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

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

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

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Browse this Networks's Resources in the Resource Library

Recording: National Allied Health Professions Sustainability Webinar

This is a recording of the AHP Sustainability webinar from June 18th 2020, part of the National Allied Health Professions fornightly webinar series.

June, 2020

Millions of Nurses Call The World To Action #HealthyRecovery

From the Alliance of Nurses for Healthy Environments, this a short video (see link below) which accompanies the

May, 2020

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

AHP Sustainability Survey: Deadline Extended Until 31st July

NHS Improvement's AHP Sustainability Survey has 11 questions and should take about 5-15 minutes to complete:

BTS Position Statement on The Environment and Lung Health 2020

This was released in March of this year, unfortunately I think I and many others were a bit distracted by COVID, but it is definitely worth a read

AHP Sustainability Survey: Four Days Left

NHS Improvement's AHP Sustainability Survey is designed to help understand how Allied Health Professionals are addressing sustainability issue

FINAL CALL: Free training workshop on advising patients about air pollution

It your last chance to join a free training workshop on how to advise patients on air pollution. Our final workshop of this series wil

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

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Ben Whittaker created Recording: National Allied Health Professions Sustainability Webinar in the AHP Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Education for Sustainable Healthcare , Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Occupational Therapy Susnet, EyeHealth Susnet, Critical Care Susnet, Green Endoscopy, Sustainable Healthcare, and Green Space and Health groups.

Thu, 7/9/2020 - 1:26pm

Frances Mortimer created Webinar: Reducing the Environmental Impact of Inhaler Prescribing in the Sustainable Primary Care, Sustainable Respiratory Care, and Green Nurse Network groups.

Wed, 7/8/2020 - 8:39am

Ben Whittaker posted AHP Sustainability Survey: Deadline Extended Until 31st July in the Occupational Therapy Susnet, Commissioning Sustainable Healthcare, Sustainable Operating Theatres, Green Nephrology, Education for Sustainable Healthcare , Sustainable Primary Care, Sustainable Respiratory Care, Psych Susnet, Dental Susnet, EyeHealth Susnet, Green Nurse Network, Critical Care Susnet, Green Endoscopy, AHP Susnet, and Sustainable Healthcare groups.

Thu, 7/2/2020 - 5:18pm

Jennifer Nixon posted BTS Position Statement on The Environment and Lung Health 2020 in the Sustainable Respiratory Care network

Sat, 6/27/2020 - 4:00pm

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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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Carbon footprint of GSK inhalers

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