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

Health sector hits first target in combating climate change - SDU report

The health sector is over the first hurdle in the race to reach carbon reduction targets and help limit the effects of climate change.

Is there a contact list for...

Is there a contact list for this group now?

Don't forget to submit your BRS/RA abstract...

Hi all,

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

Campaign for equity of tariffs for remote consultations

This is just a short brief to let you know about the ongoing work the UK Green Nephrology group has been undertaking on tariffs for remote clinic consultations.

Many renal units operate over wide geographical areas, providing specialist services for populations far beyond their own hospital’s immediate catchment area. Intuitively, for such a results-driven specialty, the concept of remote clinic consultations – either by phone or video-link - ticks many boxes in the sustainability agenda whilst also carrying the potential to deliver care close to home without the associated carbon impact of staff travel...

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

Project update: Green Guide for renal units

The Green Nephrology Advisory Group recently voted on the top two projects to take forward in 2015-16. One of the two chosen was the development of a "Green Guide" for new facilities.

New Green Nephrology patient leaflet published on NHS Sustainability Day

What is Green Nephrology, why is it important to kidney patients, and how can patients, carers and local Kidney Patients' Associations get involved? CSH, the National Kidney Federation and members of this Network have been working together on a Green Nephrology patient leaflet, published today - NHS Sustainability Day 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

NHS Sustainability Day - 26 March

26th March is NHS Sustainability Day 2015 - http://www.nhssustainabilityday.co.uk/

Draft patient leaflet on Green Nephrology - comments invited!

Members of the Green Nephrology Network have been collaborating with the National Kidney Federation to develop an information leaflet for patients

New Inquiry Launched on Sustainability in the NHS

A year after the NHS published its SD Strategy (‘Sustainable, Resilient, Healthy People & Places’) in January 2014, the Environmental Audit Select Committee is examining whether the NHS is set up to deliver on the ambitions in that Strategy, and seeking to identify the key risks and challenges for implementing it and the achievements to date that could be built upon. Written submissions by 4 March are invited, although those received by 11 March might still be accepted.

Reducing wasted clinical resource in the NHS

An Academy of Medical Royal Colleges Report about wasted use of clinical resources in the NHS was launched last month and can be found here. The report states that to sustain the standards of care provided across the NHS, waste must be reduced.

One Small Success - Transport Issues

Last weekend the Bristol Health Partners hosted an event to encourage innovation. We only discovered this by accident and prepared a quick presentation under the Green Prescribing Protocol. This was presented at the last pitch on Friday evening. There were some technical issues but in spite of this we were swamped with people offering help and support and suggestions to broaden our thinking outside Green Nephrology and share the good practice amongst other directorates.

Transplant Research Setting Partnership Survey - All encouraged to help mould research Open to Staff Patients Carers

Questions about kidney transplantation and living donation?

A new national survey has opened, giving patients, their carers and the healthcare professionals looking after them an opportunity to submit questions about kidney transplantation and living donation that they think should be addressed in future research.

The RCPsych Sustainability Summit

On the 1st October we had the first sustainability summit run by a medical royal college in the UK. It was a great success!

BJRM article: Cutting the carbon cost of dialysis: efficient delivery of acid concentrate

The British Journal of Renal Medicine has published an article on the opportunities for reducing waste in the delivery of acid for haemodialysis, authored by members of the Green Nephrology Network.

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

Upgrade of our Australian Green Dialysis website

Dear 'Green' UK ... This is to let your members know that we launched an update/upgrade of our Australian Green Dialysis website during 'Renal Week'. The website can be found at http://www.greendialysis.org.

Green Nephrology flourishing in lean times

The quest for financial savings was a recurring theme at the British Renal Society / Renal Association annual conference this month, and the Green Nephrology programme had plenty to offer.

Green Nephrology Fellow in post!

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.

Browse this Networks's Resources in the Resource Library

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

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

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

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

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

Sustainable Development Unit, NHS England

June, 2015

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.