Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # Centre for Sustainable Healthcare ## Sitemaps - [XML Sitemap](https://sustainablehealthcare.org.uk/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Join our team as a Nature Recovery Ranger / Senior Nature Recovery Ranger in London](https://sustainablehealthcare.org.uk/join-our-team-as-a-nature-recovery-ranger-in-london/) - As part of our Healthy by Nature programme, funded by The National Lottery Community Fund, we are looking for either a Nature Recovery Ranger or Senior Nature Recovery Ranger to join our team. The successful candidate will work across healthcare sites within Guy’s and St Thomas’ NHS Foundation Trust, supporting patients, staff and local communities to benefit from - [The £10bn Covid PPE scandal is just the tip of the iceberg ](https://sustainablehealthcare.org.uk/the-10bn-covid-ppe-scandal/) - By Chris Naylor, Policy Lead for the Centre for Sustainable Healthcare and Senior Fellow at The King’s Fund Recent revelations about the cost of personal protective equipment (PPE) wasted during the Covid-19 pandemic are almost hard to comprehend. The Covid inquiry estimates that two thirds of the £14.9 billion spent by the UK Government on PPE - [Sustainable Nephrology: Moving into the mainstream ](https://sustainablehealthcare.org.uk/sustainable-nephrology-moving-into-the-mainstream/) - Walking through the exhibition halls and conference rooms of European Renal Association (ERA) Congress in Glasgow, the scale was immediately apparent. As the world's largest kidney conference, the ERA Congress brings together thousands of clinicians, researchers and healthcare professionals from Europe and beyond. This year, however, something was different. For the first time, sustainability was included as a dedicated workshop within - [How SusQI Is Transforming Diabetes Care in Denmark: 52 Tonnes of CO₂e and Counting](https://sustainablehealthcare.org.uk/how-susqi-is-transforming-diabetes-care-in-denmark-52-tonnes-of-co₂e-and-counting/) - The Centre for Sustainable Healthcare (CSH) has collaborated with the seven Steno Diabetes Centers across Denmark, Greenland and the Faroe Islands, partly funded by Novo Nordisk Foundation, to integrate sustainability into diabetes care. Collectively, the Steno Diabetes Centers treat more than 30,000 people with diabetes, and benefit thousands more through research, education and preventive interventions. - [Sustainable Anaesthetics: Greener Gas, Better Care](https://sustainablehealthcare.org.uk/greener-gas-better-care/) - Sustainable Anaesthetics: Greener Gas, Better Care How Anaesthetic Teams Are Reducing Carbon Emissions Climate change presents the largest threat to human health, and the nexus between medical practices and environmental responsibility is gaining more attention. The ‘first do no harm’ oath that guides our practice as physicians is relevant within the landscape of climate change - [Healthcare adaptation in a heatwave](https://sustainablehealthcare.org.uk/healthcare-adaptation-in-a-heatwave/) - Heatwave frequency is rising due to climate change. Adaptation is vital. Here is a roundup of some useful heatwave related resources and articles from our library. Are there any other key resources you think we should include? Email us: comms@sustainablehealthcare.org.uk Planning The UK government Adverse Weather and Health Plan for 2026 outlines key areas where - [Long Read: Spotlight on Sustainable Kidney Care](https://sustainablehealthcare.org.uk/long-read-spotlight-on-sustainable-kidney-care/) - Why does kidney care need system-level decarbonisation? Kidney care is one of the most carbon-intensive medical specialties, contributing disproportionately to the overall carbon footprint of healthcare. This is the result of several factors, including dialysis resource intensity, high volumes of waste, and significant greenhouse gas emissions resulting from treatments, transport, and manufacturing. As kidney care - [Hampshire Hospitals Green Team Competition 2025](https://sustainablehealthcare.org.uk/hampshire-hospitals-green-team-competition-2025/) - In October 2025, Hampshire Hospitals NHS Foundation Trust presented their Green Team Competition Showcase in partnership with the Centre for Sustainable Healthcare, celebrating the achievements of clinical teams working to embed sustainability into everyday practice. The Green Team Competition is a clinical leadership and engagement programme for NHS organisations wishing to improve the sustainability of - [Launching the CSH Membership & Partner Programme](https://sustainablehealthcare.org.uk/launching-the-csh-membership-partner-programme/) - Today, we are launching the CSH Membership & Partner Programme, a new way for organisations to formally partner with the Centre for Sustainable Healthcare, access our networks and resources, and play an active role in transforming healthcare for people and the planet. The transition to sustainable healthcare cannot be achieved by any one organisation alone. - [Lancet MedZero tool launch and the Centre for Sustainable Healthcare ](https://sustainablehealthcare.org.uk/lancet-medzero-tool-launch-and-the-centre-for-sustainable-healthcare/) - Lancet MedZero Tool Launch and the Centre for Sustainable Healthcare The Lancet MedZero tool, launched on 20 May 2026, represents a significant step forward in understanding the carbon footprint of healthcare. At its core, MedZero is a free, online database that brings together some of the most advanced thinking in healthcare sustainability, convened by The Lancet and shaped by leading experts in carbon footprinting and clinical practice. - [Petrochemicals, Procurement and Patient Safety: Building a Resilient NHS](https://sustainablehealthcare.org.uk/petrochemicals-procurement-and-patient-safety/) - By Maia Shouksmith, Foundation year 1 resident doctor and Alhaji Bangura, PhD scholar, University of Wolverhampton When NHS England leaders warn that the health service is on “high alert” because of a conflict thousands of miles away, it’s hard to imagine the reason. But the recent Iran conflict – and the instability it triggered in - [Green Star Award for Dr Cathy Lawson, Environmentally Sustainable Anaesthesia Fellow](https://sustainablehealthcare.org.uk/news-2019-09-green-star-award-dr-cathy-lawson-environmentally-sustainable-anaesthesia-fellow/) - Dr Cathy Lawson is the National Fellow for Environmentally Sustainable Anaesthesia for the Association of Anaesthetists and the Centre for Sustainable HealthcCare in collaboration with Newcastle Upon Tyne Hospitals. In her role, Cathy works towards implementing sustainable systems within anaesthesia, encouraging doctors and hospitals to consider their environmental footprint by considering alternatives to established practices. - [World Health Day 2022: Our planet, our health](https://sustainablehealthcare.org.uk/blog-world-health-day-2022-our-planet-our-health/) - April 7th is World Health Day, a global health awareness event run by the World Health Organization. It also marks the anniversary of the founding of the World Health Organization in 1948, when the first World Health Assembly was held. Each year, a specific theme is chosen to draw worldwide attention to a global health - [CSH partners with KitNewCare to enhance kidney care across Europe](https://sustainablehealthcare.org.uk/news-2024-03-csh-partners-kitnewcare-enhance-kidney-care-across-europe/) - The Centre for Sustainable Healthcare (CSH) has partnered with KitNewCare to make kidney care more sustainable as part of the European Union’s key funding programme for Innovation and research to tackle climate change. - [This summer at CSH: Events, courses and more](https://sustainablehealthcare.org.uk/this-summer-at-csh-events-courses-and-more/) - We have a range of sustainable healthcare events, courses and networks to get involved with this summer. Missed any of our free online events? You can find recordings for most of them on our YouTube channel a few days after the event. Events SusQI Showcase The SusQI Showcase took place on 21 May, but you - [Green Nursing Challenge 2025: celebrating a transformative 15 week journey ](https://sustainablehealthcare.org.uk/green-nursing-challenge-2025-celebrating-a-transformative-15-week-journey/) - The Green Nursing Challenge 2025, delivered by the Centre for Sustainable Healthcare (CSH) and fully funded by Micro-Tech UK, brought together nursing teams across the UK to lead the next generation of sustainable change in healthcare. In partnership with the Queen’s Institute of Community Nursing and the Foundation of Nursing Studies, the programme supported six - [Forum for Sustainable Healthcare Canada: a week to remember](https://sustainablehealthcare.org.uk/forum-for-sustainable-healthcare-canada-a-week-to-remember/) - On 30 April, CSH CEO Rachel Stancliffe attended Synergie Santé Environnement's interregional Forum for Sustainable Healthcare in Montreal, hosted in collaboration with the Canadian Coalition for Green Health Care, Accreditation Canada, AQME, and CHUM. It was an extraordinary week, packed, energising, and full of the kind of conversations that remind you why this work matters. - [KitNewCare General Assembly](https://sustainablehealthcare.org.uk/kitnewcare-general-assembly/) - The KitNewCare (KNC) General Assembly, held in Bucharest on 14 –15 April 2026, brought together clinicians, work package leads, researchers, patient group representatives and industry partners at the halfway point of this Horizon Europe funded project, tasked with reducing the emissions of kidney care by 40%. As KNC enters its final two years, the focus - [A Moment of Risk for Sustainable Healthcare in England](https://sustainablehealthcare.org.uk/a-moment-of-risk-for-sustainable-healthcare-in-england/) - The NHS has a lot to be proud of in relation to sustainability. In the last five years, the Greener NHS programme has put in place legally-binding carbon reduction targets, built a national infrastructure for reporting and monitoring progress, and seen tangible progress on national priority areas such as anaesthetic gases and inhalers. But in - [One month to go: join us for the SusQI Showcase 2026!](https://sustainablehealthcare.org.uk/one-month-to-go-join-us-for-the-susqi-showcase-2026/) - Are you passionate about environmental sustainability and improving healthcare? Curious about what you can do to make your workplace more sustainable? Interested in hearing from others who are leading the way in making sustainable changes and shaping the future of healthcare? Discover the latest developments in Sustainability in Quality Improvement (SusQI) at our upcoming SusQI Showcase 2026, a - [World Kidney Day 2026: Caring for People, Protecting the Planet](https://sustainablehealthcare.org.uk/world-kidney-day-2026-caring-for-people-protecting-the-planet/) - CSH enthusiastically welcomes the World Kidney Day 2026 theme, “Kidney Health for All: Caring for People, Protecting the Planet”. At the 78th World Health Assembly, the World Health Organisation shared its first resolution dedicated to kidney disease, positioning the prevention and management of chronic kidney disease (CKD) as a global public health priority. As part - [Northampton University Hospitals Green Team Competition 2026](https://sustainablehealthcare.org.uk/northampton-university-hospitals-green-team-competition-2026/) - In March 2026, Northampton University Hospitals NHS Trust presented their Green Team Competition Showcase in partnership with the Centre for Sustainable Healthcare, celebrating the achievements of clinical teams working to embed sustainability into everyday practice. The Green Team Competition is a clinical leadership and engagement programme for NHS organisations wishing to improve the sustainability of - [CSH crowdfunder will support patient outcomes through green space development](https://sustainablehealthcare.org.uk/csh-crowdfunder/) - A growing body of evidence indicates that exposure to natural environments can exert measurable effects on patient recovery times, postoperative outcomes and psychological wellbeing. In alignment with this research base, the Centre for Sustainable Healthcare (CSH) has launched a national crowdfunding appeal to raise £60,000 in support of green space development across NHS healthcare sites - [Launching the Green Gastroenterology Challenge 2026](https://sustainablehealthcare.org.uk/launching-the-green-gastroenterology-challenge-2026/) - The Centre for Sustainable Healthcare (CSH) is delighted to launch the Green Gastroenterology Challenge 2026, a national programme supporting gastroenterology teams to lead practical action on sustainable healthcare. Six multi-professional teams will be selected to take part in this fully supported Challenge. Teams will receive expert mentoring from CSH to design, deliver and evaluate sustainable quality - [CSH are Hiring! Nature Recovery Ranger - Liverpool](https://sustainablehealthcare.org.uk/csh-are-hiring-nature-recovery-ranger-liverpool/) - As part of our Healthy by Nature programme, funded by the National Lottery Community Fund, we are looking for a Liverpool based ranger to join our team. This role is part of cohort 1 of the programme which comes to an end in March 2027. However, the role may be extended subject to available funding. The - [CSH are Hiring! Lead Facilitator - Education Team](https://sustainablehealthcare.org.uk/hiring-lead-facilitator-education/) - The Centre for Sustainable Healthcare are looking for a Lead Facilitator to join the Education Team. Reports To: Education Director Part-time post: 22.5 hours per week (0.6 FTE) Salary: £36,500 per annum (pro rata £21,900), plus contributory pension Fixed term for 12 months (with a view to extend into a permanent position) Apply by: Midnight - [Green Transplant Taskforce launched: open call for industry partners](https://sustainablehealthcare.org.uk/green-transplant-taskforce-launched-open-call-for-industry-partners/) - The Centre for Sustainable Healthcare (CSH) is launching the Green Transplant Taskforce, a new UK-wide initiative designed to place sustainability and equity at the heart of transplant care. Why focusing on transplant services? Transplant services are lifesaving, but they are also among the most resource-intensive areas of healthcare. As the NHS works towards its net zero - [Green Specialties: Sustainable Sports and Exercise Medicine](https://sustainablehealthcare.org.uk/green-specialties-sustainable-sports-and-exercise-medicine/) - Sustainable Sports and Exercise Medicine (SEM) not only aligns with its values but also supports the growth of the specialty as a whole. - [Green Specialties: Sustainable Neurosurgery   ](https://sustainablehealthcare.org.uk/green-specialties-sustainable-neurosurgery/) - Sustainable neurosurgery has lagged behind other specialties, but more can be done to improve both care and carbon emissions. - [Green Specialties: Sustainable Skin Cancer Care](https://sustainablehealthcare.org.uk/green-specialties-sustainable-skin-cancer-care/) - Healthcare systems can adopt the ‘triple bottom line’ approach to prioritise sustainable skin cancer care - [Green Specialties: Sustainable Eczema Care](https://sustainablehealthcare.org.uk/green-specialties-sustainable-eczema-care/) - Sustainable Eczema Care Environmental degradation is leaving its mark on our skin. From worsening eczema to rising skin cancer rates, dermatology has become an increasingly climate-sensitive field. The environmental drivers include irritant pollutants, rising temperatures, humidity, flooding, and the spread of infectious diseases. Wildfires and air pollution are now recognised as major contributors to dermatological - [Carbon Training: an overview of our work with NHS North East London Integrated Care System](https://sustainablehealthcare.org.uk/news-2023-12-carbon-training-overview-our-work-nhs-north-east-london-integrated-care-system/) - In December 2022, NHS North East London (NEL) put out a Request for Quotation for Carbon Training for North East London Integrated Care System. - [Sustainability in Sexual Health](https://sustainablehealthcare.org.uk/blog-sustainability-sexual-health/) - The NHS is responsible for an estimated 5% of the country’s carbon footprint and approximately 40% of the UK’s public sector greenhouse gas (GHG) emissions. The health system itself contributes to the climate health crisis and all specialties can reduce the harm they cause. The NHS England’s Delivering a ‘Net Zero’ National Health Service plan, - [New Sustainable Child Health Course in partnership with Royal College of Paediatrics and Child health](https://sustainablehealthcare.org.uk/news-2023-03-new-sustainable-child-health-course-partnership-royal-college-paediatrics-and-child/) - You are invited to take part in a new Sustainable Child Health Course in partnership with the Royal College of Paediatrics and Child health. - [Environmental literacy for health professionals](https://sustainablehealthcare.org.uk/blog-environmental-literacy-health-professionals/) - What is environmental literacy, and why should health professionals incorporate it into their education and practice? As the climate crisis poses increased environmental health risks to individuals and institutions, health professionals are in a unique position to respond and act. One way is to increase environmental literacy. What is environmental literacy? The concept of environmental - [Sustainability in Sexual Health](https://sustainablehealthcare.org.uk/sustainability-in-sexual-health/) - The NHS is responsible for an estimated 5% of the country’s carbon footprint and approximately 40% of the UK’s public sector greenhouse gas (GHG) emissions. The health system itself contributes to the climate health crisis and all specialties can reduce the harm they cause. The NHS England’s Delivering a ‘Net Zero’ National Health Service plan, - [Thank you for being a part of CSH in 2023!](https://sustainablehealthcare.org.uk/news-2023-12-thank-you-being-part-csh-2023/) - May you find beauty in the midst of midwinter As we prepare for 2024, it is time to reflect on the last year and look ahead to new prospects. We are thrilled that our team has increased in size and strength this year, allowing us to address the growing demand in sustainable healthcare. The number - [In conversation: welcoming our new trustees](https://sustainablehealthcare.org.uk/in-conversation-welcoming-our-new-trustees/) - Trustees play a crucial role in shaping the Centre for Sustainable Healthcare (CSH). They help guide our long-term vision, protect our values and ensure that our work remains both ambitious and practical. At a time when the health system is under growing pressure from climate change, workforce strain and inequality, the role of trustees is - [CSH at HTF 2025: Green Nephrology on the International Stage](https://sustainablehealthcare.org.uk/csh-at-htf-2025-green-nephrology-on-the-international-stage/) - We were delighted to see our former Nephrology Fellow and now Associate, Dr Marta Arias Guillén, representing the Centre for Sustainable Healthcare at Health Tech Forward 2025 held in Barcelona as part of Europe’s leading health tech innovation and investment event. With more than 1,000 attendees and over 150 speakers from 40+ countries, HTF 2025 brought together - [CSH’s Take on the National Emergency Briefing](https://sustainablehealthcare.org.uk/cshs-take-on-the-national-emergency-briefing/) - At the end of November, a significant moment took place in Westminster. Ten of the UK’s most respected experts on climate, nature, health, security and the economy gathered to deliver what was described as the country’s first national emergency-style briefing on the climate and nature crisis. Around 1,250 invited attendees — including MPs, members of - [We're hiring! New Nature Recovery Ranger roles](https://sustainablehealthcare.org.uk/were-hiring-new-nature-recovery-ranger-roles/) - We're hiring! New Nature Recovery Ranger roles As part of our Healthy by Nature programme, funded by the National Lottery Community Fund, we are looking for 3 rangers and 1 senior ranger to join our team. These 4 roles make up cohort 2 of the programme, joining our existing 5 rangers who began in the Spring - [Green Maternity Challenge Showcase marks the end of a transformative 16-week journey](https://sustainablehealthcare.org.uk/green-maternity-challenge-showcase-marks-the-end-of-a-transformative-16-week-journey/) - The Green Maternity Challenge 2024 has officially concluded with an online Showcase event, marking the end of an inspiring 16-week journey where NHS teams worked to reduce carbon emissions, enhance patient care, and address health inequalities in maternity services. The event brought together healthcare professionals, sustainability leaders, and lived experience representatives to celebrate the dedication, creativity, and impact of the - [Join the Green Maternity Showcase 2024-25](https://sustainablehealthcare.org.uk/join-the-green-maternity-showcase-2024-25/) - Join us for The Green Maternity Showcase 2024-25, an event dedicated to highlighting the inspiring work of the nine project teams taking part in the Green Maternity Challenge. These teams are leading the way in creating more sustainable and equitable maternity care. Date: Wednesday, 5 March 2025Time: 09:00–12:30 GMTLocation: Online (via Zoom) What to expect The event will feature 9 clinical teams - [Reusable medical products in the NHS: adoption, barriers, and enablers](https://sustainablehealthcare.org.uk/reusable-medical-products-in-the-nhs-adoption-barriers-and-enablers/) - The NHS produces 156,000 tonnes of clinical waste per year in England alone, a figure that is significantly heightened by single-use medical products. The Design for Life Roadmap is a plan to create a “circular economy for medical technology,” through which products are reused, remanufactured, or recycled, in turn realising financial and carbon savings. CSH’s - [Alberta Health Services Green Team Competition 2025](https://sustainablehealthcare.org.uk/alberta-health-services-green-team-competition-2025/) - In early 2025, Alberta Health Services (AHS) commenced their Calgary Zone Green Team Competition in partnership with the Centre for Sustainable Healthcare, a clinical leadership and engagement programme for healthcare organisations wishing to improve the sustainability of their services. This was our second competition with AHS, but CSH’s first ever licenced competition. After collaborating closely with us during - [The Lancet Countdown 2025 Report is out: here is CSH’s take on it ](https://sustainablehealthcare.org.uk/the-lancet-countdown-2025-report-is-out-here-is-cshs-take-on-it/) - The Lancet Countdown on Health and Climate Change is an international research collaboration monitoring the evolving impacts of climate change on health and tracking the benefits of climate action. In its 10th annual report, the 2025 Lancet Countdown reveals the latest evidence on how the health of people worldwide is deeply interlinked with our planet's - [Norfolk and Norwich University Hospitals NHS Foundation Trust Green Team Competition 2025](https://sustainablehealthcare.org.uk/norfolk-and-norwich-university-hospitals-nhs-foundation-trust-green-team-competition-2025/) - In May 2025, Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The Green Team Competition is a clinical leadership and engagement programme for NHS organisations wishing to improve the sustainability of their services. Through the programme, six clinical teams at NNUH were supported - [Planetary Health and Healthcare: lessons we cannot ignore](https://sustainablehealthcare.org.uk/planetary-health-and-healthcare-lessons-we-cannot-ignore/) - The Planetary Health Check 2025 makes for unsettling reading. Produced annually by the Planetary Boundaries Science (PBScience) project, in collaboration with the Planetary Guardians and partners, it assesses the state of the Earth system against the scientifically defined planetary boundaries. These boundaries act as guardrails for the planet’s resilience, helping us understand whether we remain within the - [Sustainability in Quality Improvement: how the NHS can cut costs and carbon](https://sustainablehealthcare.org.uk/sustainability-in-quality-improvement-how-the-nhs-can-cut-costs-and-carbon/) - As financial pressures intensify across the NHS, trusts are seeking solutions that deliver not only clinical excellence but also tangible cost savings. In this challenging environment, sustainability is often misunderstood as a “nice-to-have” – when in fact, it’s increasingly proving to be a strategic driver of financial resilience. Sustainability in Quality Improvement: how the NHS - [Greener NHS Progress Report: CSH’s take](https://sustainablehealthcare.org.uk/greener-nhs-progress-report-cshs-take/) - The NHS has published its five-year progress report on the journey towards net zero, marking an important moment for reflection and forward planning. Chris Naylor, Senior Fellow at The King’s Fund and CSH’s Policy Lead, contributed to the work of the NHS Net Zero Expert Panel that informed this report. Progress The report shows how - [Join the Greener Nursing Challenge showcase](https://sustainablehealthcare.org.uk/join-the-greener-nursing-challenge-showcase/) - HIV monitoring Green Team Competition project has won the Medipex Award 2025. It was recognised in the category of Process and Systems Innovations. - [New Green Maternity Report sets out priorities for sustainable, equitable care](https://sustainablehealthcare.org.uk/new-green-maternity-report-sets-out-priorities-for-sustainable-equitable-care/) - HIV monitoring Green Team Competition project has won the Medipex Award 2025. It was recognised in the category of Process and Systems Innovations. - [Wrightington, Wigan and Leigh Teaching Hospitals Green Team Competition 2025](https://sustainablehealthcare.org.uk/wrightington-wigan-and-leigh-teaching-hospitals-green-team-competition-2025/) - In May 2025, Wrightington, Wigan and Leigh (WWL) Teaching Hospitals NHS Foundation Trust commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. Through this latest Green Team Competition, projects across WWL are projected to deliver annual savings of £141,622 and reduce carbon emissions by 41,342 kgCO2e, the equivalent of driving 121,630 miles in - [Royal United Hospitals Bath Green Team Competition 