Network groups.

Sat, 8/22/2020 - 2:40pm

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.

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

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New GP contract incentivises lower carbon inhalers

Opportunity for an AHP Sustainability Volunteer at CSH

BTS position statement on the environment and lung health

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