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  • Respiratory
  • Sustainability

Medicines Management Approach to the Environment

More needs to be done to support patients with respiratory disease to receive and use the right medication.1 The impact of incorrect use of inhalers can contribute to poor disease outcomes, increased risk of exacerbations and hospital admissions.2,3,4 The NHS Long Term Plan (LTP) highlights pharmacists as key members of the multidisciplinary team tasking them with undertaking medication reviews and educating patients around inhalers, whilst supporting the NHS’ target to reduce it’s carbon footprint.1

Dr Anna Murphy’s talk focusses on optimising medicines management and how this can improve patient adherence and result in better patient outcomes. She gives advice on avoidable polypharmacy and medication waste reduction which in turn can help reduce the environmental impact of respiratory care.


1. The NHS Long Term Plan. January 2019. Available at: https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/ [Last accessed December 2021]. 
2. Price D et al. Inhaler errors in the CRITIKAL study: Type, Frequency, and Association with Asthma Outcomes. J Allergy Clin Immunol Pract. 2017; 5(4): 1071-1081.
3. Melani AS et al. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med. 2011; 105(6): 930-938.
4. Usmani OS, Scullion J, Keeley D. Our planet or our patients – is the sky the limit for inhaler choice? Lancet Respir Med. 2019; 7(1): 11-13.

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Dr Anna Murphy

Dr Murphy is a consultant respiratory pharmacist at University Hospitals of Leicester NHS Trust and honorary visiting professor at DeMontfort University. The clinical aspect of her post offers assessment, medicines optimisation, monitoring and advice to people with respiratory disease, working both in hospital and across the interface. Research interests include medicine adherence in people with respiratory disease and pharmacy practice research. Dr Murphy has published widely and produced the “7-Steps to Success” education materials. She currently works with several national groups and organisations on issues surrounding prescribing in respiratory disease.