From 78d13353df8e75dd620eb4ab7894b52112fb7e77 Mon Sep 17 00:00:00 2001
From: Richard Croker <ra.croker@gmail.com>
Date: Tue, 3 Dec 2024 15:00:36 +0000
Subject: [PATCH 1/5] Update environmental_inhalers.json

update text to reflect NICE guidance
---
 .../definitions/environmental_inhalers.json      | 16 ++++++++++++----
 1 file changed, 12 insertions(+), 4 deletions(-)

diff --git a/openprescribing/measures/definitions/environmental_inhalers.json b/openprescribing/measures/definitions/environmental_inhalers.json
index 143c74a618..0d4ee33da4 100644
--- a/openprescribing/measures/definitions/environmental_inhalers.json
+++ b/openprescribing/measures/definitions/environmental_inhalers.json
@@ -6,7 +6,15 @@
   "denominator_short": "All inhalers (items)",
   "y_label": "Percentage of non-salbutamol inhalers prescribed as MDI",
   "why_it_matters": [
-    "The NHS has <a href='https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/' target='_Blank'> committed to reducing its carbon footprint by 80% by 2028 to 2032</a>, ",
+    "The updated <a href='https://www.nice.org.uk/guidance/ng245/chapter/Recommendations#principles-of-pharmacological-treatment' target='_Blank'>BTS/NICE/SIGN guidance on asthma management</a> recommends basing inhaler choice on:",
+    "<i>",
+    "<ul>",
+    "<li>an assessment of correct technique</li>",
+    "<li>the preference of the person receiving the treatment</li>",
+    "<li>he lowest environmental impact among suitable devices</li>",
+    "<li>the presence of an integral dose counter.</li>",
+    "</ul></i></p>",
+    "<p>The NHS has <a href='https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/' target='_Blank'> committed to reducing its carbon footprint by 80% by 2028 to 2032</a>, ",
     "including a shift to lower carbon inhalers. Dry powder inhalers (DPIs) and other newer types of inhalers like soft ",
     "mist inhalers are less harmful to the environment than traditional metered dose inhalers (MDIs). </p>",
     "<p>The <a href='https://www.england.nhs.uk/long-read/national-medicines-optimisation-opportunities-2023-24/#11-improving-respiratory-outcomes-while-reducing-the-carbon-emissions-from-inhalers' target='_Blank'>",
@@ -46,9 +54,9 @@
     "~0301011R0 #Salbutamol"
   ],
   "authored_by": "richard.croker@phc.ox.ac.uk",
-  "checked_by": "andrew.brown@phc.ox.ac.uk",
-  "date_reviewed": "2024-08-06",
-  "next_review": "2025-08-06",
+  "checked_by": "",
+  "date_reviewed": "2024-12-03",
+  "next_review": "2026-12-03",
   "measure_notebook_url":"https://github.com/ebmdatalab/jupyter-notebooks/blob/master/new_measures/Drafts/Enviromental%20Inhalers/Environmental%20Inhalers.ipynb",
   "measure_complexity": "medium",
   "measure_type": "dmd",

From 6fec98b89ac550b52daa2309b9ee1611c212c137 Mon Sep 17 00:00:00 2001
From: Richard Croker <ra.croker@gmail.com>
Date: Tue, 10 Dec 2024 09:59:38 +0000
Subject: [PATCH 2/5] Update environmental_inhalers.json

added paragraph mark, change title to something shorter
---
 .../measures/definitions/environmental_inhalers.json          | 4 ++--
 1 file changed, 2 insertions(+), 2 deletions(-)

diff --git a/openprescribing/measures/definitions/environmental_inhalers.json b/openprescribing/measures/definitions/environmental_inhalers.json
index 0d4ee33da4..0655becae7 100644
--- a/openprescribing/measures/definitions/environmental_inhalers.json
+++ b/openprescribing/measures/definitions/environmental_inhalers.json
@@ -1,12 +1,12 @@
 {
-  "name": "Environmental impact of inhalers - Prescribing of the less environmentally friendly Metered Dose Inhaler (MDI) (excluding salbutamol)",
+  "name": "Environmental impact of inhalers - Prescribing of Metered Dose Inhaler (MDI) (excluding salbutamol)",
   "title": "",
   "description": "MDIs prescribed as a proportion of all inhalers in BNF Chapter 3, excluding salbutamol",
   "numerator_short": "MDI inhalers (items)",
   "denominator_short": "All inhalers (items)",
   "y_label": "Percentage of non-salbutamol inhalers prescribed as MDI",
   "why_it_matters": [
-    "The updated <a href='https://www.nice.org.uk/guidance/ng245/chapter/Recommendations#principles-of-pharmacological-treatment' target='_Blank'>BTS/NICE/SIGN guidance on asthma management</a> recommends basing inhaler choice on:",
+    "<p>The updated <a href='https://www.nice.org.uk/guidance/ng245/chapter/Recommendations#principles-of-pharmacological-treatment' target='_Blank'>BTS/NICE/SIGN guidance on asthma management</a> recommends basing inhaler choice on:",
     "<i>",
     "<ul>",
     "<li>an assessment of correct technique</li>",

From 0029aa91a1f0d4fd7974bdb980a604f27da24e59 Mon Sep 17 00:00:00 2001
From: Richard Croker <ra.croker@gmail.com>
Date: Tue, 10 Dec 2024 10:03:56 +0000
Subject: [PATCH 3/5] Update environmental_inhalers.json

