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Structure of toolkit, principles, tips for success and an approach to consultations

This toolkit has been developed by primary care clinicians to make it easier for general practices in the UK to implement better and greener asthma care, safely and effectively. It is designed to be used by healthcare professionals and has been reviewed and approved by the NHS England Inhaler Working Group.

Read the guide for reducing the carbon footprint of inhaler prescribing and scroll to the bottom of the page for our tips for success and an approach to consultations which integrates high-quality and low-carbon asthma care.


The quality improvement projects are divided into 4 domains: Diagnosis, Disease Control, Device and Disposal. Each domain has education videos with the essential knowledge needed to undertake the projects. The projects in the toolkit vary between quick and easy projects (e.g., changing inhaler prescribing intervals) to more detailed projects (e.g. reviewing patients with poor control). We suggest deciding with your practice which actions to concentrate on first. We don’t suggest doing all projects at once! 


The projects contain searches, templates, guides and links to resources (e.g., text messages, patient information leaflets) to help make it as easy as possible to implement the projects. In order to access searches authored by Primary Care IT, please sign up here so that you can receive the correct resources for your clinical system (SystmOne or EMIS) and be updated if there are future versions. Check junk email for an email from All the other resources for use in the projects are embedded in the projects and can also be found under the resources tab.