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

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

Breathing the fresh air of co-benefits

Recently it feels like air pollution's spread beyond the concern of those who care about public health to become a more mainstream issue.

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

Air quality posing a 'very high risk' to health at the Fort McMurray wildfire

Is Alberta another very sobering 'right now' example of climate change affecting health? See the Canadian Government's assessment of the air

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

Royal College of Physicians looking for Clinical Lead: Sustainability (part time)

Exciting developments at the RCP - and an exciting opportunity for a consultant physician...

UK health services unprepared for climate change, warns major new health alliance

UK health services are currently unprepared for the risks posed by climate change, warns a major new health alliance launching today.

Health sector hits first target in combating climate change - SDU report

The health sector is over the first hurdle in the race to reach carbon reduction targets and help limit the effects of climate change.

Breathlessness, physical activity and sustainability of healthcare - letter

Only just came across this letter by Nick Hopkinson and colleague to the European Respiratory Journal last January, highlighting the importance of

Pages

Browse this Networks's Resources in the Resource Library

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

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

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.

Calling all Q members (Health Foundation) with a passion for sustainability

Calling all sustainability friends… are you a Q member (Health Foundation)?

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Upcoming events

CSH Sustainability School

Oct 01 to 02 2019, 9:30am - 5:00pm

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Frances Mortimer created New BTS asthma guidelines encourage use of low-GWP inhalers in the Sustainable Respiratory Care and Sustainable Primary Care groups

Wed, 7/31/2019 - 4:36pm

Matthew Sawyer commented on CSH Sustainability School in the Sustainable Healthcare Education, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Occupational Therapy Susnet, Dental Susnet, EyeHealth Susnet, and Green Nurse Network groups.

Sat, 7/20/2019 - 2:37pm

Sat, 7/20/2019 - 2:34pm

Frances Mortimer posted NICE inhaler decision aid - feedback anyone? in the Sustainable Respiratory Care and Sustainable Primary Care groups

Fri, 7/19/2019 - 6:09am

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