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

Recycling volatile anaesthetic agents - Association of Anaesthetists Innovation award winner 2020

For those of you that weren't at the Association of Anaesthetists Winter Scientific Meeting earlier this month, or haven't seen any of my posts on

Single use Chloraprep introduction opinions

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

Opportunity to write an e-learning module for sustainable anaesthesia

Keen to contribute to some e-learning resources on

JOB OPPORTUNITY: CSH Education Lead for Quality Improvement

The Centre for Sustainable Healthcare is recruiting to a new full-time, permanent position based at least two days per week in our office in Oxford. Application deadline 10 February.

We're scaling up to carbon-neutral healthcare

The recent huge interest in climate change has created an unprecedented demand for our charity to help people to take action.

Environmental Fellow update

It’s so great to see enthusiasm building and I’m doing my best to respond to queries and suggestions that you have all raised so far. Here’s

Sustainable Ophthalmology Scholarship in Wales - first Diary Entry

Hi Sustainability Friends!!!

NEW Association of Anaesthetists Green Star Awards

What a whirlwind couple of months it has been! There seems to be a real appetite for sustainable anaesthesia now which is great to see.

New Anaesthetists Environmental Champions Network

Environmental champions are being sought for every anaesthetic department in the UK and Ireland.

Interview with Chantelle Rizan: a surgeon raising the profile of research in Sustainability in Surgery

Hi, in what I hope will be the first in an occasional series of interviews(!), I recently had the opportunity to ask Chantelle Rizan about her rese

Update from our first W.I.S.E. Sustainability Scholar in Ophthalmology

Clare Morgan is CSH's first W.I.S.E.

Support from the Royal College of Surgeons of England for Sustainable Surgery PhD

We are delighted that our CSH Sustainable Surgery Fellow,

We need to talk about Des...

I thought members of the network may be interested in hearing about our work at Raigmore Hospital, where we managed to reduce our carbon emissions

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

UNDP and SPHS member agencies seek consultancy to develop the Sustainable Procurement Index for Health (SPIH)

This is as a globally established, recognized and adaptable measurement tool for policy makers, manufacturers, suppliers, procurers, and health car

Job advertisement: Fellow in environmentally sustainable anaesthesia 2020-21

Applications are now open for the 2020-21 fellowship in environmentally sustainable anaesthesia (closing date 29 September).

Senior Clinical Auditor, Buckinghamshire Healthcare NHS Trust

We are just starting to try and introduce and rationalise waste recycling into theatres (the trust does not recycle anything!). If anyone els

Doctors call for nonviolent direct action over climate crisis

"More than 1,000 doctors including 40 professors, several eminent public health figures and past presidents of royal colleges are calling for wides

'Eyefficiency' has successfully undergone 2 rounds of beta-testing!

As reported a year ago, CSH has been awarded another Seeing is Believing Innovation Fund* grant for the second phase of developing with its partner

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Browse this Networks's Resources in the Resource Library

Prescribing Movement resource

Moving Medicine

January, 2020

Health Care’s Climate Footprint Report HCWH / ARUP

Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action.

September, 2019

PVC Recovery case study - Dunedin NZ

May, 2019

Reduction and standardization of surgical instruments in pediatric inguinal hernia repair

One way of reducing waste in theatre is to think about the surgical instruments we use (or open and don’t use!).

Journal of Pediatric Urology February 2018 Volume 14, Issue 1, Pages 20–24

February, 2019

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

Strategies to Reduce Greenhouse Gas Emissions from Laparoscopic Surgery

A really interesting article looking at the individual contribution of different methods of ‘greening’ strategies in operating theatres.

Am J Public Health. 2018 Apr;108(S2):S158-S164

April, 2018

A prospective clinical, cost and environmental analysis of a clinician-led virtual urology clinic

An example of how surgeons can help reduce carbon emissions outside of theatres too!

Annals of the Royal College of Surgeons of England

January, 2019

Greening the Operating Room™ Checklist

Practice Greenhealth is an American organisation working to promote sustainable, eco-friendly practices in healthcare https://practicegreenhealth.org/initiatives/greening-operating-room.

https://practicegreenhealth.org

February, 2019

Pragmatic Recycling of Paper and Cardboard in the Operating Theatre: An Audit

This study audited the introduction of recycling of paper and cardboard within an operating theatre. All waste within a single operating theatre was collected by a dedicated team for 20 surgical cases.

Journal of perioperative practice