2025](https://sustainablehealthcare.org.uk/royal-united-hospitals-bath-green-team-2025/) - In September 2024, RUH Bath commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £41,000 and 50,000kg CO₂e. This is the carbon footprint equivalent of driving over 147,000 miles in an average car (or 640 return trips between Bath and - [Coventry and Warwickshire Green Team Competition 2025](https://sustainablehealthcare.org.uk/coventry-and-warwickshire-green-team-2025/) - In October 2024, Coventry and Warwickshire commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition included 4 Trusts from Coventry and Warwickshire: South Warwickshire University NHS Foundation Trust, University Hospitals Coventry and Warwickshire NHS Trust, George Elliot Hospital and Coventry and Warwickshire Partnership NHS Trust. The competition has brought - [Northampton Green Team Competition 2025](https://sustainablehealthcare.org.uk/northampton-green-team-competition-2025/) - In September 2024, Northampton General Hospital (NGH) NHS Trust commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. Through this latest Green Team Competition, projects across Northampton General Hospital NHS Trust are projected to deliver annual savings of £111,350 and reduce carbon emissions by 28,093 kg CO₂e. Building on staff enthusiasm for sustainability, participants - [New Reusable Medical Technology Project Launching in 2025](https://sustainablehealthcare.org.uk/new-reusable-medical-technology-project-launching-in-2025/) - The Centre for Sustainable Healthcare (CSH) is proud to announce that we are partnering with the Department for Health and Social Care’s Design for Life team to deliver a groundbreaking pilot project 'Reusable MedTech in the NHS – Pioneering Sustainable Healthcare'. The primary aim of this project is to answer the question, 'how can the - [New CSH Nature Recovery Rangers to boost NHS green spaces](https://sustainablehealthcare.org.uk/new-nature-recovery-rangers/) - We're very pleased to announce a new expansion of our Nature Recovery Rangers programme this spring. The project will see CSH partner with nine NHS trusts across England to transform green spaces at healthcare sites. The Healthy by Nature project aims to boost both wellbeing and local biodiversity through ranger-led landscaping and nature-based activities. Generously - [South Health Campus, Alberta Health Services Green Team Competition 2024](https://sustainablehealthcare.org.uk/south-health-campus-alberta-health-services-green-team-competition-expected-to-save-221627-and-30981-kgco2e-annually/) - In May of this year, South Health Campus (SHC), one of the four adult care centres in the Calgary Zone, Alberta Health Services, Canada, commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the hospital of $221,627 and 30,981 kgCO2e. This is the - [Sustainability Series: Green Nephrology Guides](https://sustainablehealthcare.org.uk/blog-sustainability-series-green-nephrology-guides/) - Our Green Nephrology guides support you to implement simple but significant changes to make your renal unit more sustainable. This month we’ve been looking at how kidney care is being transformed to become a more environmentally and financially sustainable specialty. Renal units across the country have saved carbon, money and time, and have improved patient - [The Sustainable Prescription for Mental Health Care: Green Social Prescribing](https://sustainablehealthcare.org.uk/blog-sustainable-prescription-mental-health-care-green-social-prescribing/) - Mental health and physical health have a strong bidirectional relationship. A bidirectional relationship refers to two entities that influence each other, such as sleep quality and mental health, physical illness and stress, and arguably, nature and nurture. During the COVID-19 pandemic, many people around the world reported increased feelings of stress and anxiety. These emotions - [New Sustainable Healthcare eLearning sessions now live](https://sustainablehealthcare.org.uk/new-sustainable-healthcare-elearning-sessions-now-live/) - HIV monitoring Green Team Competition project has won the Medipex Award 2025. It was recognised in the category of Process and Systems Innovations. - [Work with us: Clinical Lead & Trustee opportunities available](https://sustainablehealthcare.org.uk/work-with-us-clinical-lead-trustee-opportunities-available/) - HIV monitoring Green Team Competition project has won the Medipex Award 2025. It was recognised in the category of Process and Systems Innovations. - [Medicines Waste: Understanding the problem and exploring solutions](https://sustainablehealthcare.org.uk/medicines-waste-understanding-the-problem-and-exploring-solutions/) - Medicines pathways and disposal of medicines waste accounts for a quarter of the NHS carbon footprint, costing at least £300 million per year. The ordering, issuing, dispensing, and delivery of medicines which are then thrown away represents significant amounts of wasted staff time across settings which are already under extreme pressure. The challenge of medicines - [Proven Green Team solution wins award for HIV monitoring](https://sustainablehealthcare.org.uk/proven-green-team-solution-wins-award-for-hiv-monitoring/) - HIV monitoring Green Team Competition project has won the Medipex Award 2025. It was recognised in the category of Process and Systems Innovations. - [Health on the line: the case for NHS climate adaptation](https://sustainablehealthcare.org.uk/health-on-the-line-the-case-for-nhs-climate-adaptation/) - The climate crisis is no longer a distant future risk, it is a current and growing threat to the delivery of safe, effective healthcare across the UK. Disrupted IT systems during heatwaves, flooded hospitals, and vulnerable patients increasingly exposed to environmental stressors are no longer warnings—they are today’s reality. The new policy report from the - [NHS ten-year plan: sustainability and the three big shifts](https://sustainablehealthcare.org.uk/why-sustainability-is-important-for-the-governments-three-big-shifts/) - A new ten-year plan for the NHS in England is expected in summer 2025. How do the government’s ‘three big shifts’ fit with a vision of sustainable healthcare? Key points • The 10 Year Health Plan will be published in 2025. • It is expected to set out the government’s plans for reforming the NHS in England. • The ‘three big shifts’ in the ten-year plan are: moving care from hospitals to - [Free global sustainability training for nurses and midwives ](https://sustainablehealthcare.org.uk/free-global-sustainability-training-for-nurses-and-midwives/) - Empowering nurses and midwives to lead on sustainable healthcare Nurses and midwives are being offered a unique opportunity to strengthen their leadership in sustainable healthcare through a new training series, fully funded by the Burdett Trust for Nursing. Developed to support climate action across health and social care, this programme equips professionals at every level with - [Welcome to our newest SusQI Academy members ](https://sustainablehealthcare.org.uk/welcome-to-our-newest-susqi-academy-members/) - Welcoming St George’s, Epsom and St Helier to the SusQI Academy This summer we are delighted to welcome colleagues from St George’s, Epsom and St Helier Hospital Group (GESH) to our community of SusQI Academy members and SusQI Beacon Sites. They will be working towards upskilling key members of the Sustainability, ContinuousImprovement and clinical teams, embedding the principles of sustainable healthcare and sustainable value into improvement work and programmes. This work will - [Nursing Challenge 2025: six teams begin their sustainability journeys ](https://sustainablehealthcare.org.uk/green-nursing-challenge-2025-six-teams-begin-their-sustainability-journeys/) - The Green Nursing Challenge 2025 is officially underway. Following a rigorous application process, six outstanding teams have been selected to take part in this year’s programme, designed to support nurses in leading sustainable healthcare improvements. Delivered by the Centre for Sustainable Healthcare, the challenge combines expert training, coaching, and project support to empower nursing teams - [Green Team Competition project shortlisted for Medipex Award ](https://sustainablehealthcare.org.uk/green-team-competition-project-shortlisted-for-medipex-award/) - We are proud to recognise that a project from our 2022 Green Team Competition with Northamptonshire Healthcare NHS Foundation Trust has been named a finalist in the Medipex NHS Innovation Awards 2025. The project, led by Dr Lynn Riddell, redefined the pathway for HIV monitoring by shifting from six-monthly to annual reviews for stable patients. With strong patient support - [Sustainable Maternity Care in focus: lessons from the frontline](https://sustainablehealthcare.org.uk/sustainable-maternity-care-in-focus-lessons-from-the-frontline/) - We’re delighted to share that Angela Hayes, Clinical Nurse Fellow and Project Lead at the Centre for Sustainable Healthcare, has been featured on the Patient Safety Learning hub. In her blog, Angela reflects on the Green Maternity Challenge, drawing on three compelling case studies that demonstrate how sustainable approaches can deliver low carbon, equitable and safe - [How to teach Sustainable Quality Improvement: lessons from 10 institutions](https://sustainablehealthcare.org.uk/how-to-teach-sustainable-quality-improvement-lessons-from-10-institutions/) - We are pleased to share our latest research paper published in BMJ Open Quality. Sustainability in Quality Improvement (SusQI) is a framework that enables healthcare professionals to improve how good health is achieved and healthcare delivered in line with social, economic and environmental sustainability goals. SusQI education provides healthcare learners with the knowledge and practical skills for sustainable - [Clean air is critical care: the healthcare case for action](https://sustainablehealthcare.org.uk/clean-air-is-critical-care-the-healthcare-case-for-action/) - Air pollution is not just an environmental issue, it is a major health crisis. It affects us from before birth right through to old age, contributing to heart and lung disease, stroke, diabetes and even mental health conditions. This Clean Air Day (19 June 2025), we join partners across the health sector to call for urgent - [Greener NHS: simple swaps for Great Big Green Week 2025](https://sustainablehealthcare.org.uk/greener-nhs-simple-swaps-for-great-big-green-week-2025/) - The Great Big Green Week, is a nationwide celebration of community-led action for climate and nature, and healthcare has a vital role to play. At the Centre for Sustainable Healthcare (CSH), we’re proud to stand with NHS staff, community groups, schools and organisations across the UK who are working to build a greener, healthier future. - [New tools and workshops to improve the living kidney donor pathway](https://sustainablehealthcare.org.uk/new-tools-and-workshops-to-improve-the-living-kidney-donor-pathway/) - We’re pleased to launch a new toolkit and carbon footprint calculator to support teams in evaluating and improving the Living Kidney Donor (LKD) assessment pathway. These resources are part of the Mapping the LKD Pathway project, supported by The Health Foundation, and developed in collaboration with NHS Blood and Transplant, the UK Kidney Association, and individuals with lived experience. The LKD - [Insights from the field: Entonox talks from our network](https://sustainablehealthcare.org.uk/insights-from-the-field-entonox-talks-from-our-network/) - We’ve launched the Ending Entonox Waste project, a new initiative to support NHS trusts in tackling avoidable greenhouse gas emissions from Entonox use. Entonox, a 50:50 mix of nitrous oxide and oxygen, is widely used in maternity care but is a significant and often overlooked contributor to NHS emissions. Research shows that a typical 4-hour labour using - [New Nature for Health resource hub supports healthcare sites to improve patient outcomes](https://sustainablehealthcare.org.uk/new-nature-for-health-resource-hub-supports-healthcare-sites-to-improve-patient-outcomes/) - The new online Nature for Health Resource Hub for Healthcare Sites will support healthcare professionals to make life-changing nature-based interventions more available to patients and staff. The hub is the result of a collaboration between Natural England and the Centre for Sustainable Healthcare. The resources are aimed at all healthcare sites and offer much-needed support - [New Future of Health and Social Care project launching in 2025](https://sustainablehealthcare.org.uk/new-future-of-health-and-social-care-project-launching-in-2025/) - The Centre for Sustainable Healthcare is proud to announce that we are partnering with the Burdette Trust for Nursing to launch a groundbreaking pilot project aimed at improving sustainable practice education and training for nurses and midwives across the UK. This project will create a set of dedicated courses for nurses and midwives with the aim of - [A spotlight on Women's Health and Sexual Health](https://sustainablehealthcare.org.uk/news-2023-06-spotlight-womens-health-and-sexual-health/) - It's encouraging to witness the growing momentum for sustainability within Women's health, as numerous events and initiatives take shape in the field. Key Resources Dr Ayoma Ratnappuli's great blog provides an outline of sustainable healthcare as it relates to sexual health, and signposts to examples of work undertaken in the field The British Association of Sexual - [Hampshire Hospitals NHS Foundation Trust Green Team Competition 2024](https://sustainablehealthcare.org.uk/hampshire-hospitals-nhs-foundation-trust-green-team-competition-2024/) - In May of this year, Hampshire Hospitals NHS Foundation Trust (HHFT) commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £365,991 and 108,212 kgCO2e. This is the carbon footprint equivalent of driving 318,842 miles in an average car (or 385 return - [CSH are Hiring! Administration & Finance Assistant](https://sustainablehealthcare.org.uk/csh-are-hiring-administration-finance-assistant/) - CSH are looking for a full time Administration and Finance Assistant to join our team. Home-based remote working with monthly travel to Oxford. Full time: 37.5 hours per week (30 hours per week on request for the right candidate). Salary for full time hours: £25,500 per annum (plus contributory pension). 25 days of annual leave - [CSH are Hiring! Nurse & Midwifery Innovation Project Lead](https://sustainablehealthcare.org.uk/csh-are-hiring-nurse-midwifery-innovation-project-lead/) - The Centre for Sustainable Healthcare (CSH) is looking for a Nurse & Midwifery Innovation Project Lead to join our team! This is an exciting opportunity for a Registered Nurse or Midwife who is passionate about climate action, social justice, and healthcare innovation. Home-based remote working with monthly travel to Oxford Part-time: 30 hours per week (0.8 FTE) Salary: £38,000 per annum, pro rata - [CSH are Hiring! 3 Nature Recovery Rangers & 1 Senior Nature Recovery Ranger! ](https://sustainablehealthcare.org.uk/csh-are-hiring-3-nature-recovery-rangers-1-senior-nature-recovery-ranger/) - The Centre for Sustainable Healthcare (CSH) is looking for three Nature Recovery Rangers and one Senior Nature Recovery Ranger to join our team! If you’re passionate about biodiversity, community engagement, and sustainability in healthcare, this is an exciting opportunity to make a real impact. Nature Recovery Rangers (Three positions available across Nottinghamshire, East & North Herts, Newcastle upon Tyne, Dorset) As a Nature - [One month to go: join us for the SusQI Showcase 2025!](https://sustainablehealthcare.org.uk/one-month-to-go-join-us-for-the-susqi-showcase-2025/) - Are you passionate about environmental sustainability and improving healthcare? Curious about what you can do to make your workplace more sustainable? Interested in hearing from others who are leading the way in making sustainable changes and shaping the future of healthcare? Discover the latest developments in Sustainability in Quality Improvement (SusQI) at our upcoming SusQI Showcase 2025, a - [World Health Day 2025: hopeful futures through greener maternity care](https://sustainablehealthcare.org.uk/world-health-day-2025-hopeful-futures-through-greener-maternity-care/) - Every year on 7 April, World Health Day marks a global moment to reflect on the health challenges facing our world and to take collective action. In 2025, the World Health Organization (WHO) has chosen maternal and newborn health as the central theme under the powerful banner: “Healthy beginnings, hopeful futures.” This year’s campaign is a rallying cry - [CSH are Hiring! Clinical Communications and Networks Lead](https://sustainablehealthcare.org.uk/csh-are-hiring-csh-clinical-communications-and-networks-lead/) - The Centre for Sustainable Healthcare are looking for a Communications and Networks Lead. Home-based with monthly travel to Oxford Reports to Chief Operating Officer Full-time or Part-time: 30-37.5 hours per week (0.8-1.0 FTE) Salary: £35,000 per annum, pro rata plus contributory pension 12-month fixed term contract, with intention to extend. Apply by: 09.00am on - [CSH are Hiring! Sustainability Analyst](https://sustainablehealthcare.org.uk/csh-are-hiring-csh-sustainability-analyst/) - CSH Sustainability Analyst Home-based with monthly travel to Oxford. Reports To: Lead Sustainability Analyst Full-time or Part-time: 30-37.5 hours per week (0.8-1.0 FTE) Salary: £35,000 per annum, pro rata plus contributory pension Fixed term one-year contract (with potential for conversion to a permanent role) Apply by: 09.00am on Thursday 1 May 2025 Expected online interview date: - [CSH are Hiring! Green Team Delivery Lead](https://sustainablehealthcare.org.uk/csh-are-hiring-green-team-delivery-lead/) - Green Team Delivery Lead Home-based with monthly travel to Oxford Full-time or Part-time: 30-37.5 hours per week (0.8-1.0 FTE) Salary: £37,500 per annum, pro rata, plus contributory pension Fixed term one-year contract (with potential for conversion to a permanent role) Apply by: 09.00am on Thursday 1 May 2025 Expected online interview date: 20 May 2025 - [CSH are Hiring! Lead Facilitator - Education Team](https://sustainablehealthcare.org.uk/csh-are-hiring-lead-facilitator-education-team/) - The Centre for Sustainable Healthcare are looking for a Lead Facilitator to join the Education Team. Home-based with monthly travel to Oxford. Reports To: Education and Training Lead Part-time: 22.5-30 hours per week (0.6-0.8 FTE) Salary: £36,500 per annum, pro rata, plus contributory pension Fixed term one-year contract (with potential for conversion to a permanent - [CSH are Hiring! Fundraising Officer](https://sustainablehealthcare.org.uk/csh-are-hiring-fundraising-officer/) - The Centre for Sustainable Healthcare are looking for a Fundraising Officer. Home-based with monthly travel to Oxford. Full time post (0.8 FTE considered for the right candidate) Salary: £25,500 with career progression options Fixed term for 12 months (with a view to extend into a permanent position) Apply by: 09:00am Thursday 1st May Expected interview date: - [New Sustainable Kidney Care project starting in 2025](https://sustainablehealthcare.org.uk/new-sustainable-kidney-care-project-starting-in-2025/) - Sustainable Kidney Care - Implementing Best Practice Project summary Kidney care is one of the most resource-intensive specialities in healthcare, making it a key focus for achieving sustainability goals. Recognising this the Centre for Sustainable Healthcare (CSH), UK Kidney Association and Health Innovation North -East and North Cumbria have partnered to develop a pioneering initiative - [NHS England calls for routine assessment of the environmental impact of innovative technologies](https://sustainablehealthcare.org.uk/nhs-england-calls-for-routine-assessment-of-the-environmental-impact-of-innovative-technologies/) - The Innovation Ecosystem Programme: Accelerating NHS Innovation, a major national review, has recommended that the NHS needs to build capabilities in assessing the environmental impact of new technologies. The Innovation Ecosystem Programme, led by NHS England over the last 18 months and chaired by Roland Sinker CBE, was set up to establish how the NHS can adopt - [Climate crisis and sustainable healthcare: When unions stand up for the workers in times of trouble](https://sustainablehealthcare.org.uk/blog-climate-crisis-and-sustainable-healthcare-when-unions-stand-workers-times-trouble/) - Action to tackle climate and ecological breakdown could improve the health, wellbeing, and standard of living for us all, but how exactly can tackling environmental issues help with societal health and social inequality? And how exactly can unions help with that? Following her talk for UNISON entitled "Why Greening the NHS matters for all of - [Great Ormond Street Hospital for Children NHS Foundation Trust Green Team Competition expected to save £284,098 and 4,797 kgCO2e annually](https://sustainablehealthcare.org.uk/blog-great-ormond-street-hospital-children-nhs-foundation-trust-green-team-competition-expected-save/) - In September last year, Great Ormond Street Hospital for Children NHS Foundation Trust (GOSH) commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £284,098 and 4,797 kgCO2e. This is the carbon footprint equivalent of driving 14,167 miles in an average car - [Making maternity care sustainable and equitable](https://sustainablehealthcare.org.uk/blog-making-maternity-care-sustainable-and-equitable/) - The Centre for Sustainable Healthcare is collaborating with the Royal College of Obstetricians & Gynaecologists, the Royal College of Midwives and the Sustainable Healthcare Coalition on an innovative SBRI funded project to develop quality improvement interventions that will improve the social and environmental sustainability of maternity care. But why is making maternity care - [The Centre for Sustainable Healthcare's response to the World Health Assembly's resolution on climate change and health](https://sustainablehealthcare.org.uk/blog-centre-sustainable-healthcares-response-world-health-assemblys-resolution-climate-change-and/) - On 30 May 2024, a landmark resolution on climate change and health was adopted during the World Health Assembly (WHA). 194 World Health Organization (WHO) member states voted to adopt this resolution, which specifically acknowledges climate change as a major threat to public health and sets out a framework to promote healthcare as part of - [Why CSH is taking collective action to deliver low carbon, equitable maternity care](https://sustainablehealthcare.org.uk/blog-how-improve-equity-and-sustainability-maternity-care-key-target-areas/) - CSH are proud to be leading one of the most innovative, groundbreaking and comprehensive projects in maternity care in the UK, and in this article we explore why this matters to us and why sustainability and equity in maternity care is so essential. Maternity services are among the NHS’s most crucial and high-volume services, with - [NHS Sustainability Day 2024: How to take action as an individual, team or healthcare organisation](https://sustainablehealthcare.org.uk/blog-nhs-sustainability-day/) - Monday, 8th July 2024, is dedicated to the NHS Sustainability Day of Action. This occasion highlights the NHS’s efforts towards a greener future and the crucial role of sustainability in health service and product decisions. It also offers a chance to learn about innovative strategies the NHS can adopt to deliver healthcare while reducing its - [CSH's joint letter to NICE: Act more urgently on climate change](https://sustainablehealthcare.org.uk/blog-cshs-joint-letter-nice-act-more-urgently-climate-change/) - The Centre For Sustainable Healthcare (CSH) has been working alongside the National Institute for Health and Care Excellence (NICE) for almost 10 years, to ensure that sustainability becomes a core element of its mission to provide best practice guidance to the NHS and wider healthcare system, but NICE is falling far behind in those efforts - [The Centre for Sustainable Healthcare and the Queen's Nursing Institute joint nursing and midwifery sustainability manifesto](https://sustainablehealthcare.org.uk/the-centre-for-sustainable-healthcare-and-the-queens-nursing-institute-joint-nursing-and-midwifery-sustainability-manifesto/) - The Centre for Sustainable Healthcare in collaboration with the Queen's Nursing Institute are proud to announce the launch of our joint Nursing and Midwifery Sustainability Manifesto. This comprehensive document outlines our collective vision for a climate resilient, sustainable, equitable and patient centred healthcare system, and we urge the incoming government to prioritise these essential changes and - [The Centre for Sustainable Healthcare's response to the NHS Constitution 10-year review consultation](https://sustainablehealthcare.org.uk/blog-centre-sustainable-healthcares-response-nhs-constitution-10-year-review-consultation/) - As strong advocates for sustainable healthcare, we at the Centre for Sustainable Healthcare are deeply invested in the future of the National Health Service. The NHS Constitution 10-year review presents a pivotal opportunity to reshape healthcare in England and put a significant focus on a more sustainable, more equitable and healthier future for the whole - [The Centre For Sustainable Healthcare and the Queen's Nursing Institute joint nursing and midwifery sustainability manifesto](https://sustainablehealthcare.org.uk/blog-centre-sustainable-healthcare-and-queens-nursing-institute-joint-nursing-and-midwifery/) - The Centre for Sustainable Healthcare (CSH) in collaboration with the Queen's Nursing Institute are proud to announce the launch of our joint nursing and midwifery sustainability manifesto. This comprehensive document outlines our collective vision for a climate resilient, sustainable, equitable and patient centred healthcare system, and we urge the incoming government to prioritise these essential - [Can a vegan diet help your health and the environment?](https://sustainablehealthcare.org.uk/blog-can-vegan-diet-help-your-health-and-environment/) - It's Veganuary! Since 2014, the Veganuary campaign has been encouraging people to pledge to try a vegan diet for a month. It aims to show how easy and delicious