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".
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.
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”…
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.
The Green Nephrology programme is looking for an enthusiastic health professional with experience in kidney care. After a brilliant first year, the programme is seeking to build the national Green Nephrology Network and raise its profile in the renal community.
Donations are urgently needed to save the world’s first sustainable clinical specialty programme! Green Nephrology has been a fantastic success this year - but unless funds can be found, the programme will have to close down in September 2010.
The Green Nephrology team had a busy week at the joint Renal Association and British Renal Society meeting last week, culminating in what was (probably) the first session devoted entirely to sustainability at a national meeting of any medical specialty.
This year, 10:10 is bringing together thousands of individuals and organisations from across the country to work towards a common goal - a 10% cut in the UK’s carbon emissions during 2010. The Green Nephrology programme is running its own 10:10 initiative and has produced a renal unit 10:10 action checklist.
Have you ever wondered how many miles patients drive to attend for the investigations you request for them? Or what impact this might have on the environment? I have. But nobody could tell me. So I've worked it!
The Campaign for Greener Healthcare is delighted to welcome Dr Andrew Connor to his new post as "Green Nephrology Fellow". Over the next year, Andrew will be exploring the environmental impacts of kidney care and working with NHS staff and patients to improve practice in kidney units.
On 25th February the Campaign for Greener Healthcare hosted the first Green Nephrology Summit. Sponsored by Baxter Healthcare the event provided a forum to share experience and discuss ideas on how to transform the renal clinical pathway.
The Green Stars Initiative provides a mechanism by which renal teams can demonstrate their achievements against a set of national criteria. There is more information about the scheme on the link above.
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
This is just a short brief to let you know about the ongoing work the UK Green Nephrology group has been undertaking on tariffs for remote clinic consultations.
Many renal units operate over wide geographical areas, providing specialist services for populations far beyond their own hospital’s immediate catchment area. Intuitively, for such a results-driven specialty, the concept of remote clinic consultations – either by phone or video-link - ticks many boxes in the sustainability agenda whilst also carrying the potential to deliver care close to home without the associated carbon impact of staff travel...
What is Green Nephrology, why is it important to kidney patients, and how can patients, carers and local Kidney Patients' Associations get involved? CSH, the National Kidney Federation and members of this Network have been working together on a Green Nephrology patient leaflet, published today - NHS Sustainability Day 2015.
A year after the NHS published its SD Strategy (‘Sustainable, Resilient, Healthy People & Places’) in January 2014, the Environmental Audit Select Committee is examining whether the NHS is set up to deliver on the ambitions in that Strategy, and seeking to identify the key risks and challenges for implementing it and the achievements to date that could be built upon. Written submissions by 4 March are invited, although those received by 11 March might still be accepted.
An Academy of Medical Royal Colleges Report about wasted use of clinical resources in the NHS was launched last month and can be found here. The report states that to sustain the standards of care provided across the NHS, waste must be reduced.
Last weekend the Bristol Health Partners hosted an event to encourage innovation. We only discovered this by accident and prepared a quick presentation under the Green Prescribing Protocol. This was presented at the last pitch on Friday evening. There were some technical issues but in spite of this we were swamped with people offering help and support and suggestions to broaden our thinking outside Green Nephrology and share the good practice amongst other directorates.
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.