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.
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.
I'm writing this post to alert CSH members to this motion (#370) which is on the agenda of the British Medical Association's Annual Representatives' Meeting tomorrow morning, on climate advocacy and divestment from fossil fuel companies. The BMA will be voting on whether or not to divest from the world's major fossil fuel companies. Myself and a couple of others have drafted this 2-page briefing document, and it would be fantastic if you could share it with anyone you know who'll be voting at the meeting.
Should the BMA commit to divestment, this would help set a valuable precedent for other groups, building on the momentum created by the Fossil Free campaign internationally. A 'yes' vote would make the BMA the first ever national medical or nursing organ isation to divest from fossil fuels!
For those on twitter, please take a few minutes to tweet before 11am if tomorrow, using the #ARMlive hashtag and the URL for the briefing (http://tinyurl.com/divestmentbriefing). Below are some example tweets to save you time - though feel free to come up with your own of course!
The briefing document summarises the various arguments - both health-focused and financial - in favour of such a move, as well as giving some wider context (an argument made succinctly by Bill McKibben here, and in Alistair Wardrope's recent blog on the topic for Healthy Planet UK).
Please do get in touch if you're interested in starting up discussions about divestment within organisations you're involved in, such as Royal Colleges or even NHS Trusts, it would be great to hear from you.
The winners of last year's new Small Business Research Initiative (SBRI) competition to find innovative technology based solutions in Kidney Care have been announced on 13th May 2014.
The £3.6 m SBRI funding competition was launched last October by the Department of Health and the National Institute for Health Research Devices for Dignity Healthcare Technology Co-operative (NIHR D4D HTC) to help the 5,000 people diagnosed with kidney failure every year. There are currently 41,000 patients in England receiving treatment for kidney failure.
CSH is thinking about starting a project to 1) look at patient transport in kidney care from both carbon and patient experience points of view and 2) run a pilot project in one hospital. If you have any views or experience in this area, please write in. And, if you think your hospital would be a suitable site for the pilot project, do let me know!
Dialysis treatment for end stage kidney disease is a burden on patients, taxpayers, and the environment. The carbon cost of dialysis is estimated to be seven tonnes CO2 equivalents per year. Although we can make the improvements to reduce this, the ideal is to prevent people from reaching end stage kidney disease.
Tuesday 19th November 2013, 1:00 pm (GMT) / 8:00 am (EST)
Join this webinar with Veolia Water to find out about the growing business risks relating to water use, the need for a pragmatic metric and the benefits for businesses from using water risks assessment together with case studies
This year's Green Nephrology Summit was held at Guy's Hospital in London on 25th September. Once again, we were a good mix of clinicians (docs, nurses, physios), technicians, patients, industry representatives and interested others...
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:
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.
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.
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.
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.
Presentation from the Cost Saving Strategies in Renal Medicine conference on 1 December 2011. Describes a number of recent cost saving green projects from the Green Nephrology Network (many thanks to all who contributed).
SAP is a programme to support clinical teams in taking action for sustainability. Structured around two facilitated workshops, SAP helps front-line staff to learn about sustainable healthcare, focus in on their priorities and put together a green action plan. The action plan can then
Videos of presentations given at a meeting on the role of telemedicine in sustainable healthcare, hosted by the Nephrology Section, Royal Society of Medicine and the Centre for Sustainable Healthcare (Green Nephrology Programme) in London on 11 March 2011.
Green Nephrology Programme & Royal Society of Medicine
Using the Sustainable Action Planning tools, the team at the Renal Unit quickly identified carbon reduction opportunities, prioritised them, and moved into action. By the end of the first year they achieved:
Poster presented at the British Renal Society/ Renal Association 2001. Sustainability is an effective motivator for staff and patients to engage in service improvement, and has been described as the seventh dimension of quality in healthcare.
The renal unit at the University Hospital of Coventry and Warwickshire has been successfully running a twice-monthly telephone clinic to provide follow up to these patients since 2006. Annual carbon savings have been estimated at approximately 2000 kgCO2 equivalents.
When the Canterbury dialysis unit updated its water purification system with the installation of a new reverse osmosis plant in 1997, it was soon apparent that large volumes of reject water were being ‘lost to drain’.
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.