it can be to eat a plant-based diet, and highlights the climate arguments and compassionate values that drive many people to go vegan. Thousands of people - [The Planetary Health Report Card (PHRC) 2024: Inspiring change in healthcare education](https://sustainablehealthcare.org.uk/blog-planetary-health-report-card-phrc-2024-inspiring-change-healthcare-education/) - What is the Planetary Health Report Card (PHRC)? The Planetary Health Report Card (PHRC) is an international student organisation, advocating for the integration of planetary health education within health professional schools worldwide. Through its assessments and collaborations, the PHRC aims to catalyse positive change, increasing awareness of planetary health and accountability in medical schools. At the - [How health professionals can use social media to spread environmental awareness](https://sustainablehealthcare.org.uk/blog-how-health-professionals-can-use-social-media-spread-environmental-awareness/) - Following the recent findings of the IPCC 2021 report, the evidence around how human-induced climate change has accelerated global warming is devastating. Rising temperatures have brought an increased frequency and magnitude of extreme weather events including heatwaves, wildfires, floods and storms. Consequently, we may see a rise in vector-borne disease, respiratory disease due to air pollution, displacement resulting in the rise of climate refugees and many more adverse effects. Despite this - [Momentum is building, so let’s keep going: Extending our efforts in sustainable healthcare](https://sustainablehealthcare.org.uk/blog-momentum-building-so-lets-keep-going-extending-our-efforts-sustainable-healthcare/) - 'The clear message to everyone working for a green, healthy, and liveable future: keep going, momentum is building' (The Lancet Planetary Health, 2021) These words in a recent editorial to The Lancet Planetary Health (2021) are both highly encouraging and deeply resonant with my experience of what is happening in the world of healthcare at - [West Yorkshire and Harrogate Climate Change Team: A year of sustainable achievements](https://sustainablehealthcare.org.uk/blog-west-yorkshire-and-harrogate-climate-change-team-year-sustainable-achievements/) - After many years of being an anaesthetist with an interest in sustainability, I was appointed to the role of Climate Change Lead for my local integrated care system (ICS) West Yorkshire and Harrogate Health and Care Partnership. Along with a small but committed team, we set about delivering one of the ICS’s Big Ambitions, spelled - [NHS Sustainability Day 2021: how to take action as an individual, team or trust](https://sustainablehealthcare.org.uk/blog-nhs-sustainability-day-2021-how-take-action-individual-team-or-trust/) - What a year to be thinking about the sustainability of the NHS. All of those of us working within our National Health Service have a huge amount to be proud of given the progress made in terms of NHS sustainability despite the strain on health services caused by the Covid-19 pandemic. Thank you all for - [Sustainability Series: What is sustainable quality improvement?](https://sustainablehealthcare.org.uk/blog-sustainability-series-what-sustainable-quality-improvement/) - This month’s sustainability series blog focuses on Sustainable quality improvement (SusQI). Dr Frances Mortimer, CSH’s Clinical Director provides an overview of SusQI as well as some updates on recently published papers. We are interested to hear of anyone using SusQI in their work, so do get in touch below or directly with Frances. ------------------------------------------------------ Health - [62 medical schools join the Planetary Health Report Card this year!](https://sustainablehealthcare.org.uk/blog-62-medical-schools-join-planetary-health-report-card-year/) - The Planetary Health Report Card (PHRC) is a student-driven, metric-based initiative to inspire planetary health and education for sustainable healthcare in medical schools. There are metrics in five categories - curriculum, research, community outreach, student support and sustainability. The goals of PHRC are to: Operate as a needs assessment tool to identify institutions’ planetary health strengths - [Set a value for sustainability](https://sustainablehealthcare.org.uk/blog-set-value-sustainability/) - By Raluca VestemeanuI have been self-isolating for over two months now. I feel extremely privileged to be able to work from home, but I do worry about my parents, who have both lost their jobs since the pandemic started, and for my brother, who might need to restart his first year of university. We were - [Make it electric](https://sustainablehealthcare.org.uk/make-it-electric/) - Care without Carbon met with our colleague Ben Whittaker who is an Assertive Outreach Worker/Occupational Therapist with Brighton Assertive Outreach Team in Sussex Partnership and Occupational Therapy Programme Lead for the Centre for Sustainable Healthcare. Ben owns an electric car which he uses for all his travel in this community based job. Ben tells us - [Thank you for being part of CSH in 2019!](https://sustainablehealthcare.org.uk/blog-thank-you-being-part-csh-2019/) - What an amazing year! The explosion of consciousness about the climate emergency this year, helped by hundreds of thousands of children with the School Strikes led by Thunberg and also by Attenborough, Extinction Rebellion and many others has been incredible. Not a moment too soon, but for the many people who have been plugging away - [What have we been up to...?](https://sustainablehealthcare.org.uk/blog-what-have-we-been/) - Since we started the Centre for Sustainable Healthcare 10 years ago, out of a concern for the future of healthcare and of people’s health in light of climate change, sustainability has matured from a fringe issue to mainstream. Everyone, from NHS Trusts to patient groups, is doing their own version. For us, sustainable healthcare is - [CSH celebrates 10 years of sustainable healthcare](https://sustainablehealthcare.org.uk/blog-csh-celebrates-10-years-sustainable-healthcare/) - As the NHS turns 70, the Centre for Sustainable Healthcare turns 10 and we want to reflect on the last decade of work and look forward to what lies ahead. To celebrate our first decade of working towards more environmentally sustainable healthcare practices, we celebrated by: having a party, producing an impact report, and introducing - [Why is planting trees any good anyway?](https://sustainablehealthcare.org.uk/blog-why-planting-trees-any-good-anyway/) - For our blog this month we welcome guest blogger David Jackson who is the Sustainability Project Coordinator for the Mid-Essex Hospital Services NHS Trust. He is also the NHS Forest Lead from Broomfield Hospital, which has seen many hundreds of trees planted under his watch. Like all green plants, trees use photosynthesis to produce food; - [Sustainability Series: Sustainable occupational therapy resource map](https://sustainablehealthcare.org.uk/blog-sustainability-series-sustainable-occupational-therapy-resource-map/) - Sustainable occupational therapy practice: Resource map Welcome to the Occupational Therapy Sustainability Network resource map page. We hope that this page will be useful in providing a general introduction to sustainable healthcare and sustainable occupational therapy practice resources. What is sustainable healthcare? Sustainable healthcare can be defined as ‘care delivered in a way that does - [Sustainability Series: The role of education in sustainable occupational therapy](https://sustainablehealthcare.org.uk/blog-sustainability-series-role-education-sustainable-occupational-therapy/) - This month Sustainable Occupational Therapy volunteer, Jenny Rickard, joins us to let us know why she thinks achieving change in sustainability all begins with education. Occupational therapy, with its holistic approach to problem-solving and ability to understand complex contextual factors, is in a position to play a critical role in framing issues around sustainability and - [Sustainability Series: Occupational therapy: Improving lives, saving money, reducing carbon](https://sustainablehealthcare.org.uk/blog-sustainability-series-occupational-therapy-improving-lives-saving-money-reducing-carbon/) - This month we welcome Ben Whittaker, our Sustainable OT lead at the Centre for Sustainable Healthcare, to round off the sustainability series with some insights into sustainable occupational therapy (OT). Following this post will be three others from CSH’s occupational therapy sustainability volunteers, Niamh, Sam and Jenny. ----------------------------------------------------------- Last month I wrote about the Guiding - [Sustainability Series: How can dentistry be made more sustainable?](https://sustainablehealthcare.org.uk/blog-sustainability-series-how-can-dentistry-be-made-more-sustainable/) - This month we are pleased to welcome our sustainable dental scholar Darshini Ramasubbu to the blog as she gives an overview of how dentistry can be made more sustainable. 'A sustainable health and care system is achieved by delivering high quality care and improved public health without exhausting natural resources or causing severe ecological damage’ - [Sustainability Series: Making nursing greener](https://sustainablehealthcare.org.uk/blog-sustainability-series-making-nursing-greener/) - It is no secret that the environment and healthcare are linked. On the upside, there are huge overlaps between caring for our health and the environment – co-benefits - that offer double wins and engaging with the natural environment can bring substantial health benefits. But climate change poses enormous risks to health and healthcare provision - [Sustainability Series: Sustainable Mental Health Guides](https://sustainablehealthcare.org.uk/blog-sustainability-series-sustainable-mental-health-guides/) - In our last blog by Dr. Daniel Maughan we looked at how mental healthcare could be made more sustainable. This week we showcase some approaches mentioned by Dr. Maughan through our Sustainable Mental Health Guides. These guides outline some ideas and interventions that you can use to implement a more sustainable approach to mental healthcare - saving carbon and money whilst maintaining high levels - [Sustainability Series: A more sustainable approach to mental health care](https://sustainablehealthcare.org.uk/blog-sustainability-series-more-sustainable-approach-mental-health-care/) - We are pleased to welcome Dr. Daniel Maughan to the Sustainability Series this month. Dr. Maughan worked for CSH as the Research Fellow for Sustainable Psychiatry from 2013-2015 and is now the RCPsych Associate Registrar in Sustainability as well as a consultant psychiatrist. Much of Dr. Maughan's work on sustainable mental health care can be - [Sustainability Series: The idea of using nature for health and wellbeing is very current, but as the opportunity is grasped we need to keep thinking](https://sustainablehealthcare.org.uk/blog-sustainability-series-idea-using-nature-health-and-wellbeing-very-current-opportunity-grasped/) - As part of CSH's Sustainability Series, we welcome Dr. Dan Bloomfield from the University of Exeter and the Dose of Nature programme, to share his views on why the time is right for the environmental and health sectors to work together. In recent years there has been a great deal of effort in the UK - [Sustainability Series: Snapshot of Kidney Care](https://sustainablehealthcare.org.uk/blog-sustainability-series-snapshot-kidney-care/) - Examining the environmental impact of kidney care. Kidney care is a key carbon emitter In 2015 NHS England emitted 22.8 million tonnes of CO2eq. Kidney care contributes significantly and disproportionately to this. The carbon cost of individuals receiving kidney care is 161 kg CO2eq per bed day, compared to the average 80 kg CO2eq per - [We work in healthcare – of course we care about carbon!](https://sustainablehealthcare.org.uk/blog-we-work-healthcare-course-we-care-about-carbon/) - The World Health Organisation has stated that climate change is “the greatest threat to global health in the 21st Century”. The Marmot Review ‘Fair Society, Healthy Lives’ highlighted that the impacts of climate change will be felt disproportionately by vulnerable groups including economically disadvantaged people, and those with mental illness. Those who most need healthcare - [Green Prescribing for Sustainable Healthcare: Learning Resources](https://sustainablehealthcare.org.uk/news-2021-08-green-prescribing-sustainable-healthcare-learning-resources/) - The recordings and learning resources from our event, ‘Green Prescribing for Sustainable Healthcare: from Policy to Practice,' are available on this site. Can we harness the power of nature to support the physical, mental, social, emotional and spiritual well-being for each person and the population as a whole, helping to prevent illness? And how can we steward and care for - [Cancer specialists pledge to reduce carbon emissions](https://sustainablehealthcare.org.uk/news-2010-03-cancer-specialists-pledge-reduce-carbon-emissions/) - Senior NHS cancer clinicians and managers have pledged to reduce carbon emissions and work towards sustainable cancer services. The pledge came in a statement agreed at the end of a one-day national summit held at University College London Hospitals NHS Foundation Trust (UCLH) last week to explore the carbon consequences of modern cancer care. The - [Greener Mental Health- Mental health professionals support low carbon, high quality services](https://sustainablehealthcare.org.uk/news-2010-03-greener-mental-health-mental-health-professionals-support-low-carbon-high-quality/) - A one-day national summit ‘Mental health services 2020- High quality, low carbon’ was jointly organised by the Campaign for Greener Health Care and the Royal College of Psychiatrists. Participants included mental health professionals from the NHS, Department of health, Royal college members, academia and the third sector. Why mental health? Mental health services have always - [Carbon footprint of a renal service points finger at drugs and equipment](https://sustainablehealthcare.org.uk/news-2011-05-carbon-footprint-renal-service-points-finger-drugs-and-equipment/) - A carbon footprint study of a UK renal service published in the Quarterly Journal of Medicinethis month confirms the importance of tackling supply chain emissions, revealing that the procurement of goods and services accounts for 72% of the carbon impact of kidney care - even more than the 60% from procurement in the NHS carbon footprint. - [Greener Inhalers for the UK](https://sustainablehealthcare.org.uk/news-2012-06-greener-inhalers-uk/) - The Centre's Sustainable Respiratory Care group will lead research on why the UK continues to use inhalers with a much higher carbon footprint than other European countries. 25,000 people a year die of Chronic Obstructive Pulmonary Disease (COPD) in the UK alone and the NHS spends £420 million a year directly on treating COPD with - [Ed Davey, The Secretary of State for Energy and Climate Change, visits CSH](https://sustainablehealthcare.org.uk/news-2013-03-ed-davey-secretary-state-energy-and-climate-change-visits-csh/) - When we asked whom Ed worked with in the Department of Health his honest reply was that Health was not a department that he frequently links with because there are so many others. The policy of the government at present is to concentrate on directly cleaning up the sources of energy emissions as a priority - [Preparing Medical Students to lead a Sustainable Healthcare System](https://sustainablehealthcare.org.uk/news-2013-06-preparing-medical-students-lead-sustainable-healthcare-system/) - Academic and professional health bodies have expressed concern that climate change, in its direct and indirect effects, will pose the greatest health risk of the 21st century. Yet education about the links between climate change, sustainability, health and healthcare in medical training is rare. This project, funded by the Higher Education Authority (HEA), enlisted medical - [BMJ Supports Sustainable Healthcare: Rachel Stancliffe and Mahmood Bhutta: Should doctors lead on sustainability?](https://sustainablehealthcare.org.uk/news-2013-07-bmj-supports-sustainable-healthcare-rachel-stancliffe-and-mahmood-bhutta-should-doctors/) - Welcome to a new series of blogs on sustainable healthcare that will look at health, sustainability and the interplay between the two. The blog will share ideas from experts across the healthcare field, some of whom are speaking at a major European conference looking at Pathways to Sustainable Healthcare in September 2013. More about the - [BMJ Supports Sustainable Healthcare Frances Mortimer: Sustainable Clinical Practice](https://sustainablehealthcare.org.uk/news-2013-07-bmj-supports-sustainable-healthcare-frances-mortimer-sustainable-clinical-practice/) - Welcome to the second in a series of BMJ blogs on sustainable healthcare that will look at health, sustainability, and the interplay between the two. In the second in a series of BMJ blogs on sustainable healthcare, Frances Mortimer, medical director of the Centre for Sustainable Healthcare, explains why clinicians are central to improving sustainability, and introduces - [Sustainable models of care at CleanMed](https://sustainablehealthcare.org.uk/news-2013-10-sustainable-models-care-cleanmed/) - The major event in September for CSH was the annual CleanMed Europe Conference in Oxford. This was an event that looked at different aspects of sustainability in healthcare settings. It presented a real challenge to improving the sustainability of current healthcare models. The focus at CleanMed was different each day, with the first day focusing on ‘making the - [CleanMed Europe 2013 accelerates the push towards a sustainable European healthcare system](https://sustainablehealthcare.org.uk/news-2013-10-cleanmed-europe-2013-accelerates-push-towards-sustainable-european-healthcare-system/) - The fourth CleanMed Europe conference, Europe’s leading conference on the intersection between environmental sustainability and healthcare, took place last month, organised by the Centre for Sustainable Healthcare (CSH) and Health Care Without Harm Europe (HCWH Europe). The conference drew together more than 300 leaders from the healthcare, public health and environmental sectors, including many people - [A Call for Mental Health Sustainability Representatives](https://sustainablehealthcare.org.uk/news-2013-11-call-mental-health-sustainability-representatives/) - The Centre for Sustainable Healthcare is working with the Royal College of Psychiatrists to develop a network of those interested in promoting sustainability in mental health services. Although Mental Health Susnet has been running for some time we are putting out a 'call for sustainability representatives' with an ambition to spread the network to every - [Sustainability of mental health services - survey request](https://sustainablehealthcare.org.uk/news-2013-12-sustainability-mental-health-services-survey-request/) - The Royal College of Psychiatrists and the Centre for Sustainable Healthcare are joining up to try to improve the sustainability of mental health services across the UK. As a major component of this initiative we are asking all sustainability leads of mental health Trusts to complete a survey to find out about their sustainable practices. - [Plant 2 trees @ 2 o'clock for NHS Sustainability Day](https://sustainablehealthcare.org.uk/news-2014-03-plant-2-trees-2-oclock-nhs-sustainability-day/) - NHS Sustainability Day of Action takes place on 27th March, with lots of activities taking place around the country. The Centre for Sustainable Healthcare is encouraging partners to plant 2 trees at 2 o'clock to show its support for the NHS Forest. The trees are free, thanks to the kind sponsorship of The Great Outdoor - [The busy month of March](https://sustainablehealthcare.org.uk/news-2014-04-busy-month-march/) - This month saw three big events on three subsequent days. On the 26th March, Dr Daniel Maughan, RCPsych Sustainability Fellow 2013-15, gave the evening lecture at the new Royal College of Psychiatry premises. He was introduced by Dame Sue Bailey who gave some really positive words about how the profile of sustainability within the college has improved - [The Oxford Good Food Charter](https://sustainablehealthcare.org.uk/news-2014-06-oxford-good-food-charter/) - Good Food Oxford is proud to present The Oxford Good Food Charter. Good Food Oxford is part of the Sustainable Food Cities Network. Its aim is to identify and catalyse actions by individuals and organisations in and around Oxford that will measurably reduce the greenhouse gas emissions associated with Oxford’s food system while promoting environmental - [BMJ Blogs on Sustainability: What has Climate Change got to do with Mental Health?](https://sustainablehealthcare.org.uk/news-2014-09-bmj-blogs-sustainability-what-has-climate-change-got-do-mental-health/) - Daniel Maughan, the Royal College of Psychiatrists' Sustainability Fellow, looks at the evidence of how climate change is impacting on mental health in the latest BMJ Blog coordinated by the Centre for Sustainable Healthcare. If you are interested in writing a blog on health and sustainability to go on the BMJ website, go to the BMJ Blog webpage - [Putting sustainability into practice conference - actions for sustainable health and social care systems](https://sustainablehealthcare.org.uk/news-2014-10-putting-sustainability-practice-conference-actions-sustainable-health-and-social-care/) - To address the challenges and goals set out in the SDU's Sustainable Development Strategy, the NHS, public health and social care systems in the South of England have established a Sustainability Network. The network is made up of local leads from across the healthcare and public health systems that link local champions, networks, and examples - [Resource stewardship and the ethical duty to prevent waste](https://sustainablehealthcare.org.uk/news-2014-11-resource-stewardship-and-ethical-duty-prevent-waste/) - On 6th November, Radio 4 last broadcasted a discussion about whether doctors have an “ethical duty” to prevent waste. The debate was prompted by the launch of a new report commissioned by the Academy of Medical Royal Colleges and co-authored by Dr Daniel Maughan, the Royal College of Psychiatrists’ Sustainability Fellow 2013-15. The report, “Protecting resources, - [NHS waste reduction explored at Westminster](https://sustainablehealthcare.org.uk/news-2014-11-nhs-waste-reduction-explored-westminster/) - “NHS: efficiency savings through waste reduction” was the subject of a joint meeting of the All-Party Parliamentary Health Group and the All-Party Parliamentary Sustainable Resource Group earlier this month. The All-Party Parliamentary Groups provide a forum to inform debate among members of Parliament on key policy issues, and the event was chaired by Neil Carmichael - [Sustainable healthcare education published in the Lancet](https://sustainablehealthcare.org.uk/news-2014-12-sustainable-healthcare-education-published-lancet/) - The Lancet has this week published a letter about the curriculum for sustainable healthcare, based on work by CSH and the Sustainable Healthcare Education network over the last four years. The Sustainable Healthcare Education (SHE) Network involves academics, doctors and medical students from around the UK. Its aim is to introduce teaching about sustainable healthcare - [Go Green for 2015 - Top Tips for General Practice Teams](https://sustainablehealthcare.org.uk/news-2014-12-go-green-2015-top-tips-general-practice-teams/) - Severn Deanery sustainability scholar, Dr. Sara Vogan, supervised by CSH, has produced seven Top Tips for GPs to be more sustainable. The recommendations were presented as a prize-winning poster at this year's Royal College of General Practitioners conference, and are also available as a leaflet. 