Junior Doctor Sustainability Fellow

My name is Amy and I am the junior doctor ‘Sustainability Fellow’ for the Severn Deanery. It is a new post this year so I have a blank slate to work with. It is a post I have taken on in addition to being a full time junior doctor. My job description is to use my role as a clinician to help promote sustainable working practices in the deanery and thus reduce carbon emissions.

Cumulative Savings from Green Nephrology Innovations - poster presented at RA-BTS Congress 2013

Green Nephrology case studies are prepared in collaboration with renal units to document local innovations with environmental benefits, together with information to support their replication elsewhere.  The majority of case studies describe financial as well as environmental benefits.

Mortimer F, Connor A, Stott I
February, 2013

Call for Expressions of Interest for Funding to Improve Energy Efficiency in the NHS

NHS Trusts and Foundation Trusts can bid for a share of £50 million capital funding to invest during 2013-14. The funding will support new and innovative projects to improve energy efficiency, reduce carbon emissions and increase resilience to climate change.

Initial expression of interest bids must be submitted by 28 February 2013.

BMJ: NHS could save £1bn by adopting green strategies used in kidney units

Green Nephrology in the BMJ! Commenting on a Green Nephrology study into savings from green initiatives in kidney units, National Clinical Director for Kidney Care, Dr Donal O'Donoghue, said "it’s not unreasonable to expect approaching £1 billion per year saving if the enthusiasm and focused work of the kidney community spread across the whole NHS."

Counting the carbon cost of care

The NHS Carbon Reduction Strategy has set targets for the reduction of GHG emissions within the NHS. If we are to meet these challenging targets, our health economists will have to become as familiar with the rationing of healthcare of the basis of carbon as they presently are with financial resources. A scary thought? Perhaps for them - but it shouldn't be for clinicians. But who will work out how to do these carbon accounts?

An integrated kidney care system?

Where you live, does everyone with kidney disease know that they've got it and what it means? Are local GPs confident about how to manage them, and who will benefit from referral?  It was inspiring to hear from at least three nephrologists presenting at the Renal Service Change Management study day last week, who clearly feel that what happens to people in primary care is their business too.

Cutting CO2 in kidney care: 102 heat exchangers fitted!

102 heat exchangers have been fitted to dialysis machines across 4 renal services following the CSH 'Cutting CO2 in Kidney Care ' project, which secured funding at the Pitch Pledge Party event in October 2011, a 10:10 initiative in partnership with The Funding Network and the Guardian. The project was based on the case study from East Kent renal service, which has reduced its carbon footprint by retrofitting heat exchangers to renal dialysis machines. Each heat exchanger is estimated to save approximately 0.366 tonnes CO2e per year.

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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

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

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