Dialysis -greener at home or in hospital?

carbon footprinting study published this month compares in-centre and home haemodialysis and highlights that the frequency of treatments has a big impact on carbon emissions. Curbing emissions will require the development of lower carbon technologies, sustainable procurement policies and efficient waste management. Read the full article here

Becoming a jolly good Fellow...

From November 2010, I will take over from Andy Connor as the next Green Nephrology Fellow, I am both excited by the tremendous developments that have occurred in little over a year and slightly daunted at the prospect of taking on the mantle of "Fellow".

Can you bear the waste?

Children from Hippo and Victoria wards at Great Ormond Street Hospital have created an almost life-size polar bear from discarded haemodialysis packaging with the help of artist Darcy Turner. The project coincides with other initiatives across the UK, as renal departments challenge medical equipment manufacturers to reduce waste and increase recycling opportunities.

Green Nephrology Summit - "the greatest untapped resource in healthcare is the patient"

The conversation in green nephrology has changed. Though water reclamation, recycling and energy saving are still important, a fly on the wall at last week’s Green Nephrology Summit would have heard just as much about “telephone clinics”, “RenalPatientView*”, “patient self-care”, “shared decision-making”…

Carbon footprint of a renal service points finger at drugs and equipment

A carbon footprint study of a UK renal service, undertaken by Green Nephrology Fellow, Dr Andy Connor, and published in the Quarterly Journal of Medicinethis month, confirms the importance of tackling supply chain emissions, revealing that the procurement of goods and services accounts for 72% of the carbon impact of kidney care. Within procurement, the majority of emissions are attributable to pharmaceuticals, medical equipment and waste services. 

Green Nephrology appeal

Donations are urgently needed to save the world’s first sustainable clinical specialty programme!  Green Nephrology has been a fantastic success this year - but unless funds can be found, the programme will have to close down in September 2010.

Green Nephrology at the BRS RA

The Green Nephrology team had a busy week at the joint Renal Association and British Renal Society meeting last week, culminating in what was (probably) the first session devoted entirely to sustainability at a national meeting of any medical specialty.

Let's Talk Paper!

Have you ever thought about how much paper we dispose of on a daily basis whilst at work? No, well you should. The other day I was putting a patient on dialysis...

Green Nephrology Fellow in post!

The Campaign for Greener Healthcare is delighted to welcome Dr Andrew Connor to his new post as "Green Nephrology Fellow".  Over the next year, Andrew will be exploring the environmental impacts of kidney care and working with NHS staff and patients to improve practice in kidney units.

Green Nephrology Summit

On 25th February the Campaign for Greener Healthcare hosted the first Green Nephrology Summit.  Sponsored by Baxter Healthcare the event provided a forum to share experience and discuss ideas on how to transform the renal clinical pathway.

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Green Nephrology case studies

Case studies in Green Nephrology are indexed from the Mapping Greener Healthcare site at this address. Projects to date range from waste reduction in haemodialysis to telephone and video clinics.

Centre for Sustainable Healthcare
April, 2010

Eco-dialysis: the financial and ecological costs of dialysis waste products: is a ‘cradle-to-cradle’ model feasible for planet-friendly haemodialysis waste management?

Nephrol. Dial. Transplant. (2015) 30 (6): 1018-1027.

Approximately 2 million chronic haemodialysis patients produce over 2 000 000 tons of waste per year that includes about 600 000 tons of potentially hazardous waste.

Piccoli G. et al, NDT
March, 2015

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The Impact of Paper Procurement in the NHS.

The NHS has committed to reduce its carbon footprint but, aside from ensuring that legislative targets are reached, the benefits of decreasing greenhouse gas emissions are well documented. Yet the NHS faces increasing financial and service pressures; meaning that ‘green’ working is not always at the forefront of consideration. Many NHS organisations in England procure paper through the NHS Supply Chain Core Stationary list, which only contains paper produced from virgin (non-recycled) sources. As such, out of the 3.6 million reams of paper procured through NHS Supply Chain, only 29,000 were produced from recycled sources.

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