Laprise C. It's time to take a sustainable approach to health care in the face of the challenges of the 21st century. One Health. 2023; 16

Legrand J, Aubin-Auger I, De Bary L, Fossembas E, Baruch D, Malmartel A. Sustainable development in general practice. Fam Pract. 2023;

Parker J. Barriers to green inhaler prescribing: ethical issues in environmentally sustainable clinical practice. J Med Ethics. 2023; 49:(2)92-98

Royal Pharmaceutical Society. The Single Competency Framework. 2021. (accessed 28 April 2023)

Examining sustainable practice in prescribing

02 May 2023
Volume 5 · Issue 5


Deborah Robertson provides an overview of recently published articles that may be of interest to non-medical prescribers. Should you wish to look at any of the papers in more detail, a full reference is provided

Last month, the research roundup provided you with an overview of articles looking at prescribing in a young population. This month, we look at the emerging concept of green and sustainable prescribing. The first article examines barriers to green inhaler prescribing in clinical practice, while the second has a focus on general practice and sustainability. Finally, we review a perspective piece on taking a sustainable approach to healthcare in the 21st century.

This article, published in the Journal of Medical Ethics, sought to identify the barriers to prescribing more environmentally friendly inhalers (Parker, 2023). One of the drivers for this article was the 2020 NHS declaration that it intended to become net carbon neutral for all emissions under its direct control by 2040.

One known area of prescribing that contributed to greenhouse gas emissions was that of the prescribing of metered- dose inhalers. It was identified that many patients could, in fact, move from these traditionally used inhalers to dry powder inhalers, which do not contain these powerful greenhouse gases without any loss of therapeutic effect. The authors of the paper give a very good and useful overview of the carbon footprint of inhaler prescribing which sets the paper well and gives valuable context.

Register now to continue reading

Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month