'More than cycling & recycling', the Top Tips highlight carbon - [Fossil Free Healthcare](https://sustainablehealthcare.org.uk/news-2015-01-fossil-free-healthcare/) - On the 3rd February, Healthy Planet are publishing their report “Unhealthy Investments”, co-authored with MedAct, The Climate and Health Council, Medsin and the Centre for Sustainable Healthcare. This will be a crucial step towards further engagement on fossil fuel divestment from the health sector. Divestment offers a way to treat one of the root causes - [Climate Change and Health Meeting at Clarence House](https://sustainablehealthcare.org.uk/news-2015-03-climate-change-and-health-meeting-clarence-house/) - On 23rd February, Director of CSH, Rachel Stancliffe, attended a meeting at Clarence House organised by The Climate and Health Council and hosted by His Royal Highness The Prince of Wales' International Sustainability Unit (ISU) to discuss the role of UK health professionals in addressing climate change and health. Round the table were representatives of the - [Clinical staff innovating for sustainability at UCLH](https://sustainablehealthcare.org.uk/news-2015-03-clinical-staff-innovating-sustainability-uclh/) - Ward and unit teams have been putting together innovative sustainability projects as part of the Green Ward Competition that has been running over the last six weeks at University College, London Hospitals. CSH has been supporting teams of nurses and doctors to implement green innovations in their settings and measure the environmental, social and financial impacts - [GMC Tomorrow's Doctors references sustainable healthcare outcomes](https://sustainablehealthcare.org.uk/news-2015-04-gmc-tomorrows-doctors-references-sustainable-healthcare-outcomes/) - The GMC has updated the online version of Tomorrow's Doctors to include a link to the priority learning outcomes for sustainable healthcare, which were developed by the SHE Network through a national consultation in 2012-13. Tomorrow's Doctors sets standards and outcomes for undergraduate medical training, and forms the basis of medical school curricula nationally. Appendix - [Working with health and environment teams to improve health monitoring of green space projects](https://sustainablehealthcare.org.uk/news-2015-05-working-health-and-environment-teams-improve-health-monitoring-green-space-projects/) - CSH has been involved in a great project with Central Bedfordshire to engage both the countryside access and health teams. The team have helped develop robust health monitoring systems which will be evaluated by a newly established steering group. These will be used to determine the health benefits of taking part in exercise in nature. Part of - [Launch of Sustainable Food In Hospitals: a guide to inspire, empower and transform](https://sustainablehealthcare.org.uk/news-2015-06-launch-sustainable-food-hospitals-guide-inspire-empower-and-transform/) - This Guide, authored by Karina Patricio, doctor and professor of public health at the Faculty of Medicine of Botucatu, Brazil and former Centre of Sustainable Healthcare intern, provides an examination of what sustainable food is and sets out what hospitals can do to transform their approach to food. Case studies provide practical examples including that - [AMEE 2015: sustainability takes the stage in medical education](https://sustainablehealthcare.org.uk/news-2015-09-amee-2015-sustainability-takes-stage-medical-education/) - It was exciting to see sustainability centre stage at the major international medical education conference, AMEE 2015, which took place in Glasgow earlier this month. Dr Sarah Walpole, Research Lead for Sustainable Healthcare Education at CSH, chaired a Symposium titled “Social Accountability - Medical Students as Leaders for Sustainable Healthcare”. There is a widespread movement - [An Inspiring Day at the NHS Forest Conference](https://sustainablehealthcare.org.uk/news-2015-09-inspiring-day-nhs-forest-conference/) - We certainly had a fantastic day at the NHS Forest Conference, it was great to see so many health and green space professionals in one place having some lively discussions and developing partnerships. We are hugely grateful to University Hospital Birmingham for hosting the event and providing us with an inspiring tour of their site - [Fourth RCPsych Sustainability Scholarship - open to psychiatry trainees in the North West](https://sustainablehealthcare.org.uk/news-2015-10-fourth-rcpsych-sustainability-scholarship-open-psychiatry-trainees-north-west/) - Applications are invited from advanced trainees (ST4 and above) in the North West and Mersey Schools of Psychiatry to this exciting post, working with the Centre for Sustainable Healthcare, the Royal College of Psychiatrists and Liverpool Clinical Commissioning Group, to apply sustainability principles in mental health commissioning. The North West Scholar will be one of four Scholars - [Psychiatrists cycle to mark launch of sustainable commissioning guidance](https://sustainablehealthcare.org.uk/news-2015-10-psychiatrists-cycle-mark-launch-sustainable-commissioning-guidance/) - Four NHS psychiatrists cycled from Oxford to London today to mark the launch of new guidance for mental health commissioners. The four psychiatrists including Royal College of Psychiatrists (RCPsych) Registrar, Dr Adrian James were showing their commitment to sustainability in mental health by cycling 65 Miles from Oxford to London. Dr Phil Davison, Dr Adrian James, - [Happy Festive Season!](https://sustainablehealthcare.org.uk/news-2015-12-happy-festive-season/) - Wishing you a very Happy Festive Season and looking forward to a healthy and dynamic New Year in 2016! From the team at the Centre for Sustainable Healthcare. - [Happy New Year 2016!](https://sustainablehealthcare.org.uk/news-2016-01-happy-new-year-2016/) - The start of a new year is a time for standing back and seeing a broader perspective, and for those of us working in health, this includes thinking about how we can improve the health of our patients and the general public, and at the same time make healthcare more sustainable. The recent global meeting in Paris gives an unprecedented mandate for the health community to ensure that health professionals, the public and policy makers fully recognise both the major health threats posed by climate change, and the immense health opportunities offered by concerted climate action. - [CSH investigating the Mental Health Outcomes of using Waterways](https://sustainablehealthcare.org.uk/news-2016-01-csh-investigating-mental-health-outcomes-using-waterways/) - The Centre for Sustainable Healthcare is delighted to announce the start of a new project with the Canal & River Trust, the charity which cares for 2,000 miles of waterway in England and Wales. This will involve designing pilot studies to measure the mental health benefits for people using waterways. The project will include a - [Outdoor gyms help health and save carbon](https://sustainablehealthcare.org.uk/news-2016-02-outdoor-gyms-help-health-and-save-carbon/) - Obesity and diabetes are soaring at shocking rates and the NHS is spending £9bn a year on tackling health issues like these that are linked to physical inactivity. Multiple reputable studies show that exercise can help to prevent these health issues and several reports show that taking exercise outdoors is more beneficial that exercising indoors. - [‘Our Community, Our Park’ - The Friends of Woodfield Park Project, St Catherine’s Hospital, Doncaster](https://sustainablehealthcare.org.uk/news-2016-03-our-community-our-park-friends-woodfield-park-project-st-catherines-hospital/) - Multiple studies have shown that being outdoors can help people to stay healthier and to recover more quickly when they are ill. The Centre for Sustainable Healthcare believes that access to green space activities offers a low-carbon alternative, or complementary, healthcare option and runs the NHS Forest programme at 160 sites across the UK to support healthcare providers to encourage patients, staff and - [Six months in... the RCPsych Sustainability Scholars](https://sustainablehealthcare.org.uk/news-2016-03-six-months-rcpsych-sustainability-scholars/) - In Autumn 2015, four psychiatry trainees were appointed as part-time Sustainability Scholars, charged with taking forward the work begun by Dr. Daniel Maughan in the 2013-15 RCPsych Sustainability Fellowship. While Daniel's Fellowship focused on research and policy development, the Scholarships are about getting things into practice. With support from CSH, each Scholar is paired with a forward-thinking clinical commissioning - [New Sustainable Dentistry e-learning resource launched today](https://sustainablehealthcare.org.uk/news-2016-03-new-sustainable-dentistry-e-learning-resource-launched-today/) - A new e-learning session on sustainable dentistry has been released today, to mark NHS Sustainability Day 2016. The resource has been developed by dentists, Dr Devika Vadher and Dr Divya Verma, working with CSH as Sustainable Dentistry Scholars. (*Update: the module has been update and re-launched in May 2023*) - [CSH's NHS Forest sites planted 2 trees at 2 o'clock on NHS Sustainability Day](https://sustainablehealthcare.org.uk/news-2016-03-cshs-nhs-forest-sites-planted-2-trees-2-oclock-nhs-sustainability-day/) - Several NHS sites planted two trees at 2 o'clock - 2@2 - to mark NHS Sustainability Day 2016 - March 24th. These hospitals are part of the Centre for Sustainable Healthcare's NHS Forest project, which helps healthcare organisations make greenspace at NHS sites available for people's wellbeing. The NHS Forest sites include: Broadgreen Hospital, part of the - [The Great Outdoor Gym Company helps the NHS Forest plant new woodlands](https://sustainablehealthcare.org.uk/news-2016-03-great-outdoor-gym-company-helps-nhs-forest-plant-new-woodlands/) - The Great Outdoor Gym Company (TGO, http://www.tgogc.com/) is helping the Centre for Sustainable Healthcare's NHS Forest project (http://nhsforest.org/) to plant new woodlands at several healthcare sites across the UK. TGO have generously sponsored more than 4,000 trees for the NHS Forest, and have pledged a further 300 trees to our charitable programme. Thanks to TGO's sponsorship, new woodlands have - [NHS ward staff taking action to green healthcare on NHS Sustainability Day 2016](https://sustainablehealthcare.org.uk/news-2016-03-nhs-ward-staff-taking-action-green-healthcare-nhs-sustainability-day-2016/) - Staff at Dartford & Gravesham NHS Trust and University College London Hospitals are today waiting to hear whether their projects will win the Green Ward Competition and secure £500 to spend on further green innovation. Over the last six weeks staff from both NHS Trusts, with support from the Centre for Sustainable Healthcare and, at - [UK health services unprepared for climate change, warns major new health alliance](https://sustainablehealthcare.org.uk/news-2016-03-uk-health-services-unprepared-climate-change-warns-major-new-health-alliance/) - UK health services are currently unprepared for the risks posed by climate change, warns a major new health alliance launching today. - [WHO event highlights Public Space as An Invaluable Resource to Deliver Sustainable Urban Health](https://sustainablehealthcare.org.uk/news-2016-04-who-event-highlights-public-space-invaluable-resource-deliver-sustainable-urban-health/) - “Smart design and investment in sustainable public spaces can help increase levels of physical activity, reduce traffic injuries, urban violence and urban air pollution including greenhouse gas emissions, both protecting public health and mitigating climate change”. This summarises the key conclusions of a WHO side event at a Habitat III Thematic Meeting on Public Spaces - [Saving money and cutting carbon – new research and tools for health professionals](https://sustainablehealthcare.org.uk/news-2016-06-saving-money-and-cutting-carbon-new-research-and-tools-health-professionals/) - The NHS and wider health sector could save up to £414m and cut 1 million tonnes of carbon emissions every year by 2020 through making changes that can also benefit people’s health. A new report by the Sustainable Development Unit for NHS England and Public Health England selected 35 areas and calculated their financial and - [Green Impact: Better Healthcare - New Partnership between NUS and CSH](https://sustainablehealthcare.org.uk/news-2016-07-green-impact-better-healthcare-new-partnership-between-nus-and-csh/) - We’re delighted to announce a new partnership between CSH and NUS, building on the work of their highly successful behaviour change and staff engagement programme Green Impact to make it even more relevant and tailored to the healthcare environment. Pretty exciting. Through creating a ‘Green Impact: Better healthcare’ bolt-on to the standard programme, NHS trusts - [Dr Dan Bloomfield - Prescribing Nature piece on BBC1](https://sustainablehealthcare.org.uk/news-2016-09-dr-dan-bloomfield-prescribing-nature-piece-bbc1/) - Dr Dan Bloomfield, the author of the Dose of Nature Report and NERC Knowledge Exchange Fellow at the University of Exeter, is talking about nature prescription on the Breakfast Show on BBC1 tomorrow morning - September 6th - at around 07:30am. Dan produced this useful summary of relevant research investigating how nature helps people's wellbeing - http://nhsforest.org/sites/default/files/Dose_of_Nature_evidence_report_0.pdf - [We need your help - CSH's Annual Appeal!](https://sustainablehealthcare.org.uk/news-2016-12-we-need-your-help-cshs-annual-appeal/) - Dear Friends, last year, the 2015 Lancet Commission concluded that our response to climate change could be “the greatest global health opportunity of the 21st century”. And during 2016, The Centre for Sustainable Healthcare has grasped this opportunity by opening up discussions on tackling climate change in key clinical areas, such as mental health, nursing - [CSH awarded funding for a new sustainable healthcare project](https://sustainablehealthcare.org.uk/news-2017-01-csh-awarded-funding-new-sustainable-healthcare-project/) - The Centre for Sustainable Healthcare (CSH) is delighted to announce that we have received funding for a new sustainable healthcare project from Postcode Local Trust. Postcode Local Trust is a grant-giving charity funded entirely by players of People’s Postcode Lottery, and CSH's project has recently received £18,282 from the Trust to establish a Green and - [Dartford & Gravesham Push for Second Year of Sustainable Healthcare](https://sustainablehealthcare.org.uk/news-2017-03-dartford-gravesham-push-second-year-sustainable-healthcare/) - Staff at Dartford & Gravesham NHS Trust are preparing to run the Green Ward Competition for a second year. This sees Dartford & Gravesham’s Darent Valley Hospital become a leader in clinical sustainability as staff undertake new projects to improve sustainability and patient care. The Green Ward Competition is a programme designed and run by - [Green Ward Competition Kicks Off at University Hospital Southampton](https://sustainablehealthcare.org.uk/news-2017-05-green-ward-competition-kicks-university-hospital-southampton/) - And they’re off! Another Green Ward Competition started on Thursday the 25th of May with three of the six teams attending workshops at University Hospital Southampton. The remaining 3 teams will join workshops in the coming week, so it's not too late for new teams to join in, if they want a chance to win - [Green Ward Winners Announced at University Hospital Southampton](https://sustainablehealthcare.org.uk/news-2017-09-green-ward-winners-announced-university-hospital-southampton/) - The winning project has been announced at University Hospital Southampton. Teams were competing for a £500 prize to spend on further green innovation. The Acute Medical Unit scooped the prize for its project, “Reduction in Duplicate Orders of Medicine”. The Unit's green team (made up of clinical staff) reduced the number of duplicate medicine orders from patients transferring onto the ward. - [Blood tests, pyjama paralysis and paper: Green Ward Competition projects at St.Peter’s Hospital](https://sustainablehealthcare.org.uk/news-2017-11-blood-tests-pyjama-paralysis-and-paper-green-ward-competition-projects-stpeters/) - Reducing unnecessary daily blood tests, reducing pyjama paralysis and avoiding abundant paper use for processing patients are among the many projects co-designed by CSH at St. Peter’s Hospital’s Green Ward Competition. Eight wards from across Ashford and St. Peter’s NHS Trust signed up and attended sustainable healthcare workshops with our OT Lead, Ben Whittaker. Workshops - [A snapshot of the sustainable specialties: The Sustainability Series](https://sustainablehealthcare.org.uk/news-2018-01-snapshot-sustainable-specialties-sustainability-series/) - The Sustainability Series offers a useful overview of numerous different specialities- so far we've featured sustainable mental health care, kidney care and the use of green spaces for health. - [Sustainability Series: 4 principles of sustainable dentistry](https://sustainablehealthcare.org.uk/blog-sustainability-series-4-principles-sustainable-dentistry/) - You can download the PDF of this guide here: dentistry_case_studies_2.pdf - [New Green and Blue Health Routes in Jericho, Oxford](https://sustainablehealthcare.org.uk/news-2018-04-new-green-and-blue-health-routes-jericho-oxford/) - In 2016, the Centre for Sustainable Healthcare secured funding from the Postcode Local Trust to create a Green and Blue Health Route in Jericho - an area of Oxford which includes a stretch of the Oxford Canal. The Postcode Local Trust is a grant-giving charity funded entirely by players of People's Postcode Lottery. Green Health - [Green Ward Competitions announced at Leeds and Royal Devon and Exeter Trusts](https://sustainablehealthcare.org.uk/news-2018-04-green-ward-competitions-announced-leeds-and-royal-devon-and-exeter-trusts/) - Two new Trusts have started their sustainable healthcare journey by running a Green Ward Competition with CSH. Leeds Teaching Hospitals NHS Trust wanted to take their sustainability work in waste and facilities to the next level by engaging clinicians through the Competition. The first round of workshops have been run already. One project involves improving - [CSH bags funding for our Living Well in Blackbird Leys project](https://sustainablehealthcare.org.uk/news-2018-04-csh-bags-funding-our-living-well-blackbird-leys-project/) - The Centre for Sustainable Healthcare is delighted to announce it has bagged £4,000 from Tesco’s Bags of Help community grant scheme for a community and nature project in Blackbird Leys in Oxford. We would like to thank everyone across Oxford who voted in Tesco's stores for our Living Well in Blackbird Leys project and we - [Sustainability in quality improvement: the time has come!](https://sustainablehealthcare.org.uk/news-2018-06-sustainability-quality-improvement-time-has-come/) - In 2 papers published in the Future Healthcare Journal this week, my co-authors and I put forward a simple approach for incorporating sustainability into mainstream QI methodologies, which we have called the ‘SusQI’ framework. - [New funding announced for a project supporting fitter families in Banbury](https://sustainablehealthcare.org.uk/news-2018-06-new-funding-announced-project-supporting-fitter-families-banbury/) - The Centre for Sustainable Healthcare is excited to be partnering with Cherwell District Council on a new project in Banbury. Thanks to funding from Sport England, the Council will be involving families in a programme of fun, physical activities, starting this summer. CSH will be coordinating the various partners involved in this new scheme, including the local housing association, - [Three sustainability courses: education, leadership skills, quality improvement](https://sustainablehealthcare.org.uk/news-2018-07-three-sustainability-courses-education-leadership-skills-quality-improvement/) - CSH is launching a new Sustainability School and will be running three courses this autumn. Sustainable Healthcare Education 1-day Masterclass Tuesday 11th September, London This one-day masterclass is designed for health professional educators and students to develop skills for integrating planetary health and sustainable healthcare into existing curricula and teaching. The focus is on the constraints - [Improving eye health and integrating sustainability](https://sustainablehealthcare.org.uk/blog-improving-eye-health-and-integrating-sustainability/) - Greetings to our CSH blog readers! My name is Mary, and I’m a recent graduate of the MSc course in Evidence-based Social Intervention and Policy Evaluation from Oxford. I’m working with CSH on building their case library and this month will introduce initiatives to incorporate sustainability into ophthalmology. In relation to National Eye Health Week, - [Health and Climate Change Scientific Symposium](https://sustainablehealthcare.org.uk/blog-health-and-climate-change-scientific-symposium-2/) - Center for Sustainable Healthcare is happy to participate at the First Scientific Symposium on Health and Climate Change. The event will take place in Rome, between 3-5 december 2018. The aim of the Symposium is to promote an intersectoral and multidisciplinary approach to estimate, and to prevent, climate change-related events as well as to prepare - [Health and Climate Change Scientific Symposium](https://sustainablehealthcare.org.uk/blog-health-and-climate-change-scientific-symposium/) - Center for Sustainable Healthcare is happy to participate at the First Scientific Symposium on Health and Climate Change. The event will take place in Rome, between 3-5 December 2018. The aim of the Symposium is to promote an intersectoral and multidisciplinary approach to estimate, and to prevent, climate change-related events as well as to prepare - [New Green Ward Competition at Barts](https://sustainablehealthcare.org.uk/news-2019-01-new-green-ward-competition-barts/) - Lindsey Jarrett, Sustainability Programme Coordinator at Barts Health NHS Trust, has commissioned CSH to give clinical teams the opportunity to enter the Green Ward competition with the aim of contributing to sustainable clinical practice in the Trust. After a good response to a call for applications, six clinical teams have been selected to participate - [Welcome to Cathy, Environmentally Sustainable Anaesthesia Fellow](https://sustainablehealthcare.org.uk/news-2019-01-welcome-cathy-environmentally-sustainable-anaesthesia-fellow/) - CSH is delighted to welcome Dr. Cathy Lawson as the first Environmentally Sustainable Anaesthesia Fellow. Cathy is an anaesthetic and intensive care medicine trainee in the North East. Her interest in environmental sustainability took off when she was elected as a member of the Group of Anaesthetists in Training (GAT) committee at the Association of Anaesthetists - [Sustainability in the NHS Long Term Plan](https://sustainablehealthcare.org.uk/news-2019-01-sustainability-nhs-long-term-plan/) - CSH welcomes the first NHS Long-term Plan, published in January 2019. Some of the key ideas underpinning sustainability: greater emphasis on prevention; patient-centred care; and integration across current silos, are central to the 10 year plan. Alongside changing models of care there are also some specific carbon reduction and efficiency targets. All these elements echo - [New Green Ward Competition Launched TODAY at Royal Devon & Exeter Hospital](https://sustainablehealthcare.org.uk/news-2019-03-new-green-ward-competition-launched-today-royal-devon-exeter-hospital/) - After a very successful 2018 competition, the Royal Devon and Exeter (RD&E) Hospital have commissioned CSH to run a Green Ward Competition for the second year running as a way to continue to transform daily clinical work at RD&E to become more sustainable. The competition has been launched today! New features for the 2019 competition include - [Simon Stevens backs a greater public health focus](https://sustainablehealthcare.org.uk/news-2019-06-simon-stevens-backs-greater-public-health-focus/) - As reported in this weeks' BMJ, Simon Stevens, has said that the NHS will commission public services in areas where local authorities are allocating insufficient funding due to council spending cuts. Lack of adequate public health services such as smoking cessation, sexual health services and school nursing are leading to increased prevalence of disease in - [Masterclasses: Education for Sustainable Healthcare](https://sustainablehealthcare.org.uk/news-2019-07-masterclasses-education-sustainable-healthcare/) - By 2020, the General Medical Council expects medical schools to meet the GMC Outcomes for graduates 2018, including new requirements for sustainable healthcare and quality improvement. The Centre for Sustainable Healthcare offers masterclasses to help clinical educators and curriculum designers integrate the priority learning objectives for sustainable healthcare into medical education. Outcomes 3 – Professional - [Nature Indoor Walk at Marston Court](https://sustainablehealthcare.org.uk/news-2019-08-nature-indoor-walk-marston-court/) - Hello, My name is Julia Glassman and I’m a graduate student at the University of Michigan’s School for Environment and Sustainability. This news article is a follow-up on my previous post from June! I’ve had the pleasure of interning with the Centre for Sustainable Healthcare, where I got to create my first Indoor Nature Walk at - [AMEE Conference 2020 Glasgow](https://sustainablehealthcare.org.uk/news-2019-09-amee-conference-2020-glasgow/) - The International Association for Medical Education in Europe (AMEE) will hold its 2020 conference in Glasgow. We are working on the conference theme “Introducing sustainable health care into health professions curricula”, this is an excellent opportunity to develop health messages for COP26 which takes place in Glasgow soon after. Please consider submitting a proposal for - [Embedding Sustainability in the Medical Academy at Gothenburg University, Sweden](https://sustainablehealthcare.org.uk/news-2019-11-embedding-sustainability-medical-academy-gothenburg-university-sweden/) - Three of the CSH team had the great pleasure to take part in the sustainable week of action at the Sahlgrenska Academy, the medical faculty of Gothenburg University last week. We kicked off the week with a presentation on sustainable healthcare, followed by a seminar for lecturers and programme directors on how it can be - [Winners announced for the Royal Devon & Exeter Green Ward Competition 2019!](https://sustainablehealthcare.org.uk/news-2019-11-winners-announced-royal-devon-exeter-green-ward-competition-2019/) - Frontline clinical and support staff presented their sustainable quality improvement projects to judges on 17th October. Marina Morgan, Consultant Microbiologist and one of the judging panel, commented; ‘I was humbled by the sheer enthusiasm of colleagues in all disciplines, making real and sustainable changes with genuine tangible benefits for the environment and patients.’ The winners were - [Sustainability in Quality Improvement Education project launched](https://sustainablehealthcare.org.uk/news-2019-12-sustainability-quality-improvement-education-project-launched/) - CSH is launching a two-year project in partnership with King's College London (KCL), the Health Foundation and Health Education England to support the integration of sustainability into undergraduate and postgraduate education on healthcare quality improvement. Despite growing awareness and concern about the climate and ecological emergency, as well as Government and NHS commitments on carbon - [2020: How would we act if we were in a climate emergency?](https://sustainablehealthcare.org.uk/news-2020-01-2020-how-would-we-act-if-we-were-climate-emergency-0/) - Welcome to 2020! It’s going to be a busy year. Building on the momentum of 2019 and the increased awareness of the climate emergency, we are seeing a huge increase in requests for help in understanding and engaging with sustainable healthcare. So many good things beginning to happen in different parts of the health system, - [What medical students learned on their elective](https://sustainablehealthcare.org.uk/news-2020-03-what-medical-students-learned-their-elective/) - Ian, Sarah, Charlotte and Mostafa are 4th year students at Oxford Medical School. They joined us in February 2020 for a 4-week student-selected module and worked on our Sustainable Healthcare Education (SHE) projects: medical school survey, teaching materials, educational video series, online course design, conference posters; as well as work for other CSH programmes such - [The Centre for Sustainable Healthcare is joining the 2.6 challenge](https://sustainablehealthcare.org.uk/news-2020-04-centre-sustainable-healthcare-joining-26-challenge/) - The Centre for Sustainable Healthcare (CSH) joins The 2.6 Challenge, a nationwide fundraising campaign launched in response to COVID-19 to save the UK's Charities. Any funds raised by CSH will be used to buy trees to plant at our 190+ NHS Forest sites across the UK. These will enhance natural outdoor spaces at hospitals and - [Growing Sustainable Healthcare via Connecting Q locally](https://sustainablehealthcare.org.uk/news-2020-04-growing-sustainable-healthcare-connecting-q-locally/) - We are proud to announce that we have been successful in winning an award from the Health Foundation as part of their ‘Connecting Q Locally’ initiative. The key aims of the project are:1. to raise awareness of the importance of sustainability, which is a vital dimension of quality improvement, with those working to improve health and care - [CSH Sustainability School: New Online Courses!](https://sustainablehealthcare.org.uk/news-2020-05-csh-sustainability-school-new-online-courses/) - In response to unprecedented interest, we are expanding our offer of interdisciplinary training courses on sustainability, health and healthcare. The courses are designed for health professionals, senior leaders, educators, students, and sustainability and estates managers. Registration information is posted here for the individual courses below: Introduction to Sustainable Healthcare Green Space and Health - [Health and Social Care Recovery from Covid 19. A six step guide by organisations committed to tackling the climate crisis and promoting health](https://sustainablehealthcare.org.uk/news-2020-09-health-and-social-care-recovery-covid-19-six-step-guide-organisations-committed/) - Today, the BMJ has published a joint article (by representatives from The Centre for Sustainable Healthcare, UK Health Alliance on Climate Change, Healthcare Without Harm Europe, The Sustainable Healthcare Coalition, and the grassroots group Health Declares Climate & Ecological Emergency) outlining six recommendations for the recovery of our health and social care system, from the covid-19 pandemic. - [NHS England commits to net-zero emissions by 2040](https://sustainablehealthcare.org.uk/news-2020-10-nhs-england-commits-net-zero-emissions-2040/) - Today England’s National Health Service has announced its commitment to achieve net zero carbon emissions by 2040, and net zero within its supply chain by 2045. NHS England has shown fantastic leadership in being the first national health service to make a net zero commitment and has clearly recognized the urgency of including climate change - [Frimley cuts costs and carbon with Green Ward](https://sustainablehealthcare.org.uk/news-2020-10-frimley-cuts-costs-and-carbon-green-ward/) - The Centre for Sustainable Healthcare and the Frimley NHS Foundation Trust held the Green Ward Competition Awards on the 30th September 2020. There were some incredible projects showcased at the award event, with a forecast annual saving of 424 tonnes CO2e in carbon emissions and £12,417. The carbon savings are highly impressive especially as many - [Surgical Innovations supports CSH](https://sustainablehealthcare.org.uk/news-2020-12-surgical-innovations-supports-csh/) - The Centre for Sustainable Healthcare (CSH) have partnered with Surgical Innovations (SI) in an effort to reduce plastic waste from Operating Theatres worldwide. SI have developed their field-leading range of surgical instruments, aptly named ‘Resposable’™, which not only achieve quality and functionality but manage to reduce plastic waste by approximately 70%. Surgical procedures are typically - [New online sustainable healthcare courses!](https://sustainablehealthcare.org.uk/news-2021-01-new-online-sustainable-healthcare-courses/) - In October 2020, NHS England announced its world-leading commitment to achieve net zero carbon emissions by 2040. In response, CSH has designed a range of interdisciplinary training courses to help health professionals, senior leaders, educators, sustainability managers and estates managers take climate action and adopt net zero practices within their work setting, New courses for spring 2021 include Public - [Remembering Donal](https://sustainablehealthcare.org.uk/news-2021-01-remembering-donal/) - Donal was introduced to us in 2008, early in the life of our charity, and was immediately supportive of the new ideas we put on the table. He became one of the first champions of sustainable healthcare and continued to support green nephrology and The Centre for Sustainable Healthcare all through the years. - [CSH supports Teach the Future Campaign](https://sustainablehealthcare.org.uk/news-2021-02-csh-supports-teach-future-campaign/) - "Our education system routinely fails to educate, prepare and equip us for the climate emergency and ecological crisis. The majority of teaching and learning is misaligned from the systemic changes required to make to society sustainable." CSH is delighted to support Teach the Future, a student-led campaign to repurpose the education system around the climate and ecological crisis. The campaign asks the Government to take action in several areas, and of these have - [Application period opens for the 2021 Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-02-application-period-opens-2021-green-surgery-challenge/) - Calling all surgical healthcare professionals! Would you like to get involved in transforming surgical practice to become less harmful to the environment and more socially sustainable? The Green Surgery Challenge 2021 is an opportunity for the UK’s surgical community to: recognise the value of sustainable healthcare for surgical conditions share and promote ways of practising that are - [Axis Group supports the NHS Forest](https://sustainablehealthcare.org.uk/news-2021-02-axis-group-supports-nhs-forest/) - Axis Group, an organisation for security, cleaning and front of house facilities, has become a corporate sponsor of the NHS Forest. Co-ordinated by the Centre for Sustainable Healthcare, the project promotes patients’, workers’ and communities' health and well-being through improvements to green space at NHS sites. Axis Cleaning and Support Services, formed over 26 years ago, - [Spring Sustainable Healthcare Courses](https://sustainablehealthcare.org.uk/news-2021-03-spring-sustainable-healthcare-courses/) - Spring is right around the corner! What better way to start the season of new beginnings and growth, than with the release of our two brand new courses, Sustainable Dentistry and Sustainable Primary Care! - [A Day in the Life of an Education Fellow at the Centre for Sustainable Healthcare](https://sustainablehealthcare.org.uk/blog-day-life-education-fellow-centre-sustainable-healthcare-2/) - Dr Rosie Spooner, a Paediatric Trainee (St5) in Severn Deanery joined our team as a QI Education Fellow from 2020-2021. Learn about her role working with universities and postgraduate education programmes to support the integration of sustainable healthcare into Quality Improvement teaching. What was your job? My job role is to promote the inclusion of sustainability in - [A day in the life of an Education Fellow at the Centre for Sustainable Healthcare](https://sustainablehealthcare.org.uk/blog-day-life-education-fellow-centre-sustainable-healthcare/) - Dr Rosie Spooner, a Paediatric Trainee (St5) in Severn Deanery joined our team as a QI Education Fellow from 2020-2021. Learn about her role working with universities and postgraduate education programmes to support the integration of sustainable healthcare into quality improvement (QI) teaching. What is your role? My role is to promote the inclusion of sustainability in - [Resources are now live on 'What role do remote consultations have in sustainable healthcare?'](https://sustainablehealthcare.org.uk/news-2021-03-resources-are-now-live-what-role-do-remote-consultations-have-sustainable-healthcare/) - We're excited to announce that the recording and learning resources are now live on our website, for the first of our Connecting Q locally virtual events, "Remote Consultations: what is their role in sustainable healthcare". On the event page, you will find: A recording of the whole event, where our inspiring speakers weighed up the impact of remote consultations and care using - [Reviewing ways to reduce the “colossal amount” of greenhouse gases generated by PPE supplied to the NHS during the Covid-19 pandemic](https://sustainablehealthcare.org.uk/news-2021-03-reviewing-ways-reduce-colossal-amount-greenhouse-gases-generated-ppe-supplied-nhs/) - According to research by the Brighton and Sussex Medical School (BSMS) and Brighton and Sussex University Hospitals NHS Trust, over 3 billion pieces of personal protective equipment were used between February and August 2020, resulting in over 106,000 tonnes of carbon dioxide equivalents. - [6 teams are joining our Green Surgery Challenge this year!](https://sustainablehealthcare.org.uk/news-2021-04-6-teams-are-joining-our-green-surgery-challenge-year/) - Following a very successful launch and an excellent response for our call for project ideas, six teams have been selected for mentoring in this year's Green Surgery Challenge! These teams have devised project ideas to make their surgical practice more environmentally, socially and economically sustainable, whilst maintaining or improving standards of clinical care. Projects vary - [Call to Action for Environmentally Sustainable Practices in the Eye Health Sector](https://sustainablehealthcare.org.uk/news-2021-04-call-action-environmentally-sustainable-practices-eye-health-sector/) - In celebration of #EarthDay2021, the International Agency for the Prevention of Blindness (IAPB) has declared a Climate Emergency and released a Call to Action for the Eye Health Sector. - [New Environmentally Sustainable Healthcare elearning programme](https://sustainablehealthcare.org.uk/news-2021-05-new-environmentally-sustainable-healthcare-elearning-programme/) - The Centre for Sustainable Healthcare has partnered with Health Education England elearning for healthcare (HEE elfh) to develop elearning resources designed to equip healthcare workers with the knowledge and skills they need to deliver healthcare that is financially, socially, and environmentally sustainable. NHS England has committed to achieving 'net zero' carbon emissions by 2040, and net zero within its - [Green Health Wales Launch: Raising Awareness, Building Will & Transferring Skill](https://sustainablehealthcare.org.uk/news-2021-06-green-health-wales-launch-raising-awareness-building-will-transferring-skill/) - Do you work in the healthcare sector in Wales? Are you concerned about the planetary health emergency? Join us, Green Health Wales, and the Bevan Commission at the free virtual conference, Green Health Wales: a day of Raising Awareness, Building Will, and Transferring Skill. The conference will take place on Tuesday 29th June 2021, 9.00-16.00, and will equip people - [Launch of Green Health Wales: Raising Awareness, Building Will and Transferring Skill](https://sustainablehealthcare.org.uk/news-2021-06-launch-green-health-wales-raising-awareness-building-will-and-transferring-skill/) - The Centre for Sustainable Healthcare was delighted to collaborate with Green Health Wales and the Bevan Commission to launch Green Health Wales: a day of raising awareness, building will and transferring skill. Amarantha Fennell-Wells, the first Welsh Leadership Fellow in Sustainable Healthcare chaired the conference, which was set to inspire and equip people working in - [International collaboration in Sustainable Quality Improvement](https://sustainablehealthcare.org.uk/news-2021-07-international-collaboration-sustainable-quality-improvement/) - We invite clinicians from low- and middle- income countries (LMIC) working in secondary care and/or health professional education to join our International Sustainable Quality Improvement project. The project enables partnership between sustainable healthcare champions in the UK and in LMICs, including peer mentoring to design, implement and write up SusQI projects in both settings. Successful applicants will - [More than 200 health journals have called for urgent action to address the climate crisis.](https://sustainablehealthcare.org.uk/news-2021-09-more-200-health-journals-have-called-urgent-action-address-climate-crisis/) - This morning, 200 health journals worldwide simultaneously published an editorial urging world leaders to take immediate action to curb climate change, restore biodiversity, and protect public health. The editorial, which was published ahead of the United Nations General Assembly and the United Nations Climate Change Conference of the Parties (COP26) in Glasgow this November, states - [Sustainable eating: how Allied Health Professionals can reduce the environmental impact of food and diet](https://sustainablehealthcare.org.uk/blog-sustainable-eating-how-allied-health-professionals-can-reduce-environmental-impact-food-and/) - “What, and how much we eat directly affects what, and how much is produced. We therefore need to consume more ‘sustainable diets’ – diets that have lower environmental impacts and are healthier” (Garnett, 2014) As a dietitian, one of my main roles is to utilise the most up to date scientific evidence on food, health - [CSH@COP26](https://sustainablehealthcare.org.uk/news-2021-09-cshcop26/) - The Centre for Sustainable Healthcare has been awarded Observer Status at the upcoming COP26 this November in Glasgow. This allows us to participate in holding negotiators accountable and increasing the transparency of the COP26 process. The Observer role is also crucial to ensure a wide range of stakeholders from across sectors have oversight of the progress of the negotiations. - [Remote Consultations: Do they reduce Greenhouse Gas Emissions? Your Guide to Calculating the Answer](https://sustainablehealthcare.org.uk/blog-remote-consultations-do-they-reduce-greenhouse-gas-emissions-your-guide-calculating-answer/) - The Covid-19 pandemic has put an immense burden on the NHS. It required the healthcare system to adapt in order to be able to continue with its services. Some of the changes had already been set out in the NHS Long Term Plan but have been accelerated during COVID-19 . Offering many health services, from - [Green Surgery Conference: November 4th 12:00-14:30](https://sustainablehealthcare.org.uk/news-2021-10-green-surgery-conference-november-4th-1200-1430/) - The Centre for Sustainable Healthcare is pleased to announce the Green Surgery Conference, cohosted by the Royal College of Surgeons England, will be held November 4th, 12:00-14:30. - [The Centre for Sustainable Healthcare is going to COP26](https://sustainablehealthcare.org.uk/news-2021-10-centre-sustainable-healthcare-going-cop26/) - In November, the UK hosts COP26 in Glasgow, bringing world leaders together to address climate change. Through the representation of 10 members of our network, the Centre for Sustainable Healthcare (CSH) is attending the ‘Blue Zone’ negotiations and presidency programme events as an official observer. This enables us to analyse the impact of presidency programme plans and negotiation - [COP26: Why it is important for health](https://sustainablehealthcare.org.uk/blog-cop26-why-it-important-health/) - In November, the UK hosts COP26 in Glasgow, bringing world leaders together to address climate change. Through the representation of 10 members of our network, the Centre for Sustainable Healthcare (CSH) is attending the ‘Blue Zone’ negotiations and presidency programme events as an official observer. This enables us to analyse the impact of presidency programme plans and negotiation - [CSH@COP26 Day 1: World leaders join as the climate and health agenda gains momentum](https://sustainablehealthcare.org.uk/blog-cshcop26-day-1-world-leaders-join-climate-and-health-agenda-gains-momentum/) - Chantelle Rizan, CSH associate and Victoria Stanford, Education Fellow attended COP26 on monday as representatives for CSH. This marks the first day of the COP26 World Leaders Summit which sees heads of states journey to the conference venue to give their statements on their ambitions, goals and expectations for the climate change summit. As world - [CSH@COP26 Day 2: The World Leaders Summit](https://sustainablehealthcare.org.uk/cop26-day2/) - The World Leaders Summit continued on Tuesday, as national representatives made statements of their climate commitments and gave the world a flavour of what can be hoped for over the negotiation period. In attendance from CSH were Chantelle Rizan, Associate and Victoria Stanford, Education Fellow. Over 100 world leaders have committed to conserve rainforests and - [CSH@COP26 Day 4: Energy and the transition to sustainable healthcare](https://sustainablehealthcare.org.uk/blog-cshcop26-day-4-energy-and-transition-sustainable-healthcare/) - COP26 turned its attention to the issue of energy today, with the major issue of coal phase-out dominating most of the mainstream negotiations. CSH delegates Victoria and Chantelle were joined today by Tamsin Ellis, CSH associate, GP, and Chair of Greener Practice London. New announcements were made by 23 countries today to commit to phase-out - [CSH@COP26 Day 5: Youth empowerment and mitigating the environmental impact of healthcare](https://sustainablehealthcare.org.uk/cop26-day5/) - Whilst young people took to the streets of Glasgow, the COP26 conference focused on youth empowerment and inspiring change. Representing CSH at the COP26 Blue Zone, were Dr Tamsin Ellis, CSH associate, GP, and Chair of Greener Practice London, and Dr Aarti Bansal, CSH associate, GP, and Founder of The Greener Practice Network. CSH delegates attended - [CSH@COP26 Day 6: Global land-use and health implications](https://sustainablehealthcare.org.uk/cop26-day6/) - Today discussions were focused on global natural landscapes and land-use. Victoria Stanford, Aarti Bansal and Tamsin Ellis were joined today by Andriele Madison, CSH’s Green Space Communities Lead. Our food systems (including agricultural practices and deforestation linked to food production) are currently responsible for approximately one-third of global greenhouse gas emissions. One of the overarching themes of - [CSH@COP26 Day 8: Adaptation, loss and damage: Who will pay for the impacts on human health?](https://sustainablehealthcare.org.uk/cshcop26-day8/) - Today, the negotiations at COP26 focused on adaptation (what, how, where, who) and loss and damage (financial compensation, support, blame). Dr Rosie Spooner, CSH Quality Improvement Education Fellow, and CSH associates, Rebecca Gibbs and Dr Georgie Sowman attended the negotiations. Unsurprisingly, the topic of damage and loss is closely linked to finance. Today, members of the - [CSH@COP26 Day 9: International commitments to sustainable healthcare and climate vulnerability in women and girls](https://sustainablehealthcare.org.uk/cshcop26-day9/) - 9 November was the COP26 Gender, Science and Innovation day, with health selected as a priority for science. Rachel Stancliffe, Dr Rosie Spooner, and CSH associates, Rebecca Gibbs and Dr Georgie Sowman were in attendance. The Climate Action for Health Presidency Event, organised by the UNFCCC, emphasised the urgent need to place health at the centre of - [CSH@COP26 Day 10: Transport](https://sustainablehealthcare.org.uk/blog-cshcop26-day-10/) - Today’s COP theme was transport, a major contributor to climate-related health impacts and more directly to air pollution. Active transport is a classic health-environment win-win given the co-benefits of active travel for human health and for reducing pollution and improving green space access and conservation. CSH delegates Director Rachel Stancliffe, Professor Mahmood Bhutta, and Dr Rosie - [CSH@COP26 Day 11: Cities, Regions and Built Environment](https://sustainablehealthcare.org.uk/blog-cshcop26-day-11/) - The final themed day of the COP26 presidential programme focused on Cities, Regions, and the Built Environment. This highlighted how cities, regions and communities can be major actors in the climate and nature emergency, offering crucial opportunities to ’act locally whilst impacting globally’. The IPCC Summary for Urban Policymakers (SUP) report was launched in the science pavilion, - [CSH at CleanMed Europe 2021](https://sustainablehealthcare.org.uk/news-2021-11-csh-cleanmed-europe-2021/) - Europe’s leading conference on sustainable healthcare, CleanMed Europe, will be held online from 29 November – 3 December 2021. Hosted by Health Care Without Harm Europe, the conference showcases cutting-edge practices in sustainable healthcare and is the ideal venue for healthcare innovators to network and share ideas, finding new ways to drive change within their organisations and communities. - [Sustainability in Nursing: Resources for action](https://sustainablehealthcare.org.uk/blog-sustainability-nursing-resources-action/) - Why did you decide to pursue a career in nursing? There are probably many reasons but for most nurses, at least one factor is a desire to care for people. Practising sustainably can improve the care you give, not just to the patient in front of you, but also to the wider communities we serve (local - [World Wildlife Day 2022](https://sustainablehealthcare.org.uk/blog-world-wildlife-day-2022/) - World Wildlife Day is held annually on March 3rd, the anniversary of the signing of the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) in 1973. On this day, the United Nations celebrates and raises awareness about the diverse and beautiful forms of wildlife on which we all depend. The - [Food waste action week: How health professionals can take action](https://sustainablehealthcare.org.uk/blog-food-waste-action-week-how-health-professionals-can-take-action/) - When we discard expired yoghurt, bruised apples, or leftover milk, we are not only wasting food, but also the labour, water and energy involved in producing, processing, transporting, preparing, storing, and selling these products. Not only does food waste cost us money, but it also has a negative environmental impact. Why is food waste a - [Global Recycling Day: How to take action](https://sustainablehealthcare.org.uk/blog-global-recycling-day-how-take-action/) - Each year, we use billions of tons of natural resources to meet our needs. Raw materials are extracted, items are manufactured that are barely used, and then discarded as waste. The issue is that the Earth's supply of these resources is finite. With this current linear mindset, we are producing goods to throw them away. - [Climate change adaptation: a guide for health and care professionals](https://sustainablehealthcare.org.uk/blog-climate-change-adaptation/) - The climate and ecological crisis is degrading our planet’s life-support system and threatens our ability to thrive and survive. A bold, united response is required for both climate change mitigation and adaptation; we must reduce our contribution to the climate crisis whilst also creating resilience to respond to its impacts. Climate change has been identified - [Nursing and climate change: How to reduce your environmental impact](https://sustainablehealthcare.org.uk/blog-nursing-and-climate-change-how-reduce-your-environmental-impact/) - The Royal College of Nursing (RCN) has highlighted the importance for nurses to understand the impacts of climate change on health, and pave the way for sustainable clinical practice in their work. Nurses are in an excellent position to engage in sustainable healthcare due to the wide range of roles they can take on and - [The 2022 Planetary Health Report Card expands internationally and into the Pharmacy and Nursing Professions](https://sustainablehealthcare.org.uk/planetary-health-report-card-2022/) - The Planetary Health Report Card (PHRC), now in its third year, is a student-driven, metric-based initiative to inspire planetary health and education for sustainable healthcare (ESH) in medical schools. There are metrics in five categories, which students complete with faculty support - curriculum, research, community outreach, student support and sustainability. The annual results, which were published on Earth - [Join our free webinar series on Embedding Sustainability into Quality Improvement](https://sustainablehealthcare.org.uk/news-2022-05-join-our-free-webinar-series-embedding-sustainability-quality-improvement/) - We are pleased to announce that registration for our next Connecting Q Locally webinar events is now open. Join us and our inspiring panelists as we discuss how to embed sustainability into quality improvement education, training, and practice. - [Happy Birthday CSH Courses!](https://sustainablehealthcare.org.uk/blog-happy-birthday-csh-courses/) - In April 2021 I enrolled in my first CSH course, Greenspace and Health. Although I had been involved with climate outreach and activism for several years I learnt so much from the course materials and had such a great time at the workshop that I signed up for another one the following month, Carbon Footprinting. A - [Courses in Sustainable Healthcare for North America](https://sustainablehealthcare.org.uk/news-2022-10-courses-sustainable-healthcare-north-america/) - Healthcare systems consume large quantities of materials, energy, chemicals, water, and they generate vast amounts of waste. If the United States healthcare sector were a country, it would rank thirteenth in the world for greenhouse gas emissions, ahead of the entire United Kingdom. - [Take part in the NHS return and reuse scheme this Recycle Week!](https://sustainablehealthcare.org.uk/blog-take-part-nhs-return-and-reuse-scheme-recycle-week/) - It is National Recycle Week (17 – 23 of October)! People across the country are encouraged to recycle more often, and in the right way. Last year, approximately 82% of people were more aware of recycling methods and stated changing their behaviour following Recycle Week 2021. This year’s theme is ‘Let’s Get Real’ and will challenge - [CSH welcomes seven new Sustainability Fellows for 2022-23](https://sustainablehealthcare.org.uk/news-2022-09-sustainability-fellows-2022-23/) - This quarter, seven new Sustainability Fellows have joined CSH's Sustainable Specialties programme. These Fellows are provided a one-of-a-kind opportunity