Intended for healthcare professionals

Letters A more sustainable NHS

Authors’ reply to Pierce and Bourton, Wight, and Martin

BMJ 2019; 367 doi: (Published 31 October 2019) Cite this as: BMJ 2019;367:l6222
  1. Maria van Hove, clinical fellow,
  2. Gillian Leng, deputy chief executive
  1. National Institute for Health and Care Excellence, London, UK
  1. maria.vanhove{at}

Pierce and Bourton raise an important point on the need to emphasise the carbon impact of drugs in a way that is easily understandable and intuitive.12 Summarised, accessible information for clinicians on the sustainability of treatments would be ideal. Bringing together data on the environmental damage of carbon dioxide, plastics, pollutants, and resource use is essential. This …

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