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

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.  

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

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.

    Innovative Inhaler Recycling Project Expanded

    In February 2011 GlaxoSmithKline and the Cooperative Pharmacy in partnership with TerraCycle UK launched the first respiratory inhaler recycling programme in Europe. Forty Cooperative pharmacies across South Wales and the South East of England were piloting the programme for an initial six months. While the pharmacies encouraged patients to drop off their inhalers at their branch, TerraCycle UK recycled every element of the inhaler. After proving a huge success, the project was extended to 200 Cooperative pharmacies from November 2011.

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    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

    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

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