to learn about sustainability, cultivate leadership and quality improvement skills, and contribute to an exciting new dimension of healthcare. - [Goodbye one and welcome in two sustainability group scholar programmes](https://sustainablehealthcare.org.uk/news-2022-11-goodbye-one-and-welcome-two-sustainability-group-scholar-programmes/) - This month saw the conclusion of CSH's 12-month group scholar programme, SFERIC, which was administered in collaboration with NHS Wales Shared Services Partnership, Cardiff and Vale UHB, the Green Health Wales Network and the Dragon's Heart Institute. We bid farewell to a variety of scholars with backgrounds in ENT surgery, dermatology, paediatrics and more, with a variety of interests, including inhalers and laboratory tests. The programme is expected to reduce carbon emissions by 40,920 kg each year (or more than 331 round trips from Bangor to Cardiff), and it will also save money—an estimated £28,000 per year. Congratulations to all! - [CSH responds to NICE consultation on Cardiovascular disease: risk assessment and reduction](https://sustainablehealthcare.org.uk/news-2023-02-csh-responds-nice-consultation-cardiovascular-disease-risk-assessment-and-reduction/) - The National Institute of Health and Care Excellence (NICE) has been consulting on a draft guideline for cardiovascular disease risk assessment and reduction. The draft recommendations include prescribing statins to a much larger group of patients at a lower risk threshold than previously. CSH has responded to the consultation, welcoming the increased focus on prevention - [The UK Green Surgery Project Report: Submit your case study by 28th February 2023](https://sustainablehealthcare.org.uk/news-2023-02-uk-green-surgery-project-report-submit-your-case-study-28th-february-2023/) - The UK Green Surgery Project is currently seeking case studies for developing sustainable surgical practices to inform the Green Surgery report, which is due to be published in late 2023. Deadline for submission is 28th February 2023. - [50,000 healthcare staff join the net zero movement with our e-learning session](https://sustainablehealthcare.org.uk/news-2023-02-50000-healthcare-staff-join-net-zero-movement-our-e-learning-session/) - We are thrilled to announce that almost 50,000 healthcare staff have taken our Building a Net Zero NHS e-learning session on Health Education England's e-learning for Healthcare (HEE eLfH) platform. - [CSH awarded funding by SBRI Healthcare's 'Delivering a net zero NHS: Clinical Innovation'](https://sustainablehealthcare.org.uk/news-2023-03-csh-awarded-funding-sbri-healthcares-delivering-net-zero-nhs-clinical-innovation/) - The Centre for Sustainable Healthcare (CSH) is pleased to announce that we have been awarded funding for phase 1 of the Small Business Research Initiative (SBRI) healthcare's 'Delivering a net zero NHS: Clinical Innovation Competition'. The funding will support the development of the innovative SusQI Academy and Green Ward Competition services, which train and support - [Call for Public Members: Join the Sustainability in Quality Improvement Reference Group](https://sustainablehealthcare.org.uk/news-2023-03-call-public-members-join-sustainability-quality-improvement-reference-group/) - Are you interested in environmental sustainability and helping improve health care? Have you got experience of working with senior leaders and/or at a strategic level? Can you confidently join in group discussions? Can you listen to and respect different views? The Centre for Sustainable Healthcare is looking for two public members to join the Sustainability in Quality Improvement (SusQI) Reference Group. - [Greener AHPs: Our commitment to NHS net zero](https://sustainablehealthcare.org.uk/blog-greener-ahps-our-commitment-nhs-net-zero/) - In October 2020, the NHS became the world’s first health service to commit to reaching carbon net zero, in response to the profound and growing threat to health posed by climate change. As Chief Allied Health Professions Officer, I am very proud that in advance of this commitment we, as allied health professionals (AHPs) in - [How can you make one climate friendly change in your ward?](https://sustainablehealthcare.org.uk/news-2023-04-how-can-you-make-one-climate-friendly-change-your-ward/) - We're delighted to share the news that two examples of CSH supported projects, from the fields of HIV and renal care, were cited in the BMJ last week as examples of strong sustainable healthcare practices that, as is typically the case, also resulted in cost savings. Gareth Murcutt, a renal technical manager at the Royal - [Single-use surgical items contribute two-thirds of the carbon footprint of products used in common operations](https://sustainablehealthcare.org.uk/news-2023-04-single-use-surgical-items-contribute-two-thirds-carbon-footprint-products-used-common/) - We are pleased to share with you our Sustainable Surgery Fellow 2018-21, Dr Chantelle Rizan, latest research paper published in the Journal of the Royal Society of Medicine evaluating the carbon footprint of the products used for the five most common operations in the NHS in England. - [Day 4 CleanMed Europe: Spotlight on Oceans and Global Healthcare's Carbon Footprint](https://sustainablehealthcare.org.uk/news-2023-06-day-4-cleanmed-europe-spotlight-oceans-and-global-healthcares-carbon-footprint/) - Today's morning session at CleanMed Europe was centered around the protection of water systems and the looming threat of plastic pollution, in awareness of World Ocean Day. Rachael Ward, Networks Coordinator at the Centre for Sustainable Healthcare, attended the session led by speakers, Dr. Richard Hixson and Dr. Georgina Sowman of Healthcare Ocean, Courtney Howard of Global Climate and Health Alliance, and Sharon Pfleger of NHS Highland. - [Clean Air Day 2023: How do we reduce the environmental impact of respiratory care?](https://sustainablehealthcare.org.uk/blog-clean-air-day-2023-how-do-we-reduce-environmental-impact-respiratory-care/) - As one of the greatest public sector carbon emitters in the world, the healthcare sector will need to make significant reductions in order to meet its net zero carbon ambitions. Every year, air pollution causes up to 36,000 deaths in the UK. The World Health Organisation and the UK Government recognise that air pollution is the largest environmental health - [Recent developments in our Sustainability in Quality Improvement programme](https://sustainablehealthcare.org.uk/news-2023-06-recent-developments-our-sustainability-quality-improvement-programme/) - Read the latest update from our Sustainability in Quality Improvement programme: A warm welcome to our Sustainability in QI (SusQI) reference group public representatives This month we welcome Cardiff and Vale University Health Board (UHB) to the SusQI Academy View the recording of last month's SusQI showcase to see how sustainability in embedded in QI teaching and practice - [Empowering AHPs for a Greener Future](https://sustainablehealthcare.org.uk/blog-empowering-ahps-greener-future/) - In April, the Chief AHP Officers team ran the first ever Greener AHP week, to galvanise the interest and enthusiasm of the Allied Health Professionals (AHPs) workforce to deliver environmentally sustainable healthcare as part of AHP roles. Environmental sustainability is one of the five areas of focus in AHPs Deliver, the national AHP strategy for England; - [BEIS conversion factors 2023 update: what does this mean for the NHS carbon footprint?](https://sustainablehealthcare.org.uk/blog-beis-conversion-factors-2023-update-what-does-mean-nhs-carbon-footprint/) - In 2020, Greener NHS launched an ambition ‘to deliver the world’s first net zero health service’, setting two targets to help meet this vision. The first target focuses on the NHS’s direct emissions (NHS carbon footprint), which makes up around 24% of the NHS carbon footprint and includes emissions from building energy, fuels for NHS fleet - [Greening the NHS: using the Green Team Competition to effect change](https://sustainablehealthcare.org.uk/news-2023-07-greening-nhs-using-green-team-competition-effect-change/) - In a series of articles for the Nursing Times, Angela Hayes, a clinical nurse specialist in supportive and palliative care at the Christie NHS Foundation Trust, discusses the practical steps nurses can take to address the climate crisis in their daily practice. In her second paper, she discusses the benefits of holding a Green Team Competition to encourage sustainable changes to working practice. - [The Centre for Sustainable Healthcare supports the Our People Our Planet virtual conference](https://sustainablehealthcare.org.uk/blog-centre-sustainable-healthcare-supports-our-people-our-planet-virtual-conference/) - The climate crisis has a direct, immediate health impact on all communities, and making healthcare more sustainable and bringing healthcare organisations and green initiatives together to reduce carbon and help the NHS reach its Net Zero target is something we should all be aiming for. That is why the Centre for Sustainable Healthcare is proud - [CSH contributed to the new Green Surgery Report setting the groundwork for reducing the carbon footprint of surgical care](https://sustainablehealthcare.org.uk/news-2023-11-csh-contributed-new-green-surgery-report-setting-groundwork-reducing-carbon-footprint/) - The Centre for Sustainable Healthcare is pleased to announce our involvement in the publication of a new historic report that lays the framework for decreasing the carbon footprint of surgical care. Green Surgery is the first detailed account of how to reduce the environmental impact of surgical care while maintaining high quality patient care and potentially saving the NHS money. - [Stand Up For Access To Nature, A Joint Letter To The Secretary of State, Steve Barclay.](https://sustainablehealthcare.org.uk/news-2024-01-stand-access-nature-joint-letter-secretary-state-steve-barclay/) - The Secretary of State for Envioronment, Food and Rural Affairs, Steve Barclay, has made recent announcements on increasing public access to nature, including publishing a new Woodland Access Plan. At CSH we believe that access to nature is an important component in public health and wellbeing as well as being vital to reducing carbon emissions - [New Tree Equity Score tool shows the connection between trees and health inequalities](https://sustainablehealthcare.org.uk/news-2023-12-new-tree-equity-score-tool-shows-connection-between-trees-and-health-inequalities/) - The Centre for Sustainable Healthcare's NHS Forest project is proud to have worked alongside American Forests, the US non-profit organisation that created Tree Equity Score and the Woodland Trust to bring the Tree Equity Score to the UK. This is a pioneering programme to ensure that developers have the tools and resources they need to calculate tree density in urban areas and help them to plan for the future, ensuring that there are enough trees to provide show a net positive impact on the health and wellbeing of local communities. - [Putting sustainability at the heart of the UK government’s 10-year health plan ](https://sustainablehealthcare.org.uk/putting-sustainability-at-the-heart-of-the-uk-governments-10-year-health-plan/) - The UK government’s upcoming 10-year health plan will shape the future of healthcare for the next decade and beyond. While the full details are still being finalised, the plan is expected to revolve around the ‘three big shifts’: From hospitals to communities From analogue to digital From treatment to prevention At the Centre for Sustainable - [The Lancet Countdown 2024 Report is out: here is CSH’s take on it ](https://sustainablehealthcare.org.uk/the-lancet-countdown-2024-report-is-out-here-is-cshs-take-on-it/) - What actions must we take today to secure a healthier, sustainable future for all? As climate change intensifies, so too does its impact on human health. More frequent heatwaves, extreme weather events, and shifting patterns of infectious diseases are redefining the challenges facing healthcare systems globally. With the evidence growing, it is clear that our - [World Environment Day 2023: Solutions for healthcare plastic pollution](https://sustainablehealthcare.org.uk/blog-world-environment-day-2023-solutions-healthcare-plastic-pollution/) - On this 2023 World Environment Day, it is essential to recognise the potential for positive change and collective action within the healthcare system. What is World Environment Day? World Environment Day, observed every year on June 5, is an international effort to increase public awareness of environmental problems and to highlight the importance of sustainable - [CSH@COP26 Day 3: Climate finance negotiations and health implications](https://sustainablehealthcare.org.uk/blog-cshcop26-day-3-climate-finance-negotiations-and-health-implications/) - CSH delegates, Victoria and Chantelle were back at COP26 on Wednesday and attended a Presidency panel event on Climate Finance for a Changing World. It was chaired by COP26 President Alok Sharma and attended by banking sector leads and finance ministers from across the globe. What are the key issues for finance? Walton Webson, Ambassador - [Green impact for healthcare toolkit (GIFH)](https://sustainablehealthcare.org.uk/blog-green-impact-healthcare-toolkit-gifh/) - Are you in general practice but not sure where to start with making sustainable changes? The Green Impact for Healthcare Toolkit (GIFH) might just be the thing for you. This year the Royal College of General Practitioners (RCGP) and the National Union of Students (NUS) SOS-UK Charity have teamed up once again for a new and - [Sustainability Series: Green space and health](https://sustainablehealthcare.org.uk/blog-sustainability-series-green-space-and-health/) - This month our Sustainability Series will be focusing on the Centre for Sustainable Healthcare’s work on green space and its benefits for healthy living and illness recovery. Human health is linked to our environment; it influences how we feel, how we behave, the air we breathe, what we eat, how we travel, and more. At the - [We're launching the Sustainability Series!](https://sustainablehealthcare.org.uk/blog-were-launching-sustainability-series/) - The Centre for Sustainable Healthcare has been working to inspire and empower healthcare transformation since 2008. In celebration of our 10th birthday we are launching the Sustainability Series, focusing on a different clinical specialty each month. We are looking to inspire leadership and produce practical changes. To do this we want to empower you by - [We're launching the Sustainability Series!](https://sustainablehealthcare.org.uk/news-2017-11-were-launching-sustainability-series/) - The Sustainability Series aims to inspire leadership within clinical specialties and empower you to produce practical change. To do this we are providing examples of how people succeeded in the past, a guide for how to begin, and the evidence and numbers about your field that you can present to others, with focus on a different clinical - [Greener Palliative Care Award launches at Hospice UK annual conference](https://sustainablehealthcare.org.uk/greener-palliative-care-award-launches-at-hospice-uk-annual-conference/) - This week marks the launch of the Greener Palliative Care Award at the Hospice UK Annual Conference. Developed by a multi-professional team and grounded in evidence-based models, the Award provides a clear framework to help palliative care teams integrate sustainability into their practices. NHS and charitable organisations, including hospices, are encouraged to apply. The Award features Bronze, Silver, - [KitNewCare project shines in WHO’s COP29 Report](https://sustainablehealthcare.org.uk/kitnewcare-project-shines-in-whos-cop29-report-on-climate-change-and-health/) - The KitNewCare project, where the Centre for Sustainable Healthcare (CSH) plays a leading role, has been highlighted in the World Health Organization’s COP29 Special Report on Climate Change and Health, prepared for this year’s climate summit. The report emphasises the pressing need for sustainable healthcare solutions to combat climate impacts and showcases global initiatives making meaningful strides - [HSJ award-winning medicines waste campaign inspired by CSH course](https://sustainablehealthcare.org.uk/hsj-award-winning-medicines-waste-campaign-inspired-by-csh-course/) - NHS Dorset medicine waste campaign wins HSJ Award 2024 We’re pleased to announce that NHS Dorset’s ‘Only Order What You Need’ campaign has won the HSJ Medicines, Pharmacy, and Prescribing Initiative of the Year Award 2024. This campaign, which empowered patients to reduce medicines waste, achieved extraordinary results, including: 65,000 fewer prescription requests £475,000 in cost savings Prevention - [Welcome to our newest SusQI Academy members and Beacon Sites](https://sustainablehealthcare.org.uk/news-2024-03-welcome-our-newest-susqi-academy-members/) - This spring, we are delighted to welcome colleagues from North East London Integrated Care System, Bradford District Care NHS Foundation Trust, and Somerset NHS Foundation Trust to our growing community of SusQI Academy members and SusQI Beacon Sites. They will be working towards embedding the principles of sustainable healthcare and sustainable value into improvement work and programmes - [Why CSH And the WHO believe that 'Your Health Is Your Right' on World Health Day 2024](https://sustainablehealthcare.org.uk/news-2024-04-why-csh-and-who-believe-your-health-your-right-world-health-day-2024/) - World Health Day 2024 is a day dedicated to global health awareness under the sponsorship of the World Health Organisation. Celebrated every year on the 7th April. The theme for this year is 'My Health, My Right(link is external)', a theme chosen to champion the right of everyone, everywhere to have access to quality health services, education, and information, as well as thinking about the wider issues of the right to access safe drinking water, clean air, good nutrition, quality housing, decent working and environmental conditions and freedom from discrimination. - [CSH partners with ISN to advance environmentally sustainable kidney care](https://sustainablehealthcare.org.uk/news-2024-07-csh-partners-isn-advance-environmentally-sustainable-kidney-care/) - The Centre for Sustainable Healthcare (CSH) is excited to announce its partnership with the International Society of Nephrology (ISN) to launch the Advancing Environmentally Sustainable Kidney Care (GREEN-K) Initiative. - [Taking collective action to deliver low carbon, equitable maternity care](https://sustainablehealthcare.org.uk/news-2024-04-taking-collective-action-deliver-low-carbon-equitable-maternity-care/) - CSH is pleased to announce success in the SBRI Healthcare Competition 24 category of Clinical Community Engagement. CSH is partnering with the Royal College of Obstetricians and Gynaecologists (RCOG), The Sustainable Healthcare Coalition (SHC), and the Royal College of Midwives (RCM) to deliver the project "Taking collective action to deliver low carbon, equitable maternity care". - [New education course: Net Zero taster presentation for Boards](https://sustainablehealthcare.org.uk/news-2024-05-new-education-course-net-zero-taster-presentation-boards/) - The CSH Net Zero Leadership Training for Boards has been successfully delivered across various regions of England, aiding Integrated Care Boards (ICBs) and other leadership groups in focusing on the steps necessary to embed sustainability at all levels of their organisations and achieve lasting impact. We understand that those in leadership roles often face significant - [Less than two weeks to our Sustainabilty in Quality Improvement (SusQI) Showcase!](https://sustainablehealthcare.org.uk/news-2024-06-less-two-weeks-our-sustainabilty-quality-improvement-susqi-showcase/) - Are you interested in environmental sustainability and improving healthcare? Would you like to find out what you can do to make your workplace more sustainable? Are you excited to hear success stories from others making sustainable changes and shaping the future of healthcare? Discover the latest developments in Sustainable Quality Improvement at at our upcoming - [CSH and the Queen's Nursing Institute launch a joint nursing and midwifery sustainability manifesto for the incoming UK government](https://sustainablehealthcare.org.uk/news-2024-06-csh-and-queens-nursing-institute-launch-joint-nursing-and-midwifery-sustainability/) - As the UK approaches a pivotal general election, the nursing and midwifery community stands united in a call for transformative and sustainable change in healthcare. Today, the Centre for Sustainable Healthcare in collaboration with the Queen's Nursing Institute, proudly presents our joint Nursing and Midwifery Sustainability Manifesto. This comprehensive document outlines our collective vision for - [CSH is excited to announce our project 'medicine waste in care homes: reducing social and environmental impact,' has been selected for funding by the Q Community](https://sustainablehealthcare.org.uk/news-2024-07-csh-excited-announce-our-project-medicine-waste-care-homes-reducing-social-and/) - CSH is delighted to announce that our project, "Medicine Waste in Care Homes: Reducing Social and Environmental Impact," has been selected for funding by the Q Community after a rigorous process with some excellent competition. Our winning bid for this project will allow us to kickstart the first stage of our project. You can find - [Introducing the teams that have joined this years Green Surgery Challenge!](https://sustainablehealthcare.org.uk/news-2021-06-introducing-teams-have-joined-years-green-surgery-challenge/) - CSH is pleased to introduce the teams that were chosen to take part in this year's Green Surgery Challenge. These teams have devised project ideas to make their surgical practice more environmentally, socially and economically sustainable, whilst maintaining or improving standards of clinical care. Team 1: Peter Labib, Colorectal Surgery Trainee (ST7) and Aditya Kanwar, - [Beyond COP: Conversations to Transform Healthcare](https://sustainablehealthcare.org.uk/news-2021-07-beyond-cop-conversations-transform-healthcare/) - The planetary crisis poses extreme challenges to the provision of healthcare. This attention must also be extended, with equal urgency and vision, to the training of the healthcare professionals inheriting these difficulties. To aid further discussion and empower healthcare students to envision brave new solutions, the CSH network for sustainable healthcare education is offering this free student-led - [Fisher & Paykel Healthcare’s cycle Land's End to John O'Groats to support CSH](https://sustainablehealthcare.org.uk/news-2021-08-fisher-paykel-healthcares-cycle-lands-end-john-ogroats-support-csh/) - It gives us great pleasure to announce that Fisher & Paykel Healthcare has chosen the Centre for Sustainable Healthcare as one of their CARE charities of the year. Throughout 2021, ten CARE Charity Challenges will be held, with the Land's End to John O'Groats cycle serving as the organization's largest challenge of the year. A group of ten - [Introducing Team 1 of the Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-09-introducing-team-1-green-surgery-challenge/) - The team at Derriford Hospital, University Hospitals Plymouth NHS Trust, focused on reducing the consumption of single-use surgical equipment for their Green Surgery Challenge project. Consumables account for one-third of surgical procedure-related emissions and so a reduction has the potential to make a significant impact on carbon emissions in their department and Trust. The team was led by Mr Peter Labib, ST6 general surgery - [Introducing team 2 of the Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-10-introducing-team-2-green-surgery-challenge/) - The Leeds Teaching Hospital NHS Trust team's Green Surgery Challenge project included four components: Replacing CO2 insufflation with the RAIS device Changing from disposable to reusable gowns and drapes Replacing urinary catheterisation with pre-induction toileting Replacing single-use instruments with reusable instruments in the instrument tray for appendicectomy - [Introducing Team 3 of the Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-10-introducing-team-3-green-surgery-challenge/) - The Green Surgery Challenge team at University Hospitals Sussex NHS Foundation Trust, focused on streamlining the pre-operative pathway for elective surgery. This approach is an example of the third principle of sustainable clinical practice, ‘lean’ service delivery. The team focused on pathology testing as this is the single highest volume clinical activity in the NHS and so reducing this activity has the potential to make a significant impact for sustainable healthcare. - [Introducing team 4 of the Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-10-introducing-team-4-green-surgery-challenge/) - The Green Surgery Challenge team at Wrexham Maelor and Ysbyty Gwynedd Hospitals, Betsi Cadwaladr University Health Board in North Wales, focused on the carpal tunnel release pathway as this is the most commonly performed procedure in the field of hand surgery. They considered the whole pathway and chose interventions that would reduce the consumption of single-use surgical equipment and reduce energy use by moving out of the operating theatre, reducing size of autoclave trays by streamlining the reusable surgical sets and eliminating the need for ward admission. - [Introducing team 5 of the Green Surgery Challenge](https://sustainablehealthcare.org.uk/news-2021-10-introducing-team-5-green-surgery-challenge/) - We are pleased to introduce the team from Imperial College Healthcare NHS Trust who will be joining the Green Surgery Conference November 4th as one of the Green Surgery Challenge finalists. - [The first-ever Green Surgery Challenge anticipates a CO2 reduction of 133 tonnes per year](https://sustainablehealthcare.org.uk/news-2021-11-green-surgery-challenge-co2-reduction/) - This year, five surgical teams from around the UK competed in the first-ever 'Green Surgery Challenge'. Through the challenge they have effectively reduced the carbon footprint of surgery by creating new devices, streamlining procedures, switching to reusable equipment, and altering the type of anaesthetic used for certain operations. - [Thank you for being a part of CSH in 2021!](https://sustainablehealthcare.org.uk/news-2021-12-thank-you-being-part-csh-2021/) - Writing on the winter solstice here in the UK, the shortest day of the year - truly mid-winter. And then tomorrow the light will start to take over the darkness and spring will be on the way! 2021 has brought us growth and many positive things. - [Leeds Green Ward Competition anticipates an annual reduction of 8,594.8 kgCO2e](https://sustainablehealthcare.org.uk/news-2022-05-leeds-green-ward-competition-anticipates-annual-reduction-85948-kgco2e/) - This year, five teams from Leeds Teaching Hospitals NHT Trust participated in the Green Ward Competition, a clinical leadership and engagement programme for NHS Trusts to improve their sustainability within their service. - [Government guidance for health and care professionals on climate change](https://sustainablehealthcare.org.uk/news-2022-06-health-professionals-climate-change/) - The UK Office for Health Improvement and Disparities (OHID) commissioned The Centre for Sustainable Healthcare to produce guidance for action on climate change mitigation for Public Health England’s All Our Health programme, which supports health and care workers, emergency services and the wider public health workforce to prevent illness, protect health and promote wellbeing. - [Launching soon: The SusQI Academy & Beacon Site Recognition](https://sustainablehealthcare.org.uk/news-2022-06-launch-susqi-academy-beacon-site-recognition/) - Integrating environmental sustainability into QI offers a practical way for upskilling healthcare staff to contribute to building a Net Zero NHS, while also improving care for patients. We have been thrilled by the success of our SusQI Education Project which saw SusQI pilot sites established across the four nations of the UK embed sustainability into QI education and training for medical, nursing and allied healthcare professionals. - [CSH Annual Review for 2021](https://sustainablehealthcare.org.uk/news-2022-07-csh-annual-review-2021/) - The Centre for Sustainable Healthcare is pleased to publish its Annual Review for the year 1 January 2021 - 31 December 2021. The report summarises our activities, funding, and impact over the last year, and provides an overview of our future plans. - [Royal Cornwall Hospitals NHS Trust Green Team Competition - 3 teams anticipate an annual reduction of 6,185kg CO2e!](https://sustainablehealthcare.org.uk/news-2022-07-royal-cornwall-hospitals-nhs-trust-green-team-competition-3-teams-anticipate-annual/) - This year, three teams from the Royal Cornwall Hospitals NHS Trust (RCHT) participated in the Green Team Competition, a clinical leadership and engagement programme for NHS Trusts to improve their sustainability within their services. Climate change has far-reaching impacts on global health. Whilst healthcare systems have a key part to play in maintaining health in the face of the threat of climate change, the delivery of healthcare is also undermining the health of our populations by contributing to the problem. - [What are UK health organisations doing to tackle the climate and ecological emergency?](https://sustainablehealthcare.org.uk/news-2022-09-uk-health-organisations-climate-emergency/) - Today, the 'Climate change and health scorecard' was published, the first known peer-reviewed study to compare the green credentials of UK health organisations. 