Exciting things are happening in the word of sustainable primary care but your ideas and involvement are needed.  This is your place to connect with others taking forward a range of things including sustainable prescribing, fuel poverty initiatives and sustainability actions within the Royal College of General Practitioners. 

Divestment for health

I'm writing this post to alert CSH members to this motion (#370) which is on the agenda of the British Medical Association's Annual Representatives' Meeting tomorrow morning, on climate advocacy and divestment from fossil fuel companies.  The BMA will be voting on whether or not to divest from the world's major fossil fuel companies. Myself and a couple of others have drafted this 2-page briefing document, and...

Recycling Inhalers

Dear all

Very good news- the UKs first inhaler recyling scheme has begun- see http://www.gsk.com/uk/consumers/complete-the-cycle.html for more details including to find out whether pharmacies near you are participating- if so maybe create an advice slip to go with inhaler prescriptions so patients return them to pharmacies which will recycle rather than just incinerate them?

BJGP article - Carbon Footprint of Patients Journeys

In this months BJGP, Liz Andrews from the Bradford Institute for Health Research ane her colleagues write an article on the Carbon Footprint of Patient Journeys through Primary Care.  They conclude that the modes and distances of patient travel can be accurately determined and allow appropriate carbon emission calculations for GP practices. Although challenging, there is scope for identifying potential solutions (for example, modifying administration systems and promoting walking) to reduce ‘avoidable’ journeys and cut carbon emissions while maintaining access to health care.

Also in this BJGP edition Dr Tim Ballard, the RCGP Sustainability lead, writes about what sustainability means for primary care.

Frithwood Surgery launches their NHS Forest and Health Walk on 15th May

Healthcare professionals planted fruit trees and designed a route to be used by staff, patients and local community. 

Healthcare practitioners from Frithwood Surgery have created greenspace and designed a health walk from the GP surgery through the village demonstrating the practice’s commitment to the health and wellbeing of their staff, patients and the local community. 

NICE Guidelines on Active Travel

NICE has issued new guidance on how to promote walking and cycling to tackles our nations health problems due to inactivity.   

As we all know the ‘inactivity epidemic’ has massive health consequences.  The release of this guideline is well timed with the recent repeated anger about fuel prices and cost of car use.  Of course, besides health benefits, the environmental benefits are massive.

COP18 and the Doha Declaration of Climate, Health and Wellbeing

The Annual UN Climate Conference, COP18 took place last week in Doha. This year, Jonny Elliott went to represent Healthy Planet at the conference.  It was a tiring, exciting and often frustrating fortnight of advocacy for him and above all an eye-opening one. COP18 delivered some wins, but overall, the outcomes are miles away from what the science tells us we need: emissions reductions pledges are far below those required to avoid a 2°C rise, inadequate commitments on pre-2020 adaptation finance and barely a mention of health.

End of life care

A large proportion of healthcare resources go into providing care for people in their last few months of life, but it is not always apparent that the interventions they receive are what they really want or need at this time. 

The National End of Life Care Programme and Dying Matters have just published a pack to help GPs to identify those patients who may be in their last year of life and talk to them about their preferences...

News: how the Green Deal could benefit GP premises

How the Green Deal could benefit GP premises

The Green Deal is a new finance mechanism that could offer practices an alternative to traditional methods of financing refurbishments to surgeries and other buildings whilst providing energy savings, a reduced carbon footprint and a reduction in operational expenditure.

Sonia Roschnik, operations director at the NHS Sustainable Development Unit, confirms CCGs will be required to embed sustainability, reduce CO2 and, in doing so, improve public health. ‘Any kind of initiative like this, that might help clinical commissioning groups to achieve these goals should be explored,’ she advises.

The applicability of the Green Deal to GPs was reinforced by a spokesperson from the Department of Energy and Climate Change (DECC) who advised that ‘the government would encourage everybody, including GPs and clinical commissioning groups, to seriously consider taking out a Green Deal as there are a number of significant benefits’.

When does the Green Deal start?

The first Green Deal accredited assessors are expected to begin operating from October 2012, although the actual financing and therefore installation of recommended measures cannot begin before January 2013.


Read the full story here.

WANTED: Primary Care Sustainability Case Studies!

A call for case studies showcasing the creative ways primary care practices have been working to improve their sustainability.  Along the same lines as the Green Nephrology Case Library, the new Primary Care case library will make it easy for interested people to search for projects in particular areas (e.g. travel, energy use), or by location, in order to find inspiration and useful tips.  You can fill in the case study template or let us know that you might like to submit a case study and we can call you for a short chat.

NHS Forest Needs GPs!

The NHS Forest, Incredible Edible Towns and the Yorkshire Ambulance Service are partnering to increase the number of orchards planted on healthcare estates and engaging the community in creating, maintaining and using these edible greenspaces for a healthier future!  We would like to spread the word about the NHS Forest project and encourage as many GPs and their practices to be involved in the NHS Forest as possible.

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SAP - sustainable action planning resources for clinical teams

SAP is a programme to support clinical teams in taking action for sustainability.  Structured around two facilitated workshops, SAP helps front-line staff to learn about sustainable healthcare, focus in on their priorities and put together a green action plan.  The action plan can then

Centre for Sustainable Healthcare
February, 2010

Public health in a changing climate

This report examines how embedding public health within local authorities has impacted upon work to reduce carbon emissions and protect areas vulnerable to the effects of climate change.  The authors analysed Joint Strategic Needs Assessments (JSNAs), Joint Health and Wellbeing Strategies (J

Joseph Rowntree Foundation
May, 2016

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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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