One practice has implemented new low-C02 inhalers, carbon neutral couch roll and an energy switch off.
A group of medical practices has been described as "nationally-leading" in efforts to make the NHS greener.
"People aren't intending to harm the planet but they're missing those steps that they could easily be making," said Laura Gelder-Robertson, who has been advising the clinics.Andrew Kings, a clinical pharmacist at Berkeley Place, explained the new inhalers do not have any gas in them and contain "significantly less C02".
Patient Bradley Belfit said his new inhaler was "a different thing to get used to, but the effect is the same" "They're small changes but they are all things everyone can do in our practice and it saves us money as a business," she added.
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