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

web-based consultations for chronic kidney disease

This doesn't look as good as the system pioneered in Bradford, but it's still good that other centres are looking at e-consultations to reduce the

SBRI competition: technology-based solutions for patient empowerment and sustainability in kidney care

The Department of Health and the National Institute for Health Research Devices for Dignity Healthcare Technology Co-operative (NIHR D4D HTC) are collaborating to launch a new Small Business Research Initiative (SBRI) competition to find innovative technology based solutions in Kidney Care. The focus is on technologies that can make a difference to patients over the whole spectrum of kidney disease ranging from earlier diagnosis and prevention through to treatment of advanced stages of kidney failure. An important goal would be to promote patient empowerment and/or sustainable practices throughout the patient care pathway.

Some Questions for the NKF Conference 2013

Five questions to ask for sustainability issues.

Questions designed to highlight areas some areas of concern where patient support may inspire improvements.

Bradford and Bristol Royal share the 2013 Green Nephrology Award

The 2013 Green Nephrology Award (for sustainability initiatives in kidney units) went to joint winners, Bristol Royal Hospital for Children and Bradford Teaching Hospitals. Both kidney units demonstrated significant environmental as well as financial savings, while maintaining the quality of care for dialysis patients.

Green Nephrology Awards 2013 - winning entries

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.

Centre for Sustainable Healthcare

August, 2013

Don't forget to register for the Green Nephrology Summit on 25 September

This is the yearly get-together of the Green Nephrology Network, where ideas and experiences are exchanged for sustainable kidney care. Everyone is welcome. This year's programme covers best practice examples such as laboratory eGFR screening and exercise programmes in CKD, as well as debates on how to get your clinical director on board, building patient networks, and whether to abandon plastic cannisters of acid concentrate in favour of bulk systems.

Linking energy saving to patient experience

Interesting to see this case study from Barts - lots of money saved by simple energy saving, but staff only changed behaviour after the link to pat

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?

Improving Chances of Graft Survival

A theory to investigate or debunk.

Acid delivery - powder vs concentrate?

Does anyone have experience of using powder for local mixing of acid for haemodialysis?

CleanMed Europe social media platforms - follow and join the conversation

There's now a facebook page and twitter account for September's CleanMed Europe conference - if you use social media, do follow them for new blogs as they published, along with news items and reports. Recently published are Rachel Stancliffe and Mahmood Bhutta's blog on whether should health professionals should lead on sustainability and Frances Mortimer's blog on Sustainable Clinical Practice.

You can also use these platforms to make contact with others who will be attending the conference, share your ideas, case studies and as a platform for online discussions about sustainable healthcare and how we can get to where we want to be.

The conference website is at http://www.cleanmedeurope.org/.

Overcoming barriers in Green Nephrology

In the survey of Green Nephrology Local Representatives in 2010, Local Reps identified some of the barriers that can prevent them from seeing throu

Green Nephrology Summit 2013 - registrations open!

You can now register for this year's annual get together of the Green Nephrology Network.

EU legislation a barrier to sustainable actions?

We are in contact with a Member of the European Parliament who is willing to challenge outdated EU legislation which is proving a barrier to sustai

Green Nephrology Awards 2013 - open to entries

Kidney units are invited to share their local successes via this year's Green Nephrology Awards. Shortlisted entries will be presented in poster format at the CleanMed Europe conference 17-19th September (in Oxford), and at the Green Nephrology Summit on 25th September (at Guy’s Hospital in London). Awards for outstanding entries will be presented at the Summit.

Green Nephrology award entry template 2013

The 2013 Awards are open to all kidney units or providers of kidney care, who may enter one or more local initiatives that demonstrate a benefit to the environmental sustainability of kidney care.

Centre for Sustainable Healthcare

April, 2013

Telephone Transplant Clinics

We're working towards setting up a telephone transplant clinic service at the South West Transplant Centre.

Examples of diabetes-renal service integration?

Scoping out options for sustainable service redesign in Reading and they are interested in joining up services for diabetic patients with CKD.

CleanMed 2013 - call for case studies

CSH is hosting this year's CleanMed Europe conference, 17-19 September 2013.

climate change, global kidney health and the ISN

In his talk at the global health session of the Renal Association-BTS Congress last month, Professor John Feehally, president of the International

Pages

Browse this Networks's Resources in the Resource Library

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

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

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