Intended for healthcare professionals

Letters A more sustainable NHS

Doctors need an environmental rating system for drugs

BMJ 2019; 367 doi: (Published 30 October 2019) Cite this as: BMJ 2019;367:l6208
  1. J M Tom Pierce, council member representing the Royal College of Anaesthetists,
  2. Laurence Bourton, communications manager
  1. UK Health Alliance on Climate Change, c/o BMJ Publishing Group, London WC1H 9JP, UK
  1. tom.pierce{at}

Van Hove and Leng raise some very valuable points on how the healthcare sector could reduce the environmental impact of metered dose inhaler propellants and anaesthetic gases.1

When buying lightbulbs, we look for A++ rating labels indicating low energy consumption. Drugs have no such rating. Although various matrices exist—such as the process mass intensity (the ratio of mass of raw materials to active pharmaceutical ingredient; typically 50-150)—they aren’t …

View Full Text

Log in

Log in through your institution


* For online subscription