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The UK's primary care sustainability network

1. Quick reference guide to lower carbon alternatives

You could make a quick-reference guide for common inhaler alternatives based on your local guidelines or formulary.  That way, clinicians can easily find a lower carbon alternative for the patient’s current regimen.

Starting with making a quick-reference guide (Device Project 1) can work well, particularly as many local guidelines have been recently updated and contain low-carbon options. If your local asthma guidelines do not already include DPIs and lower carbon pMDI/ SMI, you could discuss this with the local medicines management team, with examples of prescribing guidelines that highlight low carbon options such as the Vale of York guidelines.  

An alternative is to use the Greener Practice Guide which has a list of inhalers by carbon footprint.

There is also a PrescQIPP Bulletin that contains a table of inhaler conversions and cost details on pages 18 – 20, including cost details.