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’.
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
The 2010 survey of Green Nephrology Local Representatives has revealed a range of local action under way, with cross-pollination of ideas from one renal centre to another. The survey identified a need for senior management support within Trusts, and for invest-to-save funding.
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:
A 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
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.
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.
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.
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:
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.