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

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

Cradle to Gate

Greenhouse Gas Accounting Sector Guidance for Pharmaceutical Products and Medical Devices

A consortium of major global companies has been working with the NHS SDU to agree standards for reporting of carbon equivalents emissions for the manufacture of drugs and medical devices. The report was launched on Friday 30th Nov 2012 at St Thomas' Hospital in London and is a real achievement, albeit only the beginning of a lot more work.

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

Disruption as opportunity

David Pencheon has been quoted recently as seeing opportunity in the disruption caused by the passing of the Health and Social Care Act.

Article n the Guardian on pharmaceutical waste in the NHS

Not sure whether people have seen this article in the Guardian:

Greener Inhalers for the UK

The Centre's Sustainable Respiratory Care group will lead research on why the UK continues to use inhalers with a much higher carbon footprint than other European countries.

Following the Montreal protocol banning the use of CFC gases in 1987, many countries moved directly to a new technology for inhalers based on Dried Powder (DPIs) while the UK still prescribes a majority of metered dose inhalers (MDIs) which use powerful greenhouse gases.

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

Respiratory Medicine: High Quality, Low Carbon

On the 23rd of March I was lucky to be among a group of respiratory professionals, representatives from primary care, nursing, academic and the pharmaceutical industry as we came together to discuss how Respiratory medicine contributes, and can help to reduce the carbon footprint of the NHS.

Sustainable COPD - your views needed

Dear Network,

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

Climate Change and Health report

A little while ago GlaxoSmithKline funded a joint study with the Smith School of Enterprise and the Environment, University of Oxford and Accenture

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

Smoking ban - policy reunion

The Institute for Government held a policy reunion of the key players that were involved in policies to reduce tobacco use in England, which lead to the enactment of the ban on smoking in public places in 2005.

Panel

Institute for Government

April, 2011

Sustainable COPD Summit 23.3.2012 - Meeting Note

The first meeting of the Sustainable Respiratory Care programme: a diverse group (including respiratory physicians, GPs, nurses, academics, industry representatives, commissioners and sustainability experts) identified priority areas for action in care for patients with COPD.

Centre for Sustainable Healthcare

February, 2012

Sustainable Anaesthesia

This is a good starting point for anaesthetists with an interest in the impact their care is having on the carbon footprint of the NHS, and what actions can be taken to reduce that impact.

Association of Anaesthetists of Great Britain and Ireland

Value and Carbon in Respiratory Care

Value in healthcare is a recent concept which is being adopted by commissioners and healthcare leaders to focus on treatments which really make an impact to patients, whilst being delivered in an efficient way.

Costing healthcare is a complex area, and carbon costing is becoming more and more relevant. Read on to find out a little more about how the Centre for Sustainable Healthcare is looking to help commissioners define value in respiratory care.

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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

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

Making Sense of Social Prescription

The University of Westminster has published an excellent explanatory document on social prescription. It's a fantastic end to end resource with explanations of terminology, structures, different types of social prescription, and referral examples.

August, 2017

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

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

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)?

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

WFOT Launches Guiding Principles for Sustainability in Occupational Therapy

Last week saw the launch of the World Federation of Occupational Therapists publication ‘Sustainability Matters: Guiding Principles for Sustainabil

Call for submissions: heatwaves (adapting to climate change) select committee inquiry

The House of Commons Select Committee for the environment, the Environmental Audit Committee, is calling for evidence as part of its heatwave enqui

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Deana Gershuny posted QI Inhaler Project in Primary Care in the Sustainable Respiratory Care network

Thu, 2/14/2019 - 3:53pm

Frances Mortimer posted Inhalers and NHS Long Term Plan in the Sustainable Respiratory Care network

Thu, 1/31/2019 - 11:03pm

Jerome Baddley CEnv MIEMA created UN report addresses propellant gases in inhalers in the Sustainable Respiratory Care network

Thu, 1/31/2019 - 2:20pm

Ben Whittaker created Toasting Good Health! Monthly Sustainable Healthcare Social in Brighton in the Occupational Therapy Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Sustainable Healthcare Education, Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Dental Susnet, EyeHealth Susnet, and Green Nurse Network groups.

Wed, 1/9/2019 - 7:41am

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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

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Expert Working Group on reducing the climate change impact of inhalers

BMJ editorial - Inhaled drugs and global warming: time to shift to dry powder inhalers

Carbon footprint of GSK inhalers

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