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

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..

Occupational Therapy: Improving Lives, Saving Money, Reducing Carbon

In March, the

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 ...

National Kidney Federation - Kidney Life Editor

Just thought I'd share this the patient based charity, the National Kidney Federation is looking for a new publications editor

CSH launches Sustainability Series: Kidney Care Month

In celebration of our 10th birthday, we have launched the

Summary of Climate and health session - All Party Parliamentary Group on Climate Change

This was a very research-rich event which clearly put climate change on the health 'to-do' list. The All Party Parliamentary Group on Climate

We need your help - please vote for CSH's 'Walk on the Wildside' project.

The Centre for Sustainable Healthcare needs your help to win funding for our new project.

The Adult Health and Social Care Crisis - Green Infrastructure as Part of the Solution

I was asked to contribute a health-related article for a special Green Infrastructure themed edition of Town and Country Planning, the journal of t

Institutional Rhythms: Ideas and Opportunities for energy and mobility demand in the NHS.

Dr.

National Institute of Health and Care Excellence Surveying its Environmental Impact

As a proof of concept project, the National Institute of Health and Care Excellence (NICE) is exploring its guidance's environmental impact.

CSH event on innovation and sustainability

On the 26th July 2017, the Royal College of Psychiatrists (RCPsych) hosted a Centre for Sustainable Healthcare event on sustainability and innovati

New 'Active 10' app from PHE to get adults active

Nearly 1 in 4 people in England are classified as ‘inactive’, doing under 30 minutes of physical activity a week, and face the greatest risks to he

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.

Green Nurse Network launched

Today CSH has launched the Green Nurse Network in collaboration with the Royal College of Nursing, the Faculty of Heath & Human Sciences at Ply

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

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

Green Nephrology Summit 2013 - slides 2

Second batch of speaker slides from the Green Nephrology Summit 2013 now available to download.

Centre for Sustainable Healthcare

September, 2013

Green Nephrology Summit 2013 - slides 1

Programme and (first batch) speaker slides from the Green Nephrology Summit 2013, available to download. Dr Hugh Rayner is not able to share his slides, some of which are pending publication, but has recommended the following references instead:

Centre for Sustainable Healthcare

September, 2013