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

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

Breaking the Fever: Sustainability and climate change in the NHS

The RCP launched a new publication titled 'Breaking the Fever' at the Medicine 2017 conference last week.

Royal College of Physicians introduce a sustainability theme to Tell us your Story

Afternoon all

Indoor air pollution expertise required

The National Institute for Health and Care Excellence (NICE) is looking to recruit experts on indoor air pollution to join their Public H

Green Ward Competition at Dartford and Gravesham NHS Trust

Dartford and Gravesham's second Green Ward Competition will be launched on NHS Sustainability Day. With the support of CSH clinical staff, te

National health organisations make their commitments to sustainable development

The Department of Health and eight major health organisations have stated their organisational commitments to deliver a socially and environmentall

Words of advice for President Trump

Bravo to Nick Hopkinson and co-authors of this letter on "Climate Change and Lung Health: the challenge for a new president" published in Thorax la

Ideas for Quality Improvement visits?

CSH is in the process of applying to run a programme involving a series of visits to projects that have been actively engaged in quality

Carbon footprint of GSK inhalers

This isn't widely available but GSK have given it to me so I'm sharing it.

Choosing Wisely

On the 24th October 2016 the Academy of Medical Royal Colleges brought out a report

Air quality ruling

This week the High Court found the government's action on air quality to be inadequate. In the second successful case against the government

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Browse this Networks's Resources in the Resource Library

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

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

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

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

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

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.

JOB OPPORTUNITY: CSH Education Lead for Quality Improvement

The Centre for Sustainable Healthcare is recruiting to a new full-time, permanent position based at least two days per week in our office in Oxford. Application deadline 10 February.

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.

UNDP and SPHS member agencies seek consultancy to develop the Sustainable Procurement Index for Health (SPIH)

This is as a globally established, recognized and adaptable measurement tool for policy makers, manufacturers, suppliers, procurers, and health car

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

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Upcoming events

CSH Sustainability School - February 2020

Feb 24 to 26 2020, 9:30am - 5:00pm

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Training Workshop: Talking to Respiratory Patients about Air Pollution

Feb 27 2020, 10:00am - 1:00pm GMT

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Training Workshop: Talking to Patients and Parents about Air Pollution

Mar 02 2020, 2:00pm - 5:00pm GMT

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Laurence Bourton posted Advising on air pollution - a workshop with Prof Stephen Holgate in the Sustainable Respiratory Care network

Mon, 2/24/2020 - 4:31pm

Laurence Bourton created Training Workshop: Talking to Patients and Parents about Air Pollution in the Education for Sustainable Healthcare , Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, and Occupational Therapy Susnet groups.

Fri, 2/21/2020 - 2:18pm

Laurence Bourton created Training Workshop: Talking to Respiratory Patients about Air Pollution in the Sustainable Respiratory Care, Commissioning Sustainable Healthcare, Education for Sustainable Healthcare , Sustainable Primary Care, and Green Nurse Network groups.

Fri, 2/21/2020 - 2:13pm

Laurence Bourton created Training Workshop: Talking to Patients and Parents about Air Pollution in the Education for Sustainable Healthcare , Commissioning Sustainable Healthcare, Sustainable Primary Care, Sustainable Respiratory Care, Occupational Therapy Susnet, Green Nurse Network, Sustainable Operating Theatres, Green Nephrology, and Psych Susnet groups.

Fri, 2/21/2020 - 2:08pm

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