A short video introducing the Centre for Sustainable Healthcare's work in supporting clinical specialties to improve sustainability. This video focuses on initiatives in kidney care, where the approach was first pioneered.
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...
The dialysis unit in Central Manchester has reduced delivery miles by 75% (saving 8.3 tonnes CO2e) by switching to dry powder concentrate for haemodialysis. Discontinuing morning disinfection cycles has saved on energy and water use.
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.
Questions about kidney transplantation and living donation?
A new national survey has opened, giving patients, their carers and the healthcare professionals looking after them an opportunity to submit questions about kidney transplantation and living donation that they think should be addressed in future research.
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 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.
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.