Bullet flag-united-kingdom flag-ireland


  • Respiratory
  • Sustainability

Importance of Choosing the Right Device for the Right Patient

In 2020, the NHS became the world’s first ever health service to commit to reaching carbon net zero.1 The NHS has set out to achieve this goal by 2040 for greenhouse gas emissions which it can control.1 Its contribution to total carbon emissions in England is of 4-5%,2 with inhalers accounting for 0.001-0.002% of these.1,2

Inhaled therapies have substantially improved health of people with respiratory conditions; however, there is a need to reduce carbon footprint associated with inhaler prescribing.2,3 Whilst greener respiratory healthcare should be a top priority, it is key to maintain patient care and outcomes at the heart of what we do.

In this talk, Dr Azhar Saleem discusses inhaler choices and the importance of shared decision-making with the focus on practical approaches to improving sustainability whilst maintaining patient centricity and optimal patient outcomes.


1.  Delivering a ‘Net Zero’ National Health Service. October 2020. Available at: https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/ [Last accessed December 2021].
2. Greener NHS campaign to tackle climate health emergency. January 2020. Available at: https://www.england.nhs.uk/2020/01/greener-nhs-campaign-to-tackle-climate-health-emergency/ [Last accessed December 2021].
3. PCRS white paper: Greener respiratory healthcare. November 2020. Available at: https://www.pcrs-uk.org/sites/pcrs-uk.org/files/White-Paper-Greener-Respiratory-Healthcare-20201118.pdf [Last accessed December 2021].

We hope that you found the content valuable. To ensure that we continue to provide topics and content of interest, we would very much value your feedback by completing a short questionnaire.

Dr Azhar Saleem

Dr Azhar Saleem is a London GP with an interest in respiratory medicine. He is respiratory lead at Lambeth CCG and a member of the Integrated Respiratory Team for Lambeth and Southwark. He is Clinical Lead for the RightBreathe inhaler resource and co-lead of the Southeast London Responsible Respiratory Prescribing group.