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

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

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

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Browse this Networks's Resources in the Resource Library

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

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

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

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

Environmental impact of PPE in the first six months of the COVID-19 pandemic

Article: Environmental impact of Personal Protective Equipment supplied to health and social care services in England in the first six months of the COVID-19 pandemic.

Chantelle Rizan, Malcolm Reed, Mahmood F Bhutta

Journal of the Royal Society of Medicine

December, 2020

Inhalers poster

We are using this poster to inform improved inhaler prescribing at Newcastle Hospitals

December, 2020

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

Greener AHP Hub launched

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

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

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

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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.

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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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