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

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

The impact of respiratory virtual clinics in primary care on responsible respiratory prescribing and inhaled corticosteroid withdrawal in patients with COPD: a feasibility study

Poster which was presented at the BTS winter meeting 2014.

King's Health Partners

January, 2015

Committee on Climate Change report and SDU call for NHS feedback on overheating in wards

The Committee on Climate Change has produced a recent report entitled 'Managing climate risks to well-being and the economy'

Respiratory fellowship plans - can you help

We (CSH) are looking for funds for a 2-year Sustainable Respiratory Care Fellow who would work with us and this Network on:

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

As atmospheric carbon dioxide levels top 400 parts per million, an editorial in this week's BMJ draws attention to the impact of respiratory inhalers on global warming.

CleanMed 2013 - call for case studies

Plans underway for a Sustainable Respiratory Inhalers Programme

The continued use of metered-dose inhalers (MDIs) in respiratory care will have a potentially serious effect on global warming if production is not controlled, largely because these inhalers use potent green-house gas hydroflourocarbons (HFCs) as propellants. A cost-effective and safe alternative is available in the form of Dry Powder Inhalers (DPIs), and we propose a programme to change prescribing practices such that DPIs are used in preference to HFC-driven inhalers where not clinically contra-indicated.

Sustainable Respiratory Inhalers Programme - Table of Actions

Table of Actions for a Sustainable Respiratory Inhalers Programme - first created in consultation with Sustainable Respiratory Care Advisory Group in February 2013. This table can be updated as actions are completed or proposed.

Centre for Sustainable Healthcare

February, 2013

Sustainable Respiratory Inhalers Programme - briefing note

The continued use of metered-dose inhalers in respiratory care will have a potentially catastrophic effect on global warming if production is not controlled, largely because these inhalers use potent green-house gas hydroflourocarbons (HFCs) as propellants.

Centre for Sustainable Healthcare

March, 2013

Thorax editorial - Prevention is best: lessons from protecting the ozone layer

Published late last year in BMJ Thorax, editorial by Ashley Woodcock: "The Montreal Protocol was signed 25 years ago. As a result, the irreversible destruction of the ozone layer was prevented.

Ashley Woodcock

July, 2012

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

Pages

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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Training Workshop: Talking to Patients and Parents about Air Pollution

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Training Workshop: Talking to Respiratory Patients about Air Pollution

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Training Workshop: Talking to Patients and Parents about Air Pollution

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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