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

Inhalers in primary care

Hi all,

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

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.

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

Pages

Browse this Networks's Resources in the Resource Library

Toolkit to support paediatricians approaching their local councils about air pollution

An excellent resource produced by RCPCH climate change working group- focused on action in the UK but could be useful for others too.

RCPCH climate change working group

May, 2022

How to sign up, post and search on CSH Networks

Take a look at our handy one page guide that shows you:

how to sign up to the CSH Networks
how to create posts, resources and events
3 easy ways to seach for content

April, 2022

NHS providers & the Government’s Social Value Model

From 1st April, all NHS providers are required to adopt the Government’s Social Value Model (Procurement Policy Note 06/20) and include a minimum of 10% weighting on net zero and social value into tenders.

March, 2022

Integrating planetary health into clinical guidelines - Lancet Planetary Health

In this review of 49 clinical guidelines from British, Chinese, Indian, Brazilian, Australian, European, German, and US-American medical associations, the authors found keywords related to planetary health (eg, climate change, air pollution, and emissions) were found in fewer than 5%.

March, 2022

Pharmacy inhaler disposal resources

Resources for pharmacists and patients on environmentally-safe disposal of inhalers.

Background:

Pharmaceutical Services Negotiating Committee (PSNC)

August, 2021

Inhalers information + training PrescQIPP

This bulletin provides useful information to guide inhaler prescribing

PrescQIPP also holds webinars and training

November, 2021

Greener Practice Guide to Inhaler Prescribing

Greener Practice, with review and endorsement by the NHS England and NHS Improvement Inhaler Working Group, Asthma UK, and the British Lung Foundation, have produced this comprehensive and excellent guide,

Greener Practice

November, 2021

Sustainable inhalers infographics

Information and infographics for reducing the environmental impact of inhalers

Centre for Sustainable Healthcare Systems, University of Toronto

November, 2021

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

Reusable PPE webinar from Canadian Coalition for Green Health Care

Safety, Security and Sustainability: Towards a Reusable PPE System for Canadian Health Care

Nominations are open for the first Greener AHP Award

This year's Chief Allied Health Professions Officer (CAHPO) Awards has the category of Greener AHP Award for the first time.

New postgraduate module - Sustainable Healthcare Principles

The University of Brighton

Leeds Green Ward Competition anticipates an annual reduction of 8,594.8 kgCO2e

Yesterday CSH hosted the Leeds Teaching Hospitals NHS Trust Green Ward Competition showcase and awards ceremony.

Cutting unnecessary glove use: New guidance issued on glove use and selection

Clear guidance on glove use and selection is included in the new NHS 'National infection prevention and control manual for England'

Glove Awareness Week resources: 2 May to 6 May 2022

Glove Awareness Week runs from the 2nd to 6th May this year and focuses on encouraging nursing staff - and medical and health care professionals - to make one change to reduce their unnecessary glove use and help make health care more sustainable. RCN resources available.

SHARE conference - 6 May 2022 - Sustainable Healthcare Academic Research and Enterprise

SHARE conference - Sustainable Healthcare Academic Research and Enterprise

New Asthma Toolkit for GPs on Greener Practice website

Greener Practice have launced an asthma toolkit designed to help GP practices improve outcomes for patients with asthma whilst also reducing carbon

£7.45m funding available for two new research units

The Health Foundation’s REAL Centre has launched an ambitious new programme that will provide independent research that builds on the work of the REAL Centre, to help improve long-term decision making in health and social care. There may be good opportunities to propose research through the lens of sustainability.

Help shape CSH Networks & win a CSH course!

We are offering one free foundation level course run by CSH as a thanks for completing the CSH networks questionnaire by Sunday 3rd April. Open to network members and non-members, your responses will help us develop the networks and ensure that they best meet your needs.