{"id":3183,"date":"2024-02-21T13:13:18","date_gmt":"2024-02-21T13:13:18","guid":{"rendered":"https:\/\/nhsdorset.nhs.uk\/medicines\/?page_id=3183"},"modified":"2024-02-21T13:13:18","modified_gmt":"2024-02-21T13:13:18","slug":"sustainability","status":"publish","type":"page","link":"https:\/\/nhsdorset.nhs.uk\/medicines\/value\/sustainability\/","title":{"rendered":"Sustainability"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1310.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Green inhalers<\/h2><\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h3 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Review of high risk asthma patient<\/h3><\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:var(--awb-typography4-font-size);--awb-icon-alignment:left;--awb-hover-color:var(--awb-color2);--awb-border-color:var(--awb-color3);--awb-background-color:var(--awb-color1);--awb-divider-color:var(--awb-color3);--awb-divider-hover-color:var(--awb-color3);--awb-icon-color:var(--awb-color5);--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);--awb-icon-box-color:var(--awb-color5);--awb-toggle-hover-accent-color:var(--awb-color4);--awb-toggle-active-accent-color:var(--awb-color4);--awb-title-font-family:var(--awb-typography1-font-family);--awb-title-font-weight:var(--awb-typography1-font-weight);--awb-title-font-style:var(--awb-typography1-font-style);--awb-title-font-size:20px;--awb-content-font-family:var(--awb-typography4-font-family);--awb-content-font-weight:var(--awb-typography4-font-weight);--awb-content-font-style:var(--awb-typography4-font-style);\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-3183-1\"><div class=\"fusion-panel panel-default panel-abe819b4c4db80532 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_abe819b4c4db80532\"><a aria-expanded=\"false\" aria-controls=\"abe819b4c4db80532\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3183-1\" data-target=\"#abe819b4c4db80532\" href=\"#abe819b4c4db80532\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What are you asking me to do?<\/span><\/a><\/h4><\/div><div id=\"abe819b4c4db80532\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_abe819b4c4db80532\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Improve respiratory disease control whilst reducing the carbon footprint of care, in line with new Dorset asthma guidance.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8ce6038d4be31ff66 fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8ce6038d4be31ff66\"><a aria-expanded=\"false\" aria-controls=\"8ce6038d4be31ff66\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3183-1\" data-target=\"#8ce6038d4be31ff66\" href=\"#8ce6038d4be31ff66\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Why are you asking me to do this?<\/span><\/a><\/h4><\/div><div id=\"8ce6038d4be31ff66\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8ce6038d4be31ff66\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Respiratory illness and inhalers are responsible for a significant proportion of the NHS\u2019 carbon footprint. A healthy environment will benefit the entire community but especially those with respiratory disease.\u00a0<span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ba8be59192790f65e fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ba8be59192790f65e\"><a aria-expanded=\"false\" aria-controls=\"ba8be59192790f65e\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3183-1\" data-target=\"#ba8be59192790f65e\" href=\"#ba8be59192790f65e\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How do I do it?<\/span><\/a><\/h4><\/div><div id=\"ba8be59192790f65e\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ba8be59192790f65e\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Run the SystmOne search provided to identify high-risk asthma patients (5+ SABAs in last year).<\/p>\n<p><span data-contrast=\"auto\">Communicate with patients involved and invite them for review.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Review disease control as per Dorset asthma and green respiratory guidance.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Priority should be given to patients with poorly controlled disease and the priority for each interaction should be disease control. This will have the greatest outcome for patients and the environment.<\/span><span data-ccp-props=\"{\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-152e621734c93b5fe fusion-toggle-no-divider fusion-toggle-boxed-mode\" style=\"--awb-title-color:var(--awb-color5);--awb-content-color:var(--awb-custom_color_1);\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_152e621734c93b5fe\"><a aria-expanded=\"false\" aria-controls=\"152e621734c93b5fe\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-3183-1\" data-target=\"#152e621734c93b5fe\" href=\"#152e621734c93b5fe\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon fa-pills fas\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What resources\/support is provided to help me deliver this?<\/span><\/a><\/h4><\/div><div id=\"152e621734c93b5fe\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_152e621734c93b5fe\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>SystmOne searches:<\/p>\n<ul>\n<li>2023-24 | Asthma: prescribing \u2013 5 or more SABAs issued in last 1y if &gt;16y<\/li>\n<li>2023-24 | Asthma: prescribing \u2013 6 or more SABAs issued in last 1y if &lt;16y<\/li>\n<\/ul>\n<p>Template patient text message:<\/p>\n<p><em>\u201cWe are writing to all the patients currently using high numbers of salbutamol inhalers (your blue device), to encourage them to make an appointment to discuss their symptom management. The reason for this is that a high number of prescriptions for salbutamol devices indicates that your illness is not under control. A review of inhaler type and use can improve your health outcomes and reduce the need for further \u2018rescue\u2019 medicine, such as your blue inhaler.\u00a0<\/em><\/p>\n<p><em>Please make an appointment at the surgery at a convenient time to discuss this further.\u201d<\/em><\/p>\n<p><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/NHS%20Dorset%20Site\/Template%20Patient%20Letter%20High%20Risk%20Resp.docx\">Template patient letter<\/a><\/p>\n<p>Health care professional information \u2013 to check disease therapy, optimise inhaler use\/technique and if appropriate convert to DPI devices.<\/p>\n<ul>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Great%20green%20respiratory%20care%20poster.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide\">Dorset\u2019s \u2018Great Green Respiratory Care principles\u2019 poster<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Adult%20Asthma%20guideline%202022%20-%20Dorset%20version%2010.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide&amp;UNLID=810018369202331152116\">Dorset adult asthma guidelines<\/a> &amp;\u00a0<a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Dorset%20Asthma%20Prescribing%20Guide%20for%20CYP%20final.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide&amp;UNLID=810018369202331152116\">paediatric asthma guidelines<\/a><\/li>\n<li><a href=\"https:\/\/nhsdorset.nhs.uk\/Downloads\/aboutus\/medicines-management\/Other%20Guidelines\/Dorset%20Green%20Inhaler%20Guidance%20DMAG%20version%20v2%20%282%29.pdf?boxtype=pdf&amp;g=false&amp;s=true&amp;s2=false&amp;r=wide&amp;UNLID=810018369202331152116\">Dorset green inhaler prescribing support pack\u00a0<\/a><\/li>\n<\/ul>\n<p>Patient communications:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.asthmaandlung.org.uk\/inhaler-choices\" target=\"_blank\" rel=\"noopener\">NHS England+ Asthma &amp; Lung UK patient communications package \u2018high quality, low carbon respiratory care\u2019:<\/a>\u00a0Webpages for patients to learn more about inhalers, technique and environmental impact\u00a0 and printable resources to support conversations between patients and healthcare professionals, (especially patients with limited digital access)<\/li>\n<li><a href=\"https:\/\/www.rightbreathe.com\/\" target=\"_blank\" rel=\"noopener\">Rightbreathe website<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":3067,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-3183","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/comments?post=3183"}],"version-history":[{"count":2,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3183\/revisions"}],"predecessor-version":[{"id":3185,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3183\/revisions\/3185"}],"up":[{"embeddable":true,"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/pages\/3067"}],"wp:attachment":[{"href":"https:\/\/nhsdorset.nhs.uk\/medicines\/wp-json\/wp\/v2\/media?parent=3183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}