Bringing together patients, clinicians, renal technicians and others to share ideas for sustainable kidney care.

Please visit the Resources tab for published research papers, case studies, measurement tools, previous events and awards. For the latest updates and ways to get involved see live posts (below) and Events. Log in to comment on any of these or to post a new topic for discussion.

Read about the history of green nephrology and the new Sustainable Kidney Care committee on the CSH website.

New Inquiry Launched on Sustainability in the NHS

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.

One Small Success - Transport Issues

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.

Green Dialysis website

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.

Barwon Health Renal Service, Australia
August, 2014

Divestment for Health

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.

Winners of last year's SBRI Funding Competition announced

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.

Call for help with Patient Transport in Kidney Care

Hello All!

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!

Looking forward to hearing from you.

Rachel

Right patient, right time, right place - an example from kidney care

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.

The true cost of water: Understanding the value of water through monetization of risks

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

Green Nephrology Summit 2013 - slides 1

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:

Centre for Sustainable Healthcare
September, 2013

SBRI competition: technology-based solutions for patient empowerment and sustainability in kidney care

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. 

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Green Nephrology case studies

Case studies in Green Nephrology can be found on the Mapping Greener Healthcare site, using the link below. Projects to date range from waste reduction in haemodialysis to telephone and video clinics.

September, 2021

Greener AHP Hub

The Greener AHP Hub is a resource for Allied Health Professionals.  It provides information and clear actionable steps which AHPs can take to improve their own environmental sustainability. The hub complements the 

NHS England
October, 2021

Solar-Assisted Haemodialysis

This article by John Agar, Anthony Perkins and Alwie Tjipto (2012) highlights the feasibility and cost-effectiveness of using solar-assisted power in dialysis services. Please use the link below to access the article.

CJASN
October, 2021

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URGENT - COP26

HI

I wanted to say Hello! I'm Hayley Pinto - I have just joined CSH as the new Education and Training lead.

Hi everybody,please forgive...

Hi everybody, please forgive my not-perfect English, I try to do my best. I am Italian and work in a hemodialysis ward since 10 years. My never-solved problem is what the hell to do with Acid Concentrates (with or without acetic acid) leftovers. It's been discussed in my ward, there was a time when we just used to pour it into the sink, but some collegues moaned about the smell and eventual side effects for health. And now the hospital obliges us to put the bag with the leftovers and the used bicarbonate cartridges in a special bin which goes directly to the incineration ...

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