Step 3c. Develop aims – consider environmental impact of respiratory care

Polypharmacy icon of two pills

Suggested actions - developing aims, project planning

 

Consider linking your aim to one of these four headings:

Diagnosis

Greener practice asthma diagnosis video (see below)

  • People prescribed inhalers have an accurate diagnosis
  • Review people prescribed SABA alone

 

Disease control

Greener practice asthma diagnosis video (see below)

  • Reduce over-reliance on SABA
  • Reduce underuse of inhaled corticosteroids
  • Optimise control and self-management

 

Device 

Greener Practice inhaler device choice video (see below)

  • Inhaler technique checks are conducted - include in all chronic disease reviews
  • Utilise all team members – practice/office manager (identification/prioritisation of people); reception team (organise appointments); healthcare assistant/health care support worker/CTAC (bloods (if necessary) and measurements); general practice nurse/practice pharmacist/GP (medication review); general practice nurse (long term condition review).
  • Optimising inhaler devices e.g. strength, combination inhalers, low carbon emission choices
  • Reduce carbon emissions from inhalers
  • Review use of high carbon emission inhalers: Flutiform, Symbicort MDI, Ventolin MDI

 

Disposal of inhalers

  • Communication and education regarding safe disposal via the community pharmacy medicine collection bins. Greener practice disposal resources
  • Address over-ordering inhalers and waste, for example, through medication reviews (see step 4)