The Inhaler area forms part of the "A Sustainable NHS" domain. It includes two indicators which focus on reducing the use of Metered Dose Inhalers (MDI).


ES-01 - this indicator looks at reducing MDI inhalers for patients aged 12 years and over issued with a non-salbutamol inhaler. 


Patients coded with "Dry powder inhaler not indicated" will be excluded from this indicator. Note that this indicator works on a downward scale and the aim is to lower the number of patients.


ES-02 - this indicator encourages GP practices to consider prescribing a lower MDI carbon option.


Note that this indicator works on a downward scale and the aim is to lower the number of patients.


Achievement


IndicatorPointsThreshold
ES-01 - Metered Dose Inhaler (MDI) prescriptions as a percentage of all non-salbutamol inhaler prescriptions issued to patients aged 12 or over27LT - 44%
UT - 35%
ES-02 - Mean carbon emissions per salbutamol inhaler prescribed on or after 1 October (kg CO2e)44LT - 22.1 kg CO2e
UT - 18.0 kg CO2e


Monitoring Network DES Activity for Access 

Navigate to the Population Reporting module > Ardens Searches > 5.3 Ardens National Cntrct Reports > Network Contract DES (NCD) > a. Investment and Impact Fund (IIF) > 3. Guide only > Inhalers:



ES-02 gives a break down of each type of inhaler and carbon emission. We advise practices to work from the highest to the lowest carbon emission. Access each patient record using the "Population Included" tab and decide on and prescribe a lower MDI carbon option. 


If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk