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Norwich Hand Unit Greener Surgery Project. This project was completed as part of the 2025 Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) Green Team Competition but the Hand…
TRUNC-HD posters, aimed at educating and empowering both patients and staff. The posters explain what TRUNC-HD is, why it is important, and what simple measures patients can take themselves to reduce…
This report from Eunomia and Systemiq quantifies the environmental and financial impacts of single-use plastics in the European and North American healthcare sectors across seven high-volume product…
Published date
September 2025
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Euomia Research & Consulting: Pallavi Madakasira, Simon Hann, Iris Liu, Zoë Hodges / Systemiq: Yoni Shiran, Alexandre Harry, Daniel Barraclough
Promoting appropriate IV to oral switch (IVOST)1 is a fundamental antimicrobial stewardship (AS) initiative providing benefits for patients, staff and the environment including: reduced risk of…
Published date
July 2025
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R Rodger , A Robertson , S Thompson , E Thompson , K Downie , G Ray , L Chisholm , C Pender , K Philips , M Neto , R Hillson , R A Seaton , S Carty , K MacFarlane , N MacDonald , F Kinnaird , A Reuben , S Gillen , Y Gourlay , F Robb , L Stewart , R Pucket
This study from Doncaster Renal Services evaluated reducing haemodialysis machine heat disinfection to once daily, instead of multiple cycles, to save energy and water. The team monitored infection…
Published date
May 2025
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Poudyal, L., Long, L., Lockley, L., Choo, S., Kaki, S.
This project from Bradford renal services evaluated reducing the frequency of haemodialysis machine heat disinfections to cut energy and water use. Heat disinfection is essential for safety but is…
Published date
May 2025
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Orlando, A., Bajet, L., McCarthy, J., Choo, S,. Lockley, L., Stoves, J.
This study presents the carbon footprint of the In-Centre Haemodialysis (ICHD) patient pathway in Sheffield Teaching Hospitals, mapping emissions across key stages of treatment. It highlights the…
This study outlines a quality improvement project assessing the impact of reducing dialysate flow rates in haemodialysis from 800 ml/hr to 500 ml/hr. The change was introduced to cut water and energy…
Published date
October 2024
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Whyke, K., Sabharwal, A., Anderson, K., Spark, P., Lockley, L., Choo, S., Reddy, V.
Grimsby dialysis unit partnered with Kidney Quality Improvement Partnership (KQIP) and the Trying to Reduce UnNecessary Carbon from Haemodialysis (TRUNC-HD) initiative to cut carbon emissions by…
Project completed as part of the 2024/25 RUH Bath Green Team Competition.Team members:Rebekah Hewitt (Senior Education & Development Pharmacist/Senior Teacher Practitioner, RUH)Mandy Slatter (Pharmacy…
Published date
February 2025
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Rebekah Hewitt (Senior Education & Development Pharmacist/Senior Teacher Practitioner, RUH), Mandy Slatter (Pharmacy Practice Research Lead, RUH), Megan Stevens (Clinical Pharmacy Technician for Biologics/Senior Aseptic Services Technician, RUH
