A Network for everyone interested in improving the environmental sustainability of operating theatres.   

Sustainability in Ophthalmology

In Sustainability in Ophthalmology the Royal College of Ophthalmologists calls for leadership from the profession and the healthcare industry to develop best practice and integrate these into our service redesign. This is a position paper from the College, designed for Ophthalmologists, alli

Royal College of Ophthalmologists
April, 2013

Are online journals actually greener compared to the print versions?

It is perceived that online medical journals have a smaller carbon footprint as well as costs, than its printed version. Subscription rates for online and print versions of most medical journals portray this difference. BJS is an exception to this practice. Reliable evidence is hard to come by with regard to the carbon footprint of print products and downloading journal articles; the available evidence is confusing. It may be opportune for this forum to consolidate the evidence of the carbon footprint of print vs. online medical journals.

Green Ward Winners at the Whittington

A competition including a brief intervention, designed by CSH has had an immediate impact at Whittington, including going from 0 - 60 bags of waste recycled per week in one operating theatre.  Hugh Montgomery, climate expert and Whittington clinician, inspired 3 departments to compete for cash and energy-saving prizes which have just been awarded. 

Cost-Effective and Sustainable Surgery

The Association of Surgeons in Great Britain and the Royal College of Surgeons in Ireland have published a Consensus Statement on Cost-effective and Sustainable Surgery. The statement is based on presentations, discussions and interactive sessions at a Consensus Conference which was held on 10th November 2011 in Dublin.

Introducing recycling into the operating theatres (Oxford case study)

The Oxford University Hospitals Trust has reduced the amount of waste going to landfill or incineration by introducing recycling into the operating theatre setting. Previously all waste from clinical areas was disposed of via orange clinical waste bags.

Centre for Sustainable Healthcare
April, 2012

Climate Week: Whittington Hospital Green Ward Competition

"How can we involve clinical departments in our Climate Week?" wondered the team at Whittington Hospital, which has been setting up a series of green events for 12-16 March 2012. The answer: a Green Ward Competition. Five clinical areas - including theatres - are competing for a £500 cash prize to be awarded for the best carbon reduction project.

SAP - sustainable action planning resources for clinical teams

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

Centre for Sustainable Healthcare
February, 2010

The Nipper Mountain

Prion risk: where do we draw the line?  Millions of nail clippers are incinerated every year across the NHS, as a result of policies to manage the theoretical risk of vCJD, according to Julie Hotchkiss, public health consultant in Wigan.

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Nordic Know-How: Nitrous Oxide Destruction

The theme of this first report in the Nordic Know-How series is nitrous oxide destruction. Nitrous oxide substantially contributes to the climate footprint of the healthcare sector. This report provides good examples on how to reduce emissions of nitrous oxide in hospitals.

Nordic Center for Sustainable Healthcare
March, 2020

Prescribing Movement resource

This toolkit gives you everything you need for a 1 minute, 5 minute and even more minute conversation, complete with step-by-step guides, behavioural change insights and all the evidence to back it up.

Moving Medicine
January, 2020

A new role for anaesthetists in environmentally sustainable healthcare?

Our article published today! "The contribution of anaesthesia to the environmental impact of healthcare is significant and visible, but amenable to change. We believe that this places anaesthetists in an ideal position to lead educational initiatives on environmental sustainability."

C. L. Shelton, S. C. McBain, F. Mortimer, S. M. White. Anaesthesia.
March, 2019

The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems.

This (open access) paper compares the carbon footprint of 3 operating theatres (UK, US and Canada). It is really interesting to see how different institutional practices influence the carbon footprint, once again highlighting the significant reductions achieved by reducing desflurane usage.

Lancet Planet Health
December, 2017

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