A carbon footprint study of a UK renal service, undertaken by Green Nephrology Fellow, Dr Andy Connor, and published in the Quarterly Journal of Medicinethis month, confirms the importance of tackling supply chain emissions, revealing that the procurement of goods and services accounts for 72% of the carbon impact of kidney care. Within procurement, the majority of emissions are attributable to pharmaceuticals, medical equipment and waste services.
The Green Nephrology programme is looking for an enthusiastic health professional with experience in kidney care. After a brilliant first year, the programme is seeking to build the national Green Nephrology Network and raise its profile in the renal community.
Donations are urgently needed to save the world’s first sustainable clinical specialty programme! Green Nephrology has been a fantastic success this year - but unless funds can be found, the programme will have to close down in September 2010.
The Green Nephrology team had a busy week at the joint Renal Association and British Renal Society meeting last week, culminating in what was (probably) the first session devoted entirely to sustainability at a national meeting of any medical specialty.
This year, 10:10 is bringing together thousands of individuals and organisations from across the country to work towards a common goal - a 10% cut in the UK’s carbon emissions during 2010. The Green Nephrology programme is running its own 10:10 initiative and has produced a renal unit 10:10 action checklist.
Have you ever wondered how many miles patients drive to attend for the investigations you request for them? Or what impact this might have on the environment? I have. But nobody could tell me. So I've worked it!
The Campaign for Greener Healthcare is delighted to welcome Dr Andrew Connor to his new post as "Green Nephrology Fellow". Over the next year, Andrew will be exploring the environmental impacts of kidney care and working with NHS staff and patients to improve practice in kidney units.
On 25th February the Campaign for Greener Healthcare hosted the first Green Nephrology Summit. Sponsored by Baxter Healthcare the event provided a forum to share experience and discuss ideas on how to transform the renal clinical pathway.
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.
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.
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.
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:
Joint winners of the 2013 Green Nephrology Awards - Bristol Royal Hospital for Children for a water saving project initiated by Charge Nurse, Dan Speakman, and Bradford Teaching Hospitals for reduction in the use of dialysate through using the "autoflow" facility on dialysis machines.
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.
Sustainability has been recognised as a domain of quality in healthcare, and building it into quality improvement (QI) is a practical way to drive incremental change towards a more ethical, sustainable health system.