11 of 28 invited UK health organisations, representing a total of 236,859 health professionals, participated in the study, and included prominent medical Royal Colleges, the General Medical Council and the Faculty of Public Health. - [Launch of the SusQI Academy and Beacon Site Recognition](https://sustainablehealthcare.org.uk/news-2022-09-launch-susqi-academy-and-beacon-site-recognition/) - Integrating sustainability into quality improvement (SusQI) is a practical way to train healthcare professionals to respond to social and environmental challenges while also improving patient care. Through our SusQI Education Project, fourteen Beacon Sites in England, Wales, Northern Ireland, and the Republic of Ireland were trained to lead on SusQI teaching in their institution and to embed sustainability into Quality Improvement education. - [Northamptonshire Green Team Competition saves 53,221 kgC02e](https://sustainablehealthcare.org.uk/news-2022-10-northamptonshire-green-team-competition/) - Healthcare systems have a key part to play in maintaining health in the face of the threat of climate change, however delivery of healthcare is also undermining the health of our populations, by contributing to the problem. If healthcare were a country, it would be the 5th largest carbon emitter in the world. - [The Lancet Countdown 2022 Report is out now](https://sustainablehealthcare.org.uk/news-2022-10-lancet-countdown-2022-report/) - This year's Lancet Countdown report on health and climate change, a collaboration of over 120 leading experts from academic institutions and UN agencies across the globe, warns that "the health of people around the world is at the mercy of a persistent fossil fuel addiction". - [Thank you for being a part of CSH in 2022!](https://sustainablehealthcare.org.uk/news-2022-12-csh-2022/) - In the depth of mid-winter, may you find beauty in the world around you. As we prepare for 2023, it is time to reflect on the past year and to look forward to new opportunities. We are delighted that our team has grown in strength and size this year enabling us to support the growth of interest - [CSH Annual Review for 2022](https://sustainablehealthcare.org.uk/news-2023-01-csh-annual-review-2022/) - The Centre for Sustainable Healthcare is pleased to publish its Annual Review for the year 1 January 2022 - 31 December 2022. The report summarises our activities, funding, and impact over the last year, and provides an overview of our future plans. Message for our Chair, Gill Manning: I am delighted to present our annual - [Christie NHS Foundation Trust saves £554,525 and 99,403 kgCO2e with its Green Team Competition](https://sustainablehealthcare.org.uk/news-2023-01-christie-nhs-foundation-trust-saves-554525-and-99403-kgco2e-its-green-team-competition/) - The Centre for Sustainable Healthcare (CSH) is delighted to announce the outstanding results of the Green Team Competition it recently ran with the Christie NHS Foundation Trust. The competition resulted in projected annual savings of £554,525 and 99,403 kgCO2e for the Trust, which is the carbon equivalent of 286,299 miles driven in an average car, or 734 return trips between the Christie and Kings Cross, London. - [Gloucestershire Hospitals NHS Foundation Trust Green Team Competition expected to save £85,081 and 113,891 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2023-01-gloucestershire-hospitals-nhs-foundation-trust-green-team-competition-expected-save/) - The Green Team Competition, which was recently held in partnership with the Gloucestershire Hospitals NHS Foundation Trust (GHFT) and the Centre for Sustainable Healthcare (CSH), has produced remarkable results this year. The competition has generated estimated yearly savings for the Trust of £85,081 and 113,891 kgCO2e, or the carbon footprint equivalent of 328,027 miles driven - [Swansea Bay University Health Board Green Team Competition expected to save £33,794.65 and 4,574,021.3 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2023-02-swansea-bay-university-health-board-green-team-competition-expected-save-3379465-and/) - The Centre for Sustainable Healthcare (CSH) is proud to announce the remarkable outcomes of the Green Team Competition held in partnership with Swansea Bay University Health Board. The combined projects produced estimated annual savings of £33,795 and 4,574,021 kgCO2e, or the carbon footprint equivalent of 13,174,024 miles driven in an average car, or 16,676 return trips between Swansea Bay and Edinburgh. - [Hywel Dda University Health Board Green Team Competition anticipates annual saving of £26,398.562 and 2,340,950kgCO2e](https://sustainablehealthcare.org.uk/news-2023-02-hywel-dda-university-health-board-green-team-competition-anticipates-annual-saving/) - This year, Hywel Dda University Health Board selected six teams to participate in our Green Team Competition. Each team was supported by CSH to develop, run, and measure projects that add sustainable value to their service by considering the "triple bottom line". We are pleased to share that these projects have projected annual savings of £26,398.562 and 2,340,950 kgCO2e, which is the carbon equivalent of what 92,638 mature trees would absorb in a year, or 6,742,367.5 miles driven in an average car. - [Spotlight on Sustainable Dentistry](https://sustainablehealthcare.org.uk/news-2023-04-spotlight-sustainable-dentistry/) - This month, we are excited to shine a spotlight on Sustainable Dentistry with the latest news and projects in the field. Spotlight on our Leadership Fellow in Net Zero/Sustainable Dentistry Sustainable Dentistry Short Course: Plan Your Project Re-launch of the Dental Sustainability Network Promising developments in dental education Launch of the Green Impact Dentistry toolkit - [Innovation in Sustainable Healthcare: the SusQI Showcase 2023](https://sustainablehealthcare.org.uk/news-2023-04-innovation-sustainable-healthcare-susqi-showcase-2023/) - Are you interested in environmental sustainability and improving healthcare? Would you like to find out what you can do to make your workplace more sustainable? Discover the latest developments in SusQI at our upcoming SusQI showcase 2023. - [Supporting dental colleagues to lead on sustainable change](https://sustainablehealthcare.org.uk/news-2023-05-supporting-dental-colleagues-lead-sustainable-change/) - The whole dental team are respected voices and are ideally positioned to educate, advocate, model and lead sustainable change for the environment. We are excited to announce that the Centre for Sustainable Healthcare has worked with NHS England elearning for healthcare to refresh our Environmental Sustainability in Dentistry sessions. The module will support dental care professionals, including those working in primary - [Spotlight on Nursing and Sustainable Healthcare](https://sustainablehealthcare.org.uk/news-2023-08-spotlight-nursing-and-sustainable-healthcare/) - Nurses are part of a community of individuals who are committed to promoting health and well-being. As the largest part of the health and care workforce, nurses are well-positioned to speak out on and educate their patients about the relationships between climate change and health. This month, we are delighted to shine the light on Sustainable Nursing with the latest news and projects in the field. - [Exciting news from our Green Team Competition programme!](https://sustainablehealthcare.org.uk/news-2023-08-exciting-news-our-green-team-competition-programme/) - The Centre for Sustainable Healthcare has been running Green Team Competitions since 2019. Last year, participating organisations saved an average of 56 Tonnes of CO2e and £59,000 per year, while empowering staff to implement positive changes through engagement in our Green Team mentoring programme. And it doesn't stop there! Green Team Competitions empower healthcare organisations to bring sustainability and healthcare together, improve clinical outcomes, and reduce organisational costs. They are a springboard to award nominations and national recognition for making the NHS greener. - [South Warwickshire University NHS Foundation Trust Green Team Competition expected to save £116,194 and 7,032 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2023-10-south-warwickshire-university-nhs-foundation-trust-green-team-competition-expected-save/) - In May of this year, South Warwickshire University NHS Foundation Trust commenced a Green Team Competition(link is external) in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £116,194 and 7,032 kgCO2e. This is the carbon footprint equivalent of driving 20,768 miles in an average car(or 32 return trips between South Warwickshire and Glasgow). - [Sustainability in Healthcare Postgraduate-Level Certificate](https://sustainablehealthcare.org.uk/news-2023-10-sustainability-healthcare-postgraduate-level-certificate/) - Dublin Dental University Hospital and the Centre for Sustainable Healthcare are offering an online programme of six modules in sustainable healthcare. The course will be delivered from January 2024, online, with both online course work and interactive sessions (delivered out of hours). - [North East London Health and Care Partnership Green Team Competition expected to save £231,518 and 27,872 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2023-11-north-east-london-health-and-care-partnership-green-team-competition-expected-save/) - As part of their journey towards a net zero health and care system, North East London Health and Care Partnership commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare in May of this year. The competition has brought anticipated annual savings of £231,518 and 27,872 kgCO2e. This is the carbon footprint equivalent of driving 82,315 miles driven in an average car or 101 return trips between North-East London and Edinburgh. - [The Lancet Countdown 2023 Report is out, here is CSH’s take on it](https://sustainablehealthcare.org.uk/news-2023-11-lancet-countdown-2023-report-out-here-cshs-take-it/) - The Lancet Countdown 2023 sheds light on some of the most concerning and interconnected factors threatening the well-being of individuals, public health, and healthcare systems on a global scale. As the report emphasises, "the world is heading in the wrong direction". The severity of today's health issues is obvious. Yet, it serves as a forewarning of the dangers for our future and a reminder of the commitment we collectively must take in delivering such ambition and transformative climate action. What is needed today to enable a future where present and future generations can thrive? Here is CSH’s take on it. - [Sheffield Teaching Hospitals NHS Foundation Trust Green Team Competition expected to save £85,712 and 34,008 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2024-03-sheffield-teaching-hospitals-nhs-foundation-trust-green-team-competition-expected-save/) - In September 2023, Sheffield Teaching Hospitals (STH) commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £85,712 and 34,008 kgCO2e. This is the carbon footprint equivalent of driving 100,437 miles in an average car (or 218 return trips between Sheffield and Brighton). - [Northampton General Hospital NHS Trust Green Team Competition expected to save £252,864 & 40,172 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2024-03-northampton-general-hospital-nhs-trust-green-team-competition-expected-save-252864/) - In September 2023, Northampton General Hospital (NGH) NHS Trust commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. The competition has brought anticipated annual savings to the Trust of £252,864 & 40,172 kgCO2e. This is the carbon footprint equivalent of driving 118,641 miles in an average car (or 174.5 return trips between Northampton & Glasgow). - [Hampshire Hospitals NHS Foundation Trust Green Team Competition expected to save £ 443,119 and 252,112 kgCO2e annually](https://sustainablehealthcare.org.uk/news-2023-12-hampshire-hospitals-nhs-foundation-trust-green-team-competition-expected-save-443119/) - In June of this year, Hampshire Hospitals NHS Foundation Trust (HHFT) commenced a Green Team Competition in partnership with the Centre for Sustainable Healthcare. Through the Green Team Competition, six teams from HHFT were selected to engage in our award-winning programme in sustainability in quality improvement (SusQI) that transforms expert knowledge into action. The competition has brought anticipated annual savings to the Trust of £443,119 and 252,112 kgCO2e. This is the carbon footprint equivalent of driving 744,572 miles in an average car (or 917 return trips between Basingstoke and Edinburgh). . - [Green Nephrology Summit - "the greatest untapped resource in healthcare is the patient"](https://sustainablehealthcare.org.uk/news-2010-10-green-nephrology-summit-greatest-untapped-resource-healthcare-patient/) - The conversation in green nephrology has changed. Though water reclamation, recycling and energy saving are still important, a fly on the wall at last week’s Green Nephrology Summit would have heard just as much about “telephone clinics”, “RenalPatientView”*, “patient self-care”, “shared decision-making”… Read the full Summit Report here. Just eighteen months after the first (exploratory) - [2016 Green Ward winners announced!](https://sustainablehealthcare.org.uk/news-2016-03-2016-green-ward-winners-announced/) - Winning projects have been announced today in the Dartford & Gravesham NHS Trust and University College London Hospitals Green Ward Competitions. Teams were competing for a £500 prize to spend on further green innovation. In London, the Neuropsychology Department scooped the UCLH prize for its project, “Step One for a Paperless Office”. The department's green team (made up of clinical and administrative - [Lancet Gives Sustainable Healthcare Global Spotlight](https://sustainablehealthcare.org.uk/news-2016-11-lancet-gives-sustainable-healthcare-global-spotlight/) - While the eyes of the world’s sustainability experts are on COP22 at Marrakesh, the Lancet has put sustainable health on the agenda by launching the Lancet Countdown on Health and Climate Change. The Lancet Countdown will be a 15-year investigation comprised of a collaborative force of 16 research institutions from around the globe. The study - [Naturally Healthy](https://sustainablehealthcare.org.uk/news-2017-04-naturally-healthy/) - Financial and carbon pressures on NHS services heighten the need to find ways to improve health using less resource. There is already strong research evidence for a connection between access to the natural outdoors and the mental and physical health of individuals and populations. On 2nd March CSH and the Ecosystems Knowledge Network delivered a Valuing Nature Programme event to ensure that tools and methods are available to demonstrate the cost-effectiveness of addressing local health priorities through increased physical activity in the natural outdoors in the UK. The programme took diabetes as a focus and included:1. Challenges in policy and practice 2. Learning from local health priorities and opportunities for improved access to the natural outdoors for the population of Birmingham3. Future research priorities It was an incredible day, chaired by Professor John Newton, Chief Knowledge Officer, and including presentations from academic health and environmental economists alongside public health and natural environment experts, and economists from Price Waterhouse with a huge amount of energy in the room. Tweets included:Will Evison‏ @Will_Evison Mar 2Brilliant multi-disciplinary effort today: #publichealth experts, env. & health economists banging heads together! @ValuingN @EcosystemsNet - [CSH Wins Big at NHS Sustainability Awards](https://sustainablehealthcare.org.uk/news-2018-06-csh-wins-big-nhs-sustainability-awards/) - Centre for Sustainable Healthcare's work was recognised at the 2018 NHS Sustainability Awards this May. Our Green Ward Competition won the Clinical Sustainability award with University Hospital Southampton, which included projects such as reducing medicine waste and reducing unnecessary wastage of medical equipment by revising routine usage processes. If you would like to read more - [Families Active, Sporting Together](https://sustainablehealthcare.org.uk/news-2018-09-families-active-sporting-together/) - Cherwell District Council’s ‘Families Active, Sporting together’ (FAST) programme has now started. CSH is very excited to partner in this great 4 year project, funded by the Sports England Family Fund, which will offer families living in areas of deprivation in Banbury the opportunity to take part in facilitated sports activities as a whole family - [SHE Masterclass 2018 Review](https://sustainablehealthcare.org.uk/news-2018-10-she-masterclass-2018-review/) - The 2018 Sustainable Healthcare Education masterclass took place in Islington on 11th September 2018, organised by the Centre for Sustainable Healthcare (CSH). Over 20 educators and students gathered to discuss strategies and actions for integrating planetary health and sustainable healthcare into the undergraduate medical curriculum. A team of expert speakers in the field of sustainable - [The Lancet Countdown: Extreme heat damaging our health and livelihoods](https://sustainablehealthcare.org.uk/news-2018-11-lancet-countdown-extreme-heat-damaging-our-health-and-livelihoods-and-threatening-0/) - New research published in The Lancet medical journal shows that rising temperatures as a result of climate change are already exposing us to an unacceptably high health risk and warns, for the first time, that older people in Europe and the East Mediterranean are particularly vulnerable to extremes of heat, markedly higher than in Africa - [First Indoor Nature Walk at Marston Court](https://sustainablehealthcare.org.uk/news-2019-08-first-indoor-nature-walk-marston-court/) - My summer internship with the Centre for Sustainable Healthcare allowed me to create my first Indoor Nature Walk at Marston Court, a care home in north Oxford. From day one, the care home was enthusiastic in participating in each step of the process from one-on-one interviews down to what color paint should be added in - [CSH Awarded Green Recovery Challenge Funding for National Green Space for Health Programme](https://sustainablehealthcare.org.uk/news-2020-12-csh-awarded-green-recovery-challenge-funding-national-green-space-health-programme/) - The Centre for Sustainable Healthcare is expanding its Green Space for Health Programme with new funding from the Government’s Green Recovery Challenge Fund. The grant, from the Department for Environment, Food and Rural Affairs (DEFRA) will allow CSH to increase tree planting across NHS sites as part of the NHS Forest and grow skills in - [Thank you for being a part of CSH in 2020!](https://sustainablehealthcare.org.uk/news-2020-12-thank-you-being-part-csh-2020/) - 2020 has certainly been a year for the books with devastating bushfires, police brutality and, of course, the direct and many indirect health effects of the global pandemic. But some good has come out of the bad: - [Sustainability included in the 2021 RCOT professional standards](https://sustainablehealthcare.org.uk/news-2021-04-sustainability-included-2021-rcot-professional-standards/) - Last month saw the publication of the new Professional standards for occupational therapy practice, conduct and ethics by the Royal College of Occupational Therapists (RCOT), which guides the practice of occupational therapists in the UK. Since 2015, the Code of Ethics has advised occupational therapists to ‘‘to re-evaluate practice models and expand clinical reasoning about ## Pages - [Home](https://sustainablehealthcare.org.uk/) - The Centre for Sustainable Healthcare is an independent non-profit leading sustainable transformation in health systems. We offer strategic input through bespoke services, education and guidance for healthcare professionals. - [Nature Recovery Ranger / Senior Nature Recovery Ranger - London](https://sustainablehealthcare.org.uk/career/nature-recovery-ranger-london/) - Senior Nature Recovery Ranger - London Senior Nature Recovery Ranger Salary: £36,050 FTE London weighting: £5,407.50 Hours: Full time (5 days/week) Contract: Fixed term until 31st March 2028 Location: Across healthcare sites in London (with some home working) About The Centre for Sustainable Healthcare The Centre for Sustainable Healthcare (CSH) inspires and empowers people to - [Careers](https://sustainablehealthcare.org.uk/career/) - Discover your next opportunity—explore roles that inspire growth and innovation in healthcare Careers at the Centre for Sustainable Healthcare At the Centre for Sustainable Healthcare (CSH), we are passionate about driving transformative change in healthcare systems to create a healthier planet. Our team is dedicated to improving health while reducing the environmental impact of healthcare. - [Sustainable procurement individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education-and-training/sustainable-procurement-individual-course/) - Sustainable procurement Next workshop date Book now Book your place Course outline This course helps you understand why sustainability matters, offering an overview of the relationship between health, the health sector and the climate and ecological crises. How is procurement both vulnerable to and contributing to climate change and ecological degradation? What does sustainable procurement - [Register your interest in our Sustainable Procurement course](https://sustainablehealthcare.org.uk/register-your-interest-in-our-sustainable-procurement-course/) - [Block booking courses for organisations](https://sustainablehealthcare.org.uk/what-we-do/education/block-booking-courses-for-organisations/) - Our wide range of professional training and expert-led interactive courses can be delivered for entire healthcare teams to equip them with the knowledge, confidence and practical tools to embed sustainable approaches in their practice. Learn about our courses for individual healthcare staff What does block booking a CSH course mean? Block booking allows you to purchase - [Courses](https://sustainablehealthcare.org.uk/courses/) - Sustainable healthcare courses Our expert-led interactive courses are designed for all health and social care staff with an interest in sustainable practice. Tailored courses are available for a range of specialties with options for individuals as well as group bookings for organisations, Want to place a block booking for your organisation? Find out more. - [Sustainable Innovation for Nurses and Midwives individual course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-innovation-for-nurses-and-midwives-individual-course/) - Sustainable Innovation for Nurses and Midwives Who is this course for? Accredited by the CPD Standards Office, this course is open to all frontline nurses and midwives (including students) and anyone looking to gain foundational