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The UK's primary care sustainability network


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

This toolkit was 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 and NHS Improvement Inhaler Working Group.

Scroll to the bottom of the page to read the guide for reducing the carbon footprint of inhaler prescribing, 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 you decide with your practice which actions you would like 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 and templates 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 authored. Remember to check your 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 on a separate page.

IIF targets

In each section we outline if the projects are relevant to current NHS England Investment and Impact Fund PCN DES targets (IIF targets), relevant to practices in England. The toolkit helps achieve the respiratory targets and the targets on ‘a sustainable NHS’ on this one-page summary. The detail of the four relevant IIF targets for 2022/23 (RESP-01, RESP-02, ES-01, ES-02) can be found on pages 84-90.


IT solutions, Patient Information Leaflets, SMS and letter templates and other resources.