Bringing together patients, clinicians, renal technicians and others to share ideas for sustainable kidney care.

AHP Sustainability Survey: Deadline Extended Until 31st July

NHS Improvement's AHP Sustainability Survey has 11 questions and should take about 5-15 minutes to complete:

AHP Sustainability Survey: Four Days Left

NHS Improvement's AHP Sustainability Survey is designed to help understand how Allied Health Professionals are addressing sustainability issue

Green Nephrology review article

John Agar and Katherine Barraclough have produced a fantastic review looking at the impacts of environmental change on kidney health as well as the environmental damage caused by kidney services (especially dialysis) and strategies to mitigate this.

Nature Reviews Nephrology

February, 2020

Prescribing Movement resource

This toolkit gives you everything you need for a 1 minute, 5 minute and even more minute conversation, complete with step-by-step guides, behavioural change insights and all the evidence to back it up.

Moving Medicine

January, 2020

Kidney patient leaflet re-published

Great to see that the NKF has re-issued their patient information leaflet on Green Nephrology, which we worked on with them a few years back.

JOB OPPORTUNITY: CSH Education Lead for Quality Improvement

The Centre for Sustainable Healthcare is recruiting to a new full-time, permanent position based at least two days per week in our office in Oxford. Application deadline 10 February.

We're scaling up to carbon-neutral healthcare

The recent huge interest in climate change has created an unprecedented demand for our charity to help people to take action.

Reflections on training with the Centre for Sustainable Healthcare

Hello! Me and a couple of colleagues from the Kidney Quality Improvement Partnership (KQuIP) went to the CSH sustainable QI training day last month.

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

UNDP and SPHS member agencies seek consultancy to develop the Sustainable Procurement Index for Health (SPIH)

This is as a globally established, recognized and adaptable measurement tool for policy makers, manufacturers, suppliers, procurers, and health car

Doctors call for nonviolent direct action over climate crisis

"More than 1,000 doctors including 40 professors, several eminent public health figures and past presidents of royal colleges are calling for wides

Simon Stevens shores up public health provision; implications for Sustainable Healthcare

As reported in this weeks' BMJ, Simon Stevens, has said that the NHS will commission public services in areas where local authorities are allocatin

Climate advocacy networking

Doctors and all health professionals are highly respected.

Acid concentrate dilution

From the sustainability session discussions at the recent ART conference it was identified that there are still a significant number of UK trusts u

"Can a Whisper become a Roar" A call to action for the healthcare community

"As clinicians we are taught to value evidence based interventions that benefit health and wellbeing.

Outpatients: the future – adding value through sustainability

The Royal College of Physicians published a new report 'Outpatients: the future – adding value through sustainability' which seeks to re-evaluate the purpose of outpatient care and align those objectives with modern-day living and expectations.

November, 2018

Sustainability sessions at the Association of Renal Technologists Conference 2018

Great presentation by Dr Frances Mortimer at the recent ART conference in Grantham on the challenges we face to reduce our impact on resources&nbsp

International Green Nephrology

The International Society of Nephrology (ISN) has expressed an interest in supporting collective efforts to improve the environmental sustainabilit

New examples from kidney units needed!

Dear kidney teams and patients,

RCP video on NHS environmental impact

Short animation to raise awareness of the NHS contribution to environmental issues such as climate change and air pollution, and encourage health professionals to look for environmentally friendly ways to practise.

Royal College of Physicians

September, 2018

Green Nephrology review article

Nature Reviews Nephrology

February, 2020

Sustainability in QI - the time has come!

Health systems are in constant need of improvement - and in some cases total redesign.

Sustainable Specialties video - the Greening of Nephrology

A short video introducing the Centre for Sustainable Healthcare's work in supporting clinical specialties to improve sustainability. This video focuses on initiatives in kidney care, where the approach was first pioneered.

Centre for Sustainable Healthcare

September, 2013

CSH Publications list

Published reports and articles by CSH and CSH staff, including a number of articles on aspects of Green Nephrology.

Centre for Sustainable Healthcare

September, 2014

About the Green Nephrology Network

What will kidney care look like in 10 or 15 years’ time, when carbon rationing is re-shaping the NHS?

Sustainable action planning in Royal Cornwall Hospital Renal Unit

Using the Sustainable Action Planning tools, the team at the Renal Unit quickly identified carbon reduction opportunities, prioritised them, and moved into action. By the end of the first year they achieved:

Royal Cornwall Hospital Renal Unit

December, 2010

Green Nephrology: A Model For Clinical Leadership (poster)

Poster presented at the British Renal Society/ Renal Association 2001. Sustainability is an effective motivator for staff and patients to engage in service improvement, and has been described as the seventh dimension of quality in healthcare.

Green Nephrology Programme

May, 2011

Reduce, reuse, recycle in the dialysis unit

Background

Green Nephrology Programme

March, 2010

Telephone clinics in the follow up of renal transplant recipients

The renal unit at the University Hospital of Coventry and Warwickshire has been successfully running a twice-monthly telephone clinic to provide follow up to these patients since 2006. Annual carbon savings have been estimated at approximately 2000 kgCO2 equivalents.

Green Nephrology Programme

December, 2009

Conserving water in haemodialysis

When the Canterbury dialysis unit updated its water purification system with the installation of a new reverse osmosis plant in 1997, it was soon apparent that large volumes of reject water were being ‘lost to drain’.

Green Nephrology Programme

December, 2009

Browse this Networks's Resources in the Resource Library

Green Nephrology review article

Nature Reviews Nephrology

February, 2020

Prescribing Movement resource

Moving Medicine

January, 2020

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

Outpatients: the future – adding value through sustainability

November, 2018

RCP video on NHS environmental impact

Royal College of Physicians

September, 2018

The carbon footprints of home and in-center peritoneal dialysis in China

Chen, M., Zhou, R., Du, C. et al. Int Urol Nephrol (2016). doi:10.1007/s11255-016-1418-5

This study aimed to determine the carbon footprints of peritoneal dialysis (PD) with the different modalities and treatment regimes.

Chen, M. et al

November, 2016

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

Climate Change and the Emergent Epidemic of CKD from Heat Stress in Rural Communities: The Case for Heat Stress Nephropathy

Article published last week in CJASN: "Heat stress nephropathy may represent one of the first epidemics due to global warming."

ABSTRACT:

Glaser, J. et al, CJASN

May, 2016

Sustainable Specialties video - the Greening of Nephrology

Centre for Sustainable Healthcare

September, 2013

Case study: dry powder concentrate and disinfection protocol

The dialysis unit in Central Manchester has reduced delivery miles by 75% (saving 8.3 tonnes CO2e) by switching to dry powder concentrate for haemodialysis. Discontinuing morning disinfection cycles has saved on energy and water use.

Sustainable Development Unit, NHS England

June, 2015

AHP Sustainability Survey: Deadline Extended Until 31st July

NHS Improvement's AHP Sustainability Survey has 11 questions and should take about 5-15 minutes to complete:

AHP Sustainability Survey: Four Days Left

NHS Improvement's AHP Sustainability Survey is designed to help understand how Allied Health Professionals are addressing sustainability issue

Kidney patient leaflet re-published

Great to see that the NKF has re-issued their patient information leaflet on Green Nephrology, which we worked on with them a few years back.

JOB OPPORTUNITY: CSH Education Lead for Quality Improvement

The Centre for Sustainable Healthcare is recruiting to a new full-time, permanent position based at least two days per week in our office in Oxford. Application deadline 10 February.