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

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

Australian colleagues launch Green Dialysis website

The strap line for the new Green Dialysis website is "eco-dialysis… a more thoughtful future". http://greendialysis.org/ documents the eco-journey of the Barwon Health Renal Service, which began with helping home haemodialysis patients to cut their water bills.

New additions to our NHS Forest for NHS Sustainability day

Hi All

NHS Forest 2 Trees at 2 pm

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.

NHS Sustainability Day - Spring Switch off Day and Eco-Rhyme Competition

We are celebrating Sustainability Day by promoting 2 green initiatives.

Green Nephrology and Cost Savings - Slides

Slides presented by Dr Ian Stott at the Renal Association Clinical Directors' Forum, March 2013

Ian Stott

February, 2013

Green Nephrology Slides - Feb 2013

A collection of slides introducing sustainable healthcare and Green Nephrology

Centre for Sustainable Healthcare

February, 2013

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

Can we help the NHS solve the "Nicholson challenge"?

Hi all

NHS Sustainability Day - Nine Award Categories Announced!

With less than 30 days to go to NHS Sustainability Day on Thursday 28th March the final countdown is on and today the nine award categories for this years event have been announced. All categories have been individually sponsored and each winning Trust will receive a unique trophy and be showcased on the website.

Possible Green Nephrology Fellowship opportunity 2013-16

The Centre for Sustainable Healthcare may soon be appointing to a new Green Nephrology Fellowship, linked to “a highly visible demonstration project showcasing radical redesign of a clinical service to deliver sustainable patient-centred care”.

Renal Dialysis Unit - Benchmarks

We have a 766 m2, 28 station renal unit that is not linked to any other hospital building.

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?

Anyone else using central delivery of acid for haemodialysis?

The British Journal of Renal Medicine is interested in articles about local green initiatives.

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.

Ideas for NHS Sustainability Day 2013?

NHS Sustainability Day is coming roung again - Thursday 28th March 2013. Anyone got ideas on how kidney units could take part?

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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Browse this Networks's Resources in the Resource Library

The environmental footprint of health care: a global assessment

Background: Health-care services are necessary for sustaining and improving human wellbeing, yet they have an environmental footprint that contributes to environment-related threats to human health.

July, 2020

Recording: National Allied Health Professions Sustainability Webinar

This is a recording of the AHP Sustainability webinar from June 18th 2020, part of the National Allied Health Professions fornightly webinar series.

June, 2020

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

Sustainability in Quality Improvement learning resources

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.

Centre for Sustainable Healthcare

March, 2017

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