---
 .../measures/definitions/environmental_inhalers.json            | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/openprescribing/measures/definitions/environmental_inhalers.json b/openprescribing/measures/definitions/environmental_inhalers.json
index 0655becae7..472c2400bd 100644
--- a/openprescribing/measures/definitions/environmental_inhalers.json
+++ b/openprescribing/measures/definitions/environmental_inhalers.json
@@ -18,7 +18,7 @@
     "including a shift to lower carbon inhalers. Dry powder inhalers (DPIs) and other newer types of inhalers like soft ",
     "mist inhalers are less harmful to the environment than traditional metered dose inhalers (MDIs). </p>",
     "<p>The <a href='https://www.england.nhs.uk/long-read/national-medicines-optimisation-opportunities-2023-24/#11-improving-respiratory-outcomes-while-reducing-the-carbon-emissions-from-inhalers' target='_Blank'>",
-    "NHS England National Medicines Optimisation Opportunities for 2023/24</a> identify reducing carbon emissions from inhalers as an area for improvement.</p>",
+    "NHS England National Medicines Optimisation Opportunities for 2024/25</a> identify reducing carbon emissions from inhalers as an area for improvement.</p>",
     "<p><a href='https://www.nice.org.uk/guidance/ng80/resources/inhalers-for-asthma-patient-decision-aid-pdf-6727144573' target='_Blank'>NICE has ",
     "produced a inhaler decision aid</a> to facilitiate discussion about inhaler options.</p>"
   ],

From bbc58601f3720f26211e36f762893ab76cb751b8 Mon Sep 17 00:00:00 2001
From: Andrew Brown <75492467+a-d-brown@users.noreply.github.com>
Date: Tue, 10 Dec 2024 11:10:29 +0000
Subject: [PATCH 4/5] Update environmental_inhalers.json

---
 .../measures/definitions/environmental_inhalers.json            | 2 +-
 1 file changed, 1 insertion(+), 1 deletion(-)

diff --git a/openprescribing/measures/definitions/environmental_inhalers.json b/openprescribing/measures/definitions/environmental_inhalers.json
index 472c2400bd..32d4d4a4df 100644
--- a/openprescribing/measures/definitions/environmental_inhalers.json
+++ b/openprescribing/measures/definitions/environmental_inhalers.json
@@ -54,7 +54,7 @@
     "~0301011R0 #Salbutamol"
   ],
   "authored_by": "richard.croker@phc.ox.ac.uk",
-  "checked_by": "",
+  "checked_by": "andrew.brown@phc.ox.ac.uk",
   "date_reviewed": "2024-12-03",
   "next_review": "2026-12-03",
   "measure_notebook_url":"https://github.com/ebmdatalab/jupyter-notebooks/blob/master/new_measures/Drafts/Enviromental%20Inhalers/Environmental%20Inhalers.ipynb",

From 1fa604ba321111df1a38c70facf55b3f5320cab3 Mon Sep 17 00:00:00 2001
From: Chris Wood <96439159+chrisjwood16@users.noreply.github.com>
Date: Tue, 10 Dec 2024 16:05:23 +0000
Subject: [PATCH 5/5] Update environmental_inhalers.json

---
 .../measures/definitions/environmental_inhalers.json        | 6 +++---
 1 file changed, 3 insertions(+), 3 deletions(-)

diff --git a/openprescribing/measures/definitions/environmental_inhalers.json b/openprescribing/measures/definitions/environmental_inhalers.json
index 32d4d4a4df..d5a1ee85b6 100644
--- a/openprescribing/measures/definitions/environmental_inhalers.json
+++ b/openprescribing/measures/definitions/environmental_inhalers.json
@@ -11,15 +11,15 @@
     "<ul>",
     "<li>an assessment of correct technique</li>",
     "<li>the preference of the person receiving the treatment</li>",
-    "<li>he lowest environmental impact among suitable devices</li>",
+    "<li>the lowest environmental impact among suitable devices</li>",
     "<li>the presence of an integral dose counter.</li>",
     "</ul></i></p>",
     "<p>The NHS has <a href='https://www.england.nhs.uk/greenernhs/a-net-zero-nhs/' target='_Blank'> committed to reducing its carbon footprint by 80% by 2028 to 2032</a>, ",
     "including a shift to lower carbon inhalers. Dry powder inhalers (DPIs) and other newer types of inhalers like soft ",
     "mist inhalers are less harmful to the environment than traditional metered dose inhalers (MDIs). </p>",
-    "<p>The <a href='https://www.england.nhs.uk/long-read/national-medicines-optimisation-opportunities-2023-24/#11-improving-respiratory-outcomes-while-reducing-the-carbon-emissions-from-inhalers' target='_Blank'>",
+    "<p>The <a href='https://www.england.nhs.uk/long-read/national-medicines-optimisation-opportunities-2023-24/#11-optimising-inhaler-use-to-improve-respiratory-outcomes-and-reduce-carbon-emissions' target='_Blank'>",
     "NHS England National Medicines Optimisation Opportunities for 2024/25</a> identify reducing carbon emissions from inhalers as an area for improvement.</p>",
-    "<p><a href='https://www.nice.org.uk/guidance/ng80/resources/inhalers-for-asthma-patient-decision-aid-pdf-6727144573' target='_Blank'>NICE has ",
+    "<p><a href='https://www.nice.org.uk/guidance/ng245/resources/patient-decision-aid-on-asthma-inhalers-and-climate-change-bts-nice-sign-pdf-13558151917' target='_Blank'>NICE has ",
     "produced a inhaler decision aid</a> to facilitiate discussion about inhaler options.</p>"
   ],
   "tags": [