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Clinical Resources

Inhaler prescribing

One of the largest areas of the carbon footprint in primary care is Meter Dose Inhaler (MDI) prescribing. In comparison to European data, there is scope to significantly and safely reduce this through moving patients onto dry power inhalers. 

  • Greener Practice is working to raise awareness of the impact of MDIs on the carbon footprint of primary care. They have an Asthma Care and Inhalers page on their website with useful information regarding switching inhalers, as well as free to view webinars and details discussions around the practicalities of switching.

  • The Vale of York inhaler formulary for asthma provides information on accessible prescribing with indicators of the lower carbon impact inhalers. a link is available here.

  • The Bradford District and Craven inhaler formulary is available here  

  • Right Breathe is a useful website that classifies inhalers by drug group / device plus pathway.

  • NICE is encouraging the use of greener asthma inhalers and has useful information on their website, including a new patient decision aid , produced to facilitate discussions about inhaler options.

  • Prescribing contributes by far the largest carbon footprint of all activities in General Practice. The Greener Practice website  includes a page with a range of information on Prescribing and De-Prescribing.

  • Every month, NHSE provides anonymised data about the prescribing patterns of GPs on Open Prescribing . This can be used as a reference point to track how your practice/PCN prescribes and benchmark against others.

August 2021

The voice for NHS GPs and Practice Teams across North Yorkshire, the City of York, Bradford, Airedale, Wharfedale & Craven districts.