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GREEN NEPHROLOGY 2010 SURVEY RESULTS. Green Nephrology Survey 2010. RESULTS SUMMARY 81.2% hub units questioned 63.8% response rate = response from 52% UK units New representatives Half offered new representatives = 41 additional people = 59% increase overall
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Green Nephrology Survey 2010 • RESULTS SUMMARY • 81.2% hub units questioned • 63.8% response rate = response from 52% UK units • New representatives • Half offered new representatives = 41 additional people = 59% increase overall • Support locally and raising awareness • Over 2/3rd felt they had support from within their unit ‘in practice’ • 2/3rd spent time raising awareness using • teaching sessions • every day activities - waste reduction, bolus drugs (not infusion) etc. • meetings - clinical governance, HD, ward, MDT • dedicated meetings eg ‘renal environmental group’ • included in new staff orientation pack • events eg bike to work day
Green Nephrology Survey 2010 Use of resources 86.4% used CGH website – 70% in last 3 months 70.5% used renal 10:10 checklist – 38.6% used poster Some used home made labels and flyers Would value downloadable ‘ready to use’ resources
Green Nephrology Survey 2010 Activity 14-30% had tried to replicate case studies – 1/3rd still running 27-54% would like to have a go 2/3rd have made changes ‘however small’ in the last year 11% have assisted others Types of project Paper – electronic patient letters, double sided results, no local printing Videoconferencing – review patients, MDTs, staff education E-consultation Tele-OP – HD, CKD, Tx Water - central water treatment, reject salvage, central priming Central acid delivery Waste – baler, recycling, reducing consumables IT – auto shutdown Food – reduce waste in HD units
Green Nephrology Survey 2010 Green Stars 15.9% submitted case study 20.5% planning to Only 1 submitted green action plan (now 2) Only 1 have patient representative Spreading out from renal services Fife – waste management in theatres, medical + surgical wards Cornwall – SAP Trust wide Bradford – e-consultation adopted by other services Glasgow – waste management in neuro theatres
Green Nephrology Survey 2010 • SUMMARY • There is a lot of support for green nephrology at a local level • It is spreading beyond renal services • There is a high level of activity and desire to be active • Cost and carbon savings demonstrated for individual projects • There is evidence of replication of ideas between regions • Identified need for: • Time • Fewer financial barriers • More support at senior management and Trust level • Ways round regulations eg COSHH, EU • Downloadable resources • Searchable website • Educational tools • Link to other representatives / online communication facility • List of a few, clear areas to focus on + instructions
Green Nephrology • FUTURE FOCUS • Focus on local representatives • Clear need for resource development – website + tools + blog • Find a solution for • Time – always a problem • Support from senior management + organization • The CSH aims to provide: • Background knowledge • Communication between representatives • Practical and teaching resources resources • Central reporting • Move to new model where Trusts / Boards fund a session of nurse time to implement sustainable healthcare projects eg as in Fife where £45k annual savings have been demonstrated?