Recycling of concentrate bottles - summary

There has been discussion in the Green Nephrology Forum about recycling of bicarbonate containers on the dialysis unit. Many units are now recycling these, but others who would like to introduce recycling have been looking for reassurance with regard to health and safety. This blog summarises the available guidance on handling/disposal of the excess bicarbonate, and on infection control.

Dialysis heat exchangers - June update

The Green Nephrology Programme successfully bid for funding for the Heat Exchangers project from 10:10 in 2011. The objective is to save energy and carbon in kidney care by encouraging retrofitting of heat exchangers to dialysis machines in use nationwide - following the example of the Kent renal service.  As a result of our contact, a number of units are now developing the business case for investing in retrofitting their machines. 

Bike Week 16-24 June

June has arrived and this month's green theme is... cycling.  Bike Week 2012 is running from 16-24 June this year and it would be great if kidney units could take part. The aim is to encourage colleagues (maybe even some patients) to get on their bikes and remember how much they like cycling!

Donating Made Easy

Some of you have asked whether you can donate money to help our work. We have always accepted cheques, but The Centre for Sustainable Healthcare (CSH) has now signed up to Just Giving to make it easier for you to donate small amounts on a regular basis.

CSH is a very small charity, and funding for our core costs is entirely provided by donations and project-focused support. You can help us work to safeguard the future of health and healthcare by contributing to our funding. Please take 5 minutes to donate - any amount will help! Thank you.

NHS Sustainability Day - 28th March: five ideas for kidney units

Next Wednesday is NHS Sustainability Day

NHS hospitals, clinics and wards everywhere will be raising awareness and taking action to reduce carbon and promote health - we want the Green Nephrology Network to join in!

Here are our top suggestions for kidney units and kidney staff, from energy audits to prescribing exercise in hypertension...

Staff recycling questionnaire

This questionnaire, developed by dialysis nurse Mary Thomson in Fife, has been used to raise awareness and gather staff views on recycling at home and at work. You are welcome to borrow and adapt it for your workplace.

Mary Thomson, Queen Margaret Hospital, Fife
March, 2009

Should World Kidney Day be every day?

Happy World Kidney Day! A day for raising the importance of healthy kidneys everywhere. Prevention is of course the greenest form of healthcare, and WKD is a great initiative.  But with 50,000 people in the UK who have end-stage renal failure, there is clearly more to do. So what role does the kidney care community have in stopping new patients from coming through the doors?

EDTNA/ERCA Handbook: Environmental Guidelines for Dialysis

The EDTNA/ERCA and Fresenius Medical Care have produced this Handbook for going green in dialysis. "Fifteen experts from 10 different countries have created the Guidelines over the past year. They contain all the state of the art knowledge to reduce the environmental burden of dialysis.

EDTNA / ERCA & Fresenius Medical Care
October, 2011

90% Less: why greener healthcare is leaner healthcare

Our conference organized in partnership with The Thames Valley Health Innovation and Education Cluster is taking place on 24th February 2012. The day offers a great opportunity to find out about the most recent developments in sustainable healthcare including a launch of the emergent research agenda from The King's Fund. Experts will outline the major issues before looking in depth at some of the available solutions including how to cut medicines waste, benefits of greenspace, patient and staff engagement and active transport.

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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

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 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

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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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