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Sustainable Specialties Green Nephrology

Sustainable Specialties Green Nephrology. Dr. Frances Mortimer Centre for Sustainable Healthcare February 2013. “ Health and social care services must be planned, financed and delivered in ways that allow them to meet the needs both of today ’ s population and of future generations. ”

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Sustainable Specialties Green Nephrology

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  1. Sustainable SpecialtiesGreen Nephrology Dr. Frances Mortimer Centre for Sustainable Healthcare February 2013

  2. “Health and social care services must be planned, financed and delivered in ways that allow them to meet the needs both of today’s population and of future generations.” Naylor & Appleby. Environmentally sustainable health and social care: Scoping review. NIHR (2012)

  3. Triple Bottom Line “Sustainable healthcare delivers the highest possible value to patients from a radically reduced resource input.”Green Nephrology Summit 2012 – position statement

  4. Results of Public Opinion Survey: Source: Ipsos MORI http://www.sdu.nhs.uk/documents/publications/Ipsos_MORI_Survey.pdf

  5. NEWS NHS could save £1bn by adopting green strategies used in kidney units BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f588 (Published 28 January 2013)

  6. NHS England CO2e footprint 1990-2020 with Climate Change Act targets

  7. Carbon footprint – NHS England Transport Energy use Supply chain (pharmaceuticals, equipment, everything else)

  8. Models of care Secondary drivers Primary driver Outcome needed Primary driver CENTREfor SUSTAINABLE HEALTHCARE Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11

  9. Models of care Secondary drivers Primary driver Outcome needed Primary driver CENTREfor SUSTAINABLE HEALTHCARE Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11

  10. Models of care Secondary drivers Primary driver Sustainable clinical practice Outcome needed e.g. dry powder inhalers (1/18 x carbon of MDI) Primary driver Infrastructure & process CENTREfor SUSTAINABLE HEALTHCARE Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11

  11. CSH Sustainable Specialities Fellowships • Network • Local champions • Case studies • Summit & Awards • Research / demonstration project

  12. Case studies - infrastructure CENTREfor SUSTAINABLE HEALTHCARE Salvage of reject water from RO plant (Ashford, Canterbury, Stevenage) • 3+ million litres water & £6,000+ saved per year Central delivery of acid for haemodialysis (Bradford) • 16 tonnes CO2eq & £22,000 saved per year Energy-efficient lighting (Bradford) • 2.3 tonnes CO2eq & £600 saved per year, improved environment for staff and patients

  13. Case studies – process (1) CENTREfor SUSTAINABLE HEALTHCARE Paperless reporting of routine lab results (Doncaster) • 0.4 tonnes CO2eq & £120 saved per year; patient safety Improved waste segregation (Fife, Glasgow x6, Leicester) • 50-85 tonnes CO2eq & £11-15,000 saved per year Reduction in dx consumables (Cornwall, Fife, Glasgow) • 10-26 tonnes CO2eq & £15-30,000 saved per year

  14. Case studies – process (2) CENTREfor SUSTAINABLE HEALTHCARE Coordination of dialysis transport (Cornwall) • 17 tonnes CO2eq & £18,000 saved per year, improved patient experience Linen reduction (Cornwall) • 2 tonnes CO2eq & £5,000 saved per year Bolus administration of IV antibiotics (Fife) • 10 tonnes CO2eq & £17,000 saved per year; increased nurse-patient contact

  15. Case studies – models of care CENTREfor SUSTAINABLE HEALTHCARE Telephone follow up of transplant recipients (Coventry) • 2 tonnes CO2eq saved per year; cost: neutral; improved patient experience / ?empowerment Electronic consultation as alternative to referral (Bradford) • 2 tonnes CO2eq saved per year; potential cost reduction from avoided referrals; potential benefits to patient exp/out Remote monitoring in CKD (Cornwall, Sheffield) • 0.5-0.8 tonnes CO2eq saved per year; potential cost/patient benefits

  16. “Thanks to Green Nephrology, sustainability is now the seventh dimension of Quality. The work over the past couple of years has caught the imagination of the whole kidney community and has launched a social movement to provide better, greener and leaner kidney care.” Dr Donal O'Donoghue, National Clinical Director for Kidney Care

  17. Does your Green Nephrology Local Representative have…? • Senior support • Time • Access to finance Green Nephrology Survey of Local Representatives 2010

  18. http://sustainablehealthcare.org.uk/green-nephrology

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