Update environmental_inhalers.json

openprescribing/measures/definitions/environmental_inhalers.json

@@ -1,16 +1,24 @@
 {
-  "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 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>, ",
+    "<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>",
+    "<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'>",
-    "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>"
   ],
@@ -47,8 +55,8 @@
   ],
   "authored_by": "[email protected]",
   "checked_by": "[email protected]",
-  "date_reviewed": "2024-08-06",
-  "next_review": "2025-08-06",
+  "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",