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.

Cumulative Savings from Green Nephrology Innovations - poster presented at RA-BTS Congress 2013

Green Nephrology case studies are prepared in collaboration with renal units to document local innovations with environmental benefits, together with information to support their replication elsewhere.  The majority of case studies describe financial as well as environmental benefits.

Mortimer F, Connor A, Stott I
February, 2013

Call for Expressions of Interest for Funding to Improve Energy Efficiency in the NHS

NHS Trusts and Foundation Trusts can bid for a share of £50 million capital funding to invest during 2013-14. The funding will support new and innovative projects to improve energy efficiency, reduce carbon emissions and increase resilience to climate change.

Initial expression of interest bids must be submitted by 28 February 2013.

BMJ: NHS could save £1bn by adopting green strategies used in kidney units

Green Nephrology in the BMJ! Commenting on a Green Nephrology study into savings from green initiatives in kidney units, National Clinical Director for Kidney Care, Dr Donal O'Donoghue, said "it’s not unreasonable to expect approaching £1 billion per year saving if the enthusiasm and focused work of the kidney community spread across the whole NHS."

Counting the carbon cost of care

The NHS Carbon Reduction Strategy has set targets for the reduction of GHG emissions within the NHS. If we are to meet these challenging targets, our health economists will have to become as familiar with the rationing of healthcare of the basis of carbon as they presently are with financial resources. A scary thought? Perhaps for them - but it shouldn't be for clinicians. But who will work out how to do these carbon accounts?

An integrated kidney care system?

Where you live, does everyone with kidney disease know that they've got it and what it means? Are local GPs confident about how to manage them, and who will benefit from referral?  It was inspiring to hear from at least three nephrologists presenting at the Renal Service Change Management study day last week, who clearly feel that what happens to people in primary care is their business too.

Cutting CO2 in kidney care: 102 heat exchangers fitted!

102 heat exchangers have been fitted to dialysis machines across 4 renal services following the CSH 'Cutting CO2 in Kidney Care ' project, which secured funding at the Pitch Pledge Party event in October 2011, a 10:10 initiative in partnership with The Funding Network and the Guardian. The project was based on the case study from East Kent renal service, which has reduced its carbon footprint by retrofitting heat exchangers to renal dialysis machines. Each heat exchanger is estimated to save approximately 0.366 tonnes CO2e per year.

Green Nephrology Summit 2012 position statement

The Green Nephrology Summit 2012 participants agreed to issue a position statement about the urgency of sustainable healthcare, with a challenge to policy makers to remove financial/commissioning barriers to efficient, sustainable care systems - including disease prevention and the use of telemed

Centre for Sustainable Healthcare
September, 2012

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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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