Telephone clinics in the follow up of renal transplant recipients

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.

Green Nephrology Programme
December, 2009

Conserving water in haemodialysis

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’.

Green Nephrology Programme
December, 2009

Green Nephrology case studies

Case studies in Green Nephrology are indexed from the Mapping Greener Healthcare site at this address. Projects to date range from waste reduction in haemodialysis to telephone and video clinics.

Centre for Sustainable Healthcare
April, 2010

Green Nephrology Survey of Local Representatives 2010

Results from the 2010 local Green Nephrology representatives survey: In full (although comments have been summarised) and as a single page summary for circulation and display. Also a ppt. file to use as you wish.

They represent the first full year of the programme. In summary:

Green Nephrology Programme
February, 2011

Dialysis -greener at home or in hospital?

carbon footprinting study published this month compares in-centre and home haemodialysis and highlights that the frequency of treatments has a big impact on carbon emissions. Curbing emissions will require the development of lower carbon technologies, sustainable procurement policies and efficient waste management. Read the full article here

Becoming a jolly good Fellow...

From November 2010, I will take over from Andy Connor as the next Green Nephrology Fellow, I am both excited by the tremendous developments that have occurred in little over a year and slightly daunted at the prospect of taking on the mantle of "Fellow".

Can you bear the waste?

Children from Hippo and Victoria wards at Great Ormond Street Hospital have created an almost life-size polar bear from discarded haemodialysis packaging with the help of artist Darcy Turner. The project coincides with other initiatives across the UK, as renal departments challenge medical equipment manufacturers to reduce waste and increase recycling opportunities.

Green Nephrology Summit - "the greatest untapped resource in healthcare is the patient"

The conversation in green nephrology has changed. Though water reclamation, recycling and energy saving are still important, a fly on the wall at last week’s Green Nephrology Summit would have heard just as much about “telephone clinics”, “RenalPatientView*”, “patient self-care”, “shared decision-making”…

Carbon footprint of a renal service points finger at drugs and equipment

A carbon footprint study of a UK renal service, undertaken by Green Nephrology Fellow, Dr Andy Connor, and published in the Quarterly Journal of Medicinethis month, confirms the importance of tackling supply chain emissions, revealing that the procurement of goods and services accounts for 72% of the carbon impact of kidney care. Within procurement, the majority of emissions are attributable to pharmaceuticals, medical equipment and waste services. 

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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

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

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