knowledge. Next course dates All times GMT: 08/09/2026 10:00 - 12:00 19/10/2026 15:00 - 17:00 Book now Book your place - [Bronze membership](https://sustainablehealthcare.org.uk/bronze-membership/) - Bronze membership Welcome to your Bronze membership at the Centre for Sustainable Healthcare (CSH). Your membership gives your organisation access to the full CSH resource library, all clinical networks and case studies, two places at SusQI and NHS Forest conferences, one non-technical training course place, one hour of carbon footprint consultancy and 15 trees planted - [Silver membership](https://sustainablehealthcare.org.uk/silver-membership/) - Silver membership Welcome to your Silver membership at the Centre for Sustainable Healthcare (CSH). Your membership gives your organisation access to the full CSH resource library, all clinical and Green Space for Health networks, five places at SusQI and NHS Forest conferences, three training course places, three hours of carbon footprint consultancy, 50 trees planted - [Gold membership](https://sustainablehealthcare.org.uk/gold-membership/) - Gold membership Welcome to your Gold membership at the Centre for Sustainable Healthcare (CSH). Your membership gives your organisation access to the full CSH resource library, all clinical networks, ten places at SusQI and NHS Forest conferences, five training course places, two full days of carbon footprint consultancy, 100 trees and two wildflower meadows in - [Platinum Membership](https://sustainablehealthcare.org.uk/platinum-membership/) - Welcome to your Platinum partnership with the Centre for Sustainable Healthcare Dear Siemens Healthineers team, Welcome! We are delighted to have Siemens Healthineers as a Platinum Partner of the Centre for Sustainable Healthcare for 2026. Platinum Partnership is the highest and most exclusive level of engagement within the CSH Membership & Partner Programme, awarded to - [Platinum Communications Pack](https://sustainablehealthcare.org.uk/platinum-communications-pack/) - Platinum Communications Pack Welcome to your Platinum partner communications pack. Sharing your partnership with your networks is a powerful way to demonstrate your commitment to sustainable healthcare and to the organisations and professionals leading that change. Below you will find your Platinum partner badge, ready-to-use communications copy and a link to our guidelines. Communications guidelines - [Membership Account](https://sustainablehealthcare.org.uk/membership-account/) - Read our latest posts - [Members Portal Log In](https://sustainablehealthcare.org.uk/login/) - [Our members](https://sustainablehealthcare.org.uk/our-members/) - Meet the organisations committed to transforming healthcare for people and the planet and the partnerships that make our work possible. Our members and partners have made an active commitment to learning, transparency and action in sustainable healthcare. In return, they gain access to trusted expertise, influential networks and tailored support, and the opportunity to demonstrate - [Membership and Partner Programme](https://sustainablehealthcare.org.uk/what-we-do/membership-and-partner-programme/) - Join a growing community of organisations committed to delivering high-quality, low-carbon, equitable healthcare, and access the expertise, networks and tools to make it happen Membership and partnership represent an active commitment to learning, transparency and action. In return, members and partners gain access to trusted expertise, influential networks, tailored support and opportunities to demonstrate credible - [KitNewCare: An Introduction to Sustainable Kidney Care ](https://sustainablehealthcare.org.uk/what-we-do/education/kitnewcare-introduction-to-sustainable-kidney-care-course/) - KitNewCare: An Introduction to Sustainable Kidney Care Who is this course for? This free module offers practical strategies to reduce the environmental impact of kidney care. It is provided by KitNewCare, a pioneering Horizon Europe project to make kidney healthcare more environmentally sustainable. Book now Enroll now Course outline This module explains the two-way relationship between kidney health and the environment and gives practical examples of how to reduce both the financial and environmental impact - [Sustainable Child Health individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-child-health-individual-course/) - Sustainable Child Health Next course date Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Course outline This course, developed in collaboration with the Royal College of Paediatrics and Child Health explores the impacts of climate change and nature - [Sustainable Respiratory Care individual course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-respiratory-care-individual-course/) - Sustainable Respiratory Care Next workshop date Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Link takes you to our learning platform Course outline This course offers an overview of the relationship between human health and the climate and - [Sustainable primary care individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-primary-care-individual-course/) - Sustainable primary care Next course date Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Course outline This course was developed in collaboration with the Royal College of General practitioners and the Greener Practice network and is specifically tailored - [Sustainable mental health individual course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-mental-health-individual-course/) - Sustainable mental health Next workshop dates Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Course outline Developed in collaboration with the Royal College of Psychiatry, and designed for staff at any level across mental health and social care - [Sustainable Dentistry individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-dentistry-individual-course/) - Sustainable Dentistry Next workshop date Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Course outline This course will help you to understand why sustainability matters, offering an overview of the complex relationship between human health, climate change and - [Sustainable Anaesthetics individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-anaesthetics-individual-course/) - Sustainable Anaesthetics Next workshop dates Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Book now Book your place Link takes you to our learning platform Course outline This course offers an overview of the complex relationship between human health, climate change and the - [Sign up for our newsletter](https://sustainablehealthcare.org.uk/sign-up-for-our-newsletter/) - Stay informed and inspired—sign up for our newsletter to receive the latest updates on sustainable healthcare initiatives CSH newsletter is sent out monthly and keeps you up to date on sustainable healthcare news, events, resources, and educational opportunities. Sign up below. Browse our newsletter archive NHS Forest newsletter is sent out every two months and - [Sustainability Analysis and Quality Improvement in Nursing and Midwifery](https://sustainablehealthcare.org.uk/what-we-do/education/sustainability-analysis-and-quality-improvement-in-nursing-and-midwifery/) - Sustainability Analysis and Quality Improvement in Nursing and Midwifery Who is this course for? This course is open to all nurses and midwives with responsibility managing a team or budget. Next course dates All times GMT: 24/08/2026 09:00-13:00 24/09/2026 13:00-17:00 16/11/2026 09:00 - 13:00 Book now Book your place Waitlist Join the waiting list - [Sustainable Innovation in Nursing and Midwifery Leadership Training ](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-innovation-in-nursing-and-midwifery-leadership-training/) - Sustainable Innovation Leadership for Senior Nurses and Midwives Who is this course for? This course is open to all board and near board-level nurses and midwives and those managing multiple teams or large scale programmes and services. Next course dates All times GMT: 16/09/2026 14:00 - 16:00 Book now Book your place Available at no - [Carbon Footprinting for Healthcare individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/carbon-footprinting-for-healthcare-individual-course/) - Carbon Footprinting for Healthcare Next course date 3/09/2026 8.00-12.00 18/11/2026 13.00-17.00 Book now Book your place Link takes you to our learning platform Download a course overview Course outline Climate change poses an existential threat to us. The NHS has acknowledged its contribution to greenhouse gas emission and set a goal of achieving Net Zero - [Sustainable Healthcare cross-specialty course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-healthcare-individual-course/) - Sustainable Healthcare Next workshop dates Tuesday 15 September 9.00-13.00 BST Wednesday 7 October 9.00-13.00 BST Wednesday 11 November 13.00-17.00 GMT Monday 14 December 9.00-13.00 GMT Download a course outline Book now Book your place Link takes you to our learning platform Course outline This course offers an overview of the complex relationship between human health, - [Siemens Healthineers](https://sustainablehealthcare.org.uk/our-sponsors/siemens-healthineers/) - Siemens Healthineers is a global leader in medical technology, delivering innovative imaging, diagnostics and digital health solutions that help transform healthcare. With a strong focus on innovation and sustainability, the company is committed to improving patient care while supporting the transition to lower-carbon, more resilient health systems. Discover more on the Siemens Healthineers website How - [Micro-tech UK](https://sustainablehealthcare.org.uk/our-sponsors/microtech-uk/) - Micro-Tech UK is a value driven and innovative medical device supplier, and they are passionate about patient outcomes, quality of service and are aiming to become one of the most sustainable organisations in their sector. Discover more on the Microtech UK website How Micro-Tech UK supports CSH. CSH Membership and Partner Programme Microtech UK is - [Net Zero Leadership Training For Boards](https://sustainablehealthcare.org.uk/services/net-zero-leadership-training-for-boards/) - Net Zero Leadership Training For Boards Senior leaders have a key role in inspiring the widespread culture and behaviour change necessary to achieve sustainable transformation across an organisation. This interactive training package is tailored to local requirements and designed to inspire board members and system leaders in healthcare and equip them to lead, accelerate and - [Bronze Communications Pack](https://sustainablehealthcare.org.uk/bronze-communications-pack/) - Bronze Communications Pack Welcome to your membership communication pack. Sharing your membership with your networks can be a powerful way to let others know that sustainability in healthcare is something important to your organisation. Below you can find your digital membership badge, social media copy and a link to our guidelines. Communications guidelines We have - [Silver Communications Pack](https://sustainablehealthcare.org.uk/silver-communications-pack/) - Silver Communications Pack Welcome to your membership communication pack. Sharing your membership with your networks can be a powerful way to let others know that sustainability in healthcare is important to your organisation. Below you can find your digital membership badge, social media copy and a link to our guidelines. Communications guidelines We have a - [Gold Communications Pack](https://sustainablehealthcare.org.uk/gold-communications-pack/) - Gold Communications Pack Welcome to your membership communication pack. Sharing your membership with your networks can be a powerful way to let others know that sustainability in healthcare is important to your organisation. Below you can find your digital membership badge, social media copy and a link to our guidelines. Communications guidelines We have a - [Green Space and Health individual course](https://sustainablehealthcare.org.uk/what-we-do/education/green-space-and-health-individual-course/) - Green Space and Health Next workshop dates Wednesday 16 September 9.00-13.00 Book now Book your place Link takes you to our learning platform Course outline This course offers an overview of the ways in which human health is inextricably linked to the health of the natural environment. This complex set of relationships is sometimes referred - [Book your carbon footprinting consultancy](https://sustainablehealthcare.org.uk/book-your-carbon-footprinting-consultancy/) - [How your membership supports the NHS Forest](https://sustainablehealthcare.org.uk/what-we-do/membership-and-partner-programme/membership-nhs-forest/) - When you join the CSH Membership & Partners Programme you are helping to grow the NHS Forest. How our tree planting programme works Our Green Space for Health team works closely with healthcare sites to identify suitable planting opportunities and allocate funding where it can have the greatest impact. We coordinate tree orders and provide expert advice on planting and - [Donate](https://sustainablehealthcare.org.uk/donate/) - Inspire • Empower • Transform Much of the funding for our core costs is provided by donations and project-focused support. Our goal is to inspire, empower and mobilise decision-makers, staff, patients and carers to reduce healthcare's carbon footprint. We promote four core approaches: maintaining people's health/slowing the progress of illnesses; providing patient-centred care; developing leaner pathways of care - [Donate to the Centre for Sustainable Healthcare](https://sustainablehealthcare.org.uk/one-off-donation/) - [Clinical Transformation for Net Zero presentation](https://sustainablehealthcare.org.uk/services/clinical-transformation-for-net-zero-presentation/) - Clinical Transformation for Net Zero presentation This one-hour taster session for boards and senior leaders in healthcare is designed to motivate and inspire accelerated action on sustainable transformation. A 45-minute presentation, followed by facilitated group discussion, highlights how sustainable delivery of clinical services can reduce financial costs and improve quality of care, outlines the leadership - [Public Health Leadership for Sustainability individual course](https://sustainablehealthcare.org.uk/what-we-do/education/public-health-leadership-for-sustainability-individual-course/) - Public Health Leadership for Sustainability Next workshop dates Tuesday 13 October 2026 9.00-13.00 Book now Book your place Course outline The Public Health Specialty Training Curriculum (2015) reflects the central importance of sustainable development to health and requires trainees to “demonstrate leadership in environmental sustainability with a focus on the links to health and climate - [Teaching Sustainability in Quality Improvement Improvement (SusQI) individual course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/teaching-sustainability-in-quality-improvement-improvement-susqi-individual-course/) - Teaching Sustainability in Quality Improvement Improvement (SusQI) Next course date Thursday 25 June 2026 9.00-11.30 Thursday 3 September 2026 14.00-16.30 Thursday 3 December 2026 9.00-11.30 Book now Book your place Link takes you to our learning platform Download a course overview Course outline Accelerating our progress towards net zero emissions and tackling the broader environmental - [Sustainability in Quality Improvement (SusQI) individual course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainability-in-quality-improvement-susqi-individual-course/) - Sustainability in Quality Improvement (SusQI) Next course dates 23/07/2026 13:00-17:00 17/09/2026 8:00-12:00 19/11/2026 13:00-17:00 Book now Book your place Link takes you to our learning platform Download a course overview Course outline Sustainability has been recognised by the Royal College of Physicians as a domain of quality in healthcare, extending the responsibility of health services - [Membership Cancel](https://sustainablehealthcare.org.uk/membership-account/membership-cancel/) - If you are having any issues with your membership, please get in touch: memberships@sustainablehealthcare.org.uk - [Membership ethical screening and onboarding process](https://sustainablehealthcare.org.uk/membership-ethical-screening-and-onboarding-process/) - Start your partnership with us through a simple, transparent process designed to ensure our shared commitment to ethical, sustainable healthcare. Our straightforward ethical screening and onboarding process is designed to help you begin your partnership with CSH quickly and confidently, while ensuring alignment with our values and commitment to sustainable healthcare. Once completed, you will be able - [Membership communications guidelines](https://sustainablehealthcare.org.uk/membership-communications-guidelines/) - Membership communications guidelines Your organisation is committed to credible leadership in sustainability. These guidelines ensure all public communications accurately represent your partnership with CSH, comply with UK advertising and environmental claims law and meet your own communications policies. Please read this before using any CSH assets or making any public statement about your membership. If - [About](https://sustainablehealthcare.org.uk/about/) - We are the Centre for Sustainable Healthcare Inspire • Empower • Transform Our guiding principles define who we are and what we strive to achieve. To inspire individuals and organisations to adopt innovative and creative approaches that integrate sustainability into healthcare. To empower professionals with the knowledge, resources, and confidence to take meaningful action towards - [Our work in specialties](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/) - Learn how our specialty-led approach inspires leadership for change and integrates sustainability into clinical practice What is the CSH Sustainable Specialties programme? The Centre for Sustainable Healthcare has pioneered the approach of working with clinical specialties to address their particular sustainability challenges, inspiring leadership and producing practical changes within the healthcare system. Clinical specialties are - [Our projects](https://sustainablehealthcare.org.uk/what-we-do/projects/) - See how our projects pioneer sustainable initiatives that improve healthcare delivery and outcomes What are CSH projects? The Centre for Sustainable Healthcare is at the forefront of revolutionising the healthcare sector to be more sustainable. We are committed to developing and implementing innovative solutions that reduce the sector's environmental footprint whilst maintaining the highest standards - [What we do](https://sustainablehealthcare.org.uk/what-we-do/) - Overview of our activities Explore the impact of our work and the initiatives driving sustainable change and innovation across healthcare Programmes Projects Education Services Programmes Green Space For Health Our Green Space for Health team inspires and supports healthcare sites in transforming their green space for health, wellbeing and biodiversity. We believe that a nature- - [Pharmacy](https://sustainablehealthcare.org.uk/pharmacy/) - Sustainable pharmacy Medicines, inhalers and anaesthetics have a significant effect on climate change, contributing up to 25% of the NHS carbon footprint. CSH is working with partners across health and social care to explore ways of supporting a more sustainable approach to medicines use and reducing the impact of medicines waste. CSH has developed resources - [Sustainable maternity care](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-maternity-care/) - Sustainable maternity care: Taking collective action to deliver low carbon, equitable maternity care CSH partnered with the Royal College of Obstetricians and Gynaecologists (RCOG), the Sustainable Healthcare Coalition (SHC), and the Royal College of Midwives (RCM) to deliver the project "Taking collective action to deliver low carbon, equitable maternity care". This year-long project launched in April - [Sustainable kidney care](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-kidney-care/) - Sustainable kidney care The Centre for Sustainable Healthcare is a partner in the new KitNewCare project to make kidney care more sustainable as part of the European Union’s key funding programme for Innovation and research to tackle climate change. KitNewCare: transforming kidney care in Europe KitNewCare is employing a systematic approach to decarbonise the European - [Our services](https://sustainablehealthcare.org.uk/services/) - Discover our services designed to guide and accelerate sustainable change across healthcare Sustainability in Quality Improvement Academy The SusQI Academy provides training, support, and networking opportunities for embedding sustainability into QI education and practice Find out more SusQI Beacon Site Recognition Get recognised accreditation as an institution leading, designing and implementing sustainable quality improvement and - [Sustainable mental health](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-mental-health/) - Sustainable mental health In March 2010, a one-day summit, “Mental health services 2020 - High quality, low carbon”, was organised by CSH jointly with the Royal College of Psychiatrists (RCPsych). The partnership has continued and, in 2013, the RCPsych became the first medical royal college to fund its own Sustainable Specialties fellow, hosted and managed - [Sustainable anaesthetics](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-anaesthetics/) - Sustainable anaesthetics In February 2019, Dr. Cathy Lawson became the first to take up an annual Fellowship in Environmentally Sustainable Anaesthesia, which has been created through collaboration between the Association of Anaesthetists, CSH and Newcastle upon Tyne Hospitals NHS Foundation Trust (NUTH). Learn more about the pioneering work of our anaesthesia fellows and scholars Anaesthetics is a particularly important area for - [The Principles of Sustainable Healthcare](https://sustainablehealthcare.org.uk/about/our-story/the-principles-of-sustainable-healthcare/) - The Principles of Sustainable Healthcare The CSH Principles of Sustainable Healthcare are a set of guiding principles that can help healthcare practitioners participate in innovation, adoption, and embedding of low carbon practices in their healthcare setting. The Principles of Sustainable Healthcare were developed by CSH’s Dr Frances Mortimer as guiding principles to improve healthcare design - [Our programmes](https://sustainablehealthcare.org.uk/what-we-do/programmes/) - Discover our programmes designed to champion sustainability and lead the way in healthcare transformation Green Space for Health Our Green Space for Health team inspires and supports healthcare sites in transforming their green space for health, wellbeing and biodiversity. We believe that a nature- positive health service is vital for building healthier and more sustainable - [Our story](https://sustainablehealthcare.org.uk/about/our-story/) - Our story The Centre for Sustainable Healthcare (CSH) is an independent, non-profit organisation that has been at the forefront of driving sustainable, net zero and carbon reduction initiatives within the healthcare sector since 2008. This is our story... Early years Founded by Rachel Stancliffe and Sir Muir Gray in 2008, in response to a lack - [Sustainable surgery](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-surgery/) - Sustainable surgery Surgical care alone accounts for around 5.7 million tonnes of CO2 emissions in the UK each year, which is similar to the emissions from heat, power, transportation, and trash from 700,000 UK homes. Anaesthetic gases, energy, and single-use goods are all carbon hotspots in theatres. Sustainable surgery fellowship In August 2018, Chantelle Rizan - [Core Concept: Sustainability in Quality improvement](https://sustainablehealthcare.org.uk/what-we-do/principles-of-sustainability-in-quality-improvement/) - The SusQI framework outlines four stages of the quality improvement process at which sustainability should be considered and actively implemented. This easy to implement step-by-step guide for each stage of the process can be utilised in any healthcare setting. Setting goals The first part of the SusQI framework involves defining the problem and goal - [Sustainability Kidney Champion information pack](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-kidney-care/sustainability-kidney-champion-information-pack/) - Kidney Centre Sustainability Champion Information Pack The UK Kidney Centre Sustainability Champion role is essential to accelerate high quality, low-carbon and cost-efficient kidney care. Kidney care has significant environmental impacts as treatment can be energy and water intensive. There is huge potential to ensure environmental responsibility whilst delivering quality care – but the scheme needs - [Leaving a gift in your will to the Centre for Sustainable Healthcare - FAQs](https://sustainablehealthcare.org.uk/leaving-a-gift-in-your-will-to-the-centre-for-sustainable-healthcare-faqs/) - Leave a gift in your will FAQ Thank you for considering leaving a gift to The Centre for Sustainable Healthcare. By including CSH in your will, you can create a lasting legacy that supports meaningful change. Your gift will help us drive sustainable transformation across the UK health system and inspire progress internationally, benefiting both - [Membership Levels](https://sustainablehealthcare.org.uk/membership-levels/) - To register for membership, please email memberships@sustainablehealthcare.org.uk - [Professional public speaking](https://sustainablehealthcare.org.uk/services/professional-public-speaking/) - Professional event and public speaking service Are you looking to elevate your event with industry insights, engaging storytelling and expert knowledge? The Centre of Sustainable Healthcare's professional speaker service connects you with dynamic, expert individuals who can inspire, inform and entertain your audience. We can connect you with professional speakers who are noted experts in - [Membership Billing](https://sustainablehealthcare.org.uk/membership-account/membership-billing/) - [pmpro_billing] - [Membership Checkout](https://sustainablehealthcare.org.uk