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       <title>Respiratory - NHS Frimley</title>
       <description><![CDATA[<p style="text-align: justify;"><span style="font-size: 12pt;">Inhalers are responsible for 3% of the NHS carbon footprint. Most of these emissions come from the propellants used in metered dose inhalers (MDIs) to deliver the medicine, rather than the medicine itself. Optimising the choice of inhaler, as part of a shared decision-making conversation between the patient and the clinician, can play a significant role in achieving the NHS net zero target.</span></p>
<p style="text-align: justify;"><span style="font-size: 12pt;">To support this work Frimley ICB have produced an<strong> <span style="text-decoration: underline; color: #0000ff;"><a style="color: #0000ff;" href="policies-and-documents/medicines-optimisation/prescribing-guidelines-1/respiratory/1013-environmental-impact-of-inhalers-local-distances-illustration/file">illustration of carbon emissions</a> </span></strong>from MDIs versus DPIs (dry powder inhalers) as represented by miles travelled locally in a car.</span></p>
<p style="text-align: justify;"><span style="font-size: 12pt;">In addition, <strong><span style="text-decoration: underline;"><span style="color: #0000ff; text-decoration: underline;"><a style="color: #0000ff; text-decoration: underline;" href="https://www.greenerpractice.co.uk/">Greener Practice</a>,</span></span></strong> the UK's primary care sustainability network, have a variety of resources to support this work. The patient information leaflet <span style="text-decoration: underline; font-size: 12pt; color: #0000ff;"><strong><a style="color: #0000ff; text-decoration: underline;" href="policies-and-documents/medicines-optimisation/prescribing-guidelines-1/respiratory/1015-inhalers-environment-leaflet-greener-practice/file">Inhalers and the environment- choosing an inhaler which is good for you and good for the planet</a></strong></span> is especially useful.</span></p>
<p><span style="font-size: 12pt;"><strong> </strong></span></p>]]></description>
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           <pubDate>Wed, 09 Apr 2025 20:03:42 +0000</pubDate>
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           <title>Primary care medicines management of stable COPD- inhaler choices</title>
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           <title>Primary care device choices for asthma in children aged 5–12 years</title>
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           <title>Hypertonic saline nebules in Cystic Fibrosis- information sheet</title>
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