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

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

Calling all Q members (Health Foundation) with a passion for sustainability

Calling all sustainability friends… are you a Q member (Health Foundation)?

CSH sustainability school

A quick reminder that CSH has its Sustainability School coming up soon!

Nephrology Placements Required

I am a third year biomedical sciences undergraduate student at the University of Warwick, under the supervision of Rob Lillywhite.

Australia and New Zealand are catching up

Dear UK friends

Sustainability in QI - the time has come!

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

Sign up to the CSH newsletter

We are going to be sending out a CSH newsletter next week..

WFOT Launches Guiding Principles for Sustainability in Occupational Therapy

Last week saw the launch of the World Federation of Occupational Therapists publication ‘Sustainability Matters: Guiding Principles for Sustainabil

Hi everybody,please forgive...

Hi everybody,

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Call for submissions: heatwaves (adapting to climate change) select committee inquiry

The House of Commons Select Committee for the environment, the Environmental Audit Committee, is calling for evidence as part of its heatwave enqui

Acid concentrates leftovers ...

Hi everybody,

Possible plastic savings in dialysis ... ?

In the light of the current focus on plastic reduction, this looks interesting ...

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

Retrofit of heat exchangers to haemodialysis machines

Renal technicians at the Maidstone dialysis unit have investigated the potential costs and benefits of retro-fitting heat exchangers to their existing Braun Dialog+ haemodialysis machines.

Green Nephrology Programme

December, 2009

Browse this Networks's Resources in the Resource Library

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

Green Nephrology patient leaflet

What is Green Nephrology, why is it important to kidney patients, and how can patients, carers and local Kidney Patients' Associations get involved?

Centre for Sustainable Healthcare & NKF

February, 2015

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

Green Dialysis website

The Barwon Health Renal Service is recognised, worldwide, as an advocate for home nocturnal haemodialysis (hNHD). But, despite the major health and lifestyle benefits for patients using hNHD, we also appreciate the significant impositions and costs that accrue within home dialysis care.

Barwon Health Renal Service, Australia

August, 2014