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

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. 

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.

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    Browse this Networks's Resources in the Resource Library

    Blue, brown and now green

    Useful information resource / infographic about different inhalers and the main differences between them - including environmental impact.

    Could be helpful in teaching...

     

    The Pharmaceutical Journal
    June, 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

    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

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    We're hiring! QI Education Fellow 2021-22

    CSH is seeking to appoint a qualified health professional to an Education Fellowship, working on a project to support the inclusion of sustainability in quality improvement education for undergraduate medical students, postgraduate doctors and other health professionals. 

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    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

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