Greener Inhaler Projects for Reduced Carbon Footprint

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Projects promoting a reduction in inhaler carbon footprint have been initiated, focusing on switching to lower carbon footprint inhalers like Fostair pMDI to NEXThaler and Ventolin Evohaler pMDI to Salamol pMDI. The projects aim to highlight alternatives with lower environmental impact and provide resources for healthcare practitioners to review and encourage patients to make eco-friendly inhaler choices.

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  1. Greener Inhaler Projects To support a reduction in inhaler carbon footprint, the following project searches and links to resources have been published: 1. Fostair pMDI to NEXThaler 2. Ventolin Evohaler pMDI to Salamol pMDI 3. Highest carbon footprint inhalers 4. General invitation to switch to lower carbon footprint inhalers The list of projects is in line with the most commonly prescribed pMDIs issued in BLMK. A medicines optimisation tool has been created to support by highlighting lower carbon footprint alternatives. See link for information on coding / exemptions from IIF indicators Bedfordshire, Luton and Milton Keynes Health and Care Partnership 1

  2. 1. Fostair pMDI to NEXThaler Step 1: Identify patients on Systm One search. How to find the relevant S1 search guide provided in the document below. S1 Searches Greener Inhaler Projects Step 2: Use the process and resources on the Greener practice website to review patients: Fostair pMDI to DPI (Nexthaler) Greener Practice SMS and Letter templates provided. Bedfordshire, Luton and Milton Keynes Health and Care Partnership 2

  3. 2. Ventolin Evohaler pMDI to Salamol pMDI Step 1: Identify patients on Systm One search. How to find the relevant S1 search guide provided in the document below. S1 Searches Greener Inhaler Projects Step 2: Use the process and resources on the Greener practice website to review patients: Ventolin Evohaler pMDI to Salamol pMDI or Airomir pMDI Greener Practice SMS and Letter templates provided Bedfordshire, Luton and Milton Keynes Health and Care Partnership 3

  4. 3. Highest carbon footprint inhalers Step 1: Identify patients on Systm One search. How to find the relevant S1 search guide provided in the document below. S1 Searches Greener Inhaler Projects Step 2: Use the process and resources on the Greener practice website to review patients: Targeting highest carbon footprint preventer inhalers Greener Practice SMS and Letter templates provided Bedfordshire, Luton and Milton Keynes Health and Care Partnership 4

  5. 4. General invitation to switch Consider a targeted review (including potential lower carbon footprint switch) to asthma patients with 6 SABAs (poorer control) / consider an invitation to all asthma patients (or subset) re: opportunity to switch to a lower carbon footprint choice & book consultation with responders. Systm One search guide for asthma patients with 6 SABAs provided in the document below: S1 Searches Guide - 6 or more SABAs Consider use of SMS / letter resources on Greener Practice website, project on whole team approach to offering patients a low-carbon inhaler device. 2. Whole team approach to offering patients a low-carbon inhaler device Greener Practice Information on lower carbon inhaler devices: Patient information leaflet on inhalers and the environment inhalers & environment (pcdn.co) Inhaler device types at asthma review Greener Practice: inhaler device types for asthma - YouTube Bedfordshire, Luton and Milton Keynes Health and Care Partnership 5

  6. Coding information Read codes suitable for exception from IIF 22/23 markers: ES01/02 (Switch to lower carbon footprint inhalers): Exception Dry powder inhaler not indicated (QOF) 13263700000064 Resp 01 (Count number of ICS issued in past 12 months): Exception Mild asthma (QOF) 370218001, or ICS not indicated (QOF) 1326161000000109 Bedfordshire, Luton and Milton Keynes Health and Care Partnership 6

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