%0 Journal Article %A Sarah C Walpole %A Katherine Smith %A Joseph McElvaney %A Jill Taylor %A Simon Doe %A Hilary Tedd %T An investigation into hospital prescribers' knowledge and confidence to provide high-quality, sustainable respiratory care %D 2021 %R 10.7861/fhj.2020-0251 %J Future Healthcare Journal %P e272-e276 %V 8 %N 2 %X The number and range of inhaler combinations and brand names has increased significantly over recent years, making prescribing more complex. Inhalers contribute 3% of the NHS's carbon footprint, therefore appropriate inhaler prescribing, use and disposal could contribute significantly towards the NHS's target of net zero carbon emissions by 2040.We developed a survey to assess prescriber knowledge of inhaled medications, inhalation devices and environmental impacts of inhalers. One-hundred and two secondary care prescribers from one NHS trust responded. Knowledge of the contents and device types of inhalers, and of the environmental impacts of inhalers was lacking. Only 9% of respondents discuss the environmental impact of inhalers with patients and 13% have discussed inhaler disposal with patients, but 46% of respondents expressed that they would educate patients about the environmental impacts of inhalers if they were provided with education and support to do so. %U https://www.rcpjournals.org/content/futurehosp/8/2/e272.full.pdf