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  • Aarti Bansal posted an update in the group Primary Care 2 months, 2 weeks ago

    Co-creating QI for Greener Respiratory Care?
    Hello Primary Care SIG!
    I am a GP in Sheffield and have been considering how QI can support general practice towards more environmentally sustainable practice. Many of you may know the the majority of the general practice carbon footprint is in prescribing and that metered dose inhalers (MDIs) are of particular concern. Reducing the impact of MDIs can be an opportunity to improve clinical care for asthma patients given the correlation of overuse of short acting beta-agonist inhalers (salbutamol) and poorer health outcomes. Reducing MDI use is a focus on net zero NHS and we need to think about how we can do this effectively, safely and scale it up quickly. I wonder if you would be interested in collaboratively creating ‘off-the-shelf’ QI projects on greener respiratory care for our primary care community. There may be the opportunity to collectively do some funded work in this area. We are provisionally planning a co-design session on the 26th of May. If you would be interested in contributing please post.

    • Hi @aartibansal Have you asked the medicines Management SIG? sustainable inhaler use is a NHSE workstream I think (not my area of work). there is also a twitter group that may be of use so put an ask to them and while on Twitter is the lead respiratory pharmacist to link in with too

      • Good networking Liz!

      • Hi Liz! I have co-written a guide on sustainable inhalers which the NHSE inhalers group has given feedback on and will hopefully endorse soon. Medicines management are definitely important. Thanks for the other links. This ask is about developing QI templates. Greener NHS have prioritised reducing MDI inhalers as one of the first activities that they are expecting of NHS regions in their move to net zero. Given the overstretch we are all experiencing in our clinical work, having ‘off-the-shelf’ QI developed to support this work, could have far-reaching impact.

    • Aarti, This looks like an interesting project. I can see the value of creating a process visualisation on the selection of alternative to MDI. With the help of the co-design team on the 26th I could put the resulting process on line so that the QI project could reach a larger audience and much consideration and input regarding net zero issues on the developing process and solutions for Greener Respiratory Care.
      This methodology could be a good example of co-creating QI and the resulting process visualisation, available to all, could certainly be used at scale. The more people that follow the process then the more opportunity for implementing better practice via feedback from users – not only better practice but also environmentally sustainable.
      The ‘off-the-shelf’ QI projects could identify improvements to the process and therefore the quality of service to the patient.
      I’m sure that the groups mentioned by Elizabeth would be agreeable to contribute to the design and their published literature could be used to set a baseline for the process visualisation.

      • Thanks Thomas!
        Just wanted to say that I am now going off-line for just over a week, but look forward to seeing what other interest there is when I return.

      Hi Aarti- I am sure you have seen this from the RCGP as part of the greener practice toolkit.

      • Hi Sarah!

        Yes. I founded greener practice and am intimately involved with GIFH, which is a great tool for primary care to get involved with sustainability. The GIFH has criteria areas and one of the outcomes of this work could be to integrate specific QI into the GIFH. Another would be to incorporate it into the next QoF to deliver funding to practices.

    • Hi Aarti,
      Good to see you are looking at this and hope you are well. Have you discussed with the UK PCRS group as well ? They have a whats app group for respiratory leaders some of whom might be interested. Many PCNS are looking at how they deliver resp care so something around networks would be helpful. In our area many practices using ardens templates were you thinking of a template like that ? Lots of new ARRS roles and other NHSE initiatives coming out something that you could link to as well or bear in mind ?