For their largest print distribution, which goes to hospital doctors and academics, the journal will be sent in a sustainably produced recyclable paper wrapper.

For their smaller print distribution, which goes to GPs and retired doctors, paper wrapping is not yet feasible, so this will be sent in a carbon neutral polymer wrapper derived from the waste products of sugar cane processing.

All copies will be sent in recyclable paper as soon as this is feasible.

As well as improving the way the journal is wrapped, The BMJ continues to ensure that it is printed on the most environmentally friendly paper.

This comes from off cuts and thinnings of trees harvested from sustainably managed forests. The trees themselves are used by the Swedish construction industry instead of environmentally damaging materials such as concrete, so in buying the off cuts The BMJ is also helping to make sustainable construction more financially viable.

And for those who prefer digital reading, The BMJ’s mobile app is available to BMA members and BMJ subscribers from the Apple App Store or Google Play.

“We realise that if The BMJ is to advocate for more sustainable healthcare we must continuously work to get our own house in order,” said Juliet Dobson, Digital Content Editor and Tom Moberly, UK Editor. “We will continue to explore more sustainable options for printing and wrapping The BMJ as part of our commitment to reducing our impact on the environment.”