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  • Respiratory
  • Sustainability

The Greenest Inhaler is the One a Patient Can and Will Use

NHS is committed to reducing carbon footprint of inhalers by 51%.1 Wholesale switches of inhalers has been suggested but poor inhaler technique can affect control disease control.

In this presentation Dr Capstick discusses the carbon impact of inhalers based on propellant and also the life cycle environmental impacts of inhalers. Patient choice and HCP priorities are also important in inhaler choice. Assessment, choice and training is important in controlling disease and Dr Capstick highlights how the most environmentally friendly inhaler is the one the patient can use.

Dr Captstick outlines practical considerations and provides case study information on choosing the right inhaler for the right patient.


1. Delivering a ‘Net Zero’ National Health Service. October 2020. Available at: https://www.england.nhs.uk/greenernhs/wp-content/uploads/sites/51/2020/10/delivering-a-net-zero-national-health-service.pdf [Last accessed December 2021].

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Dr Toby Capstick

Dr Capstick is Consultant Respiratory Pharmacist at the Leeds Teaching Hospitals NHS Trust. He is a Chair of the UK Clinical Pharmacy Association Respiratory Group, and is a member of the UK Inhaler Group and the British Thoracic Society Multi-Drug Resistant Tuberculosis Clinical Advice Service.

Dr Capstick is an independent non-medical prescriber and runs clinics in the Leeds Interstitial Lung Disease and Tuberculosis Clinics. He works one day a week for NHS Leeds CCG to improve respiratory medicines optimisation, addressing variation in the quality of care and prescribing in patients with asthma and COPD to improve outcomes, as well as providing training to up-skill the existing workforce in primary care, including GPs, practice nurses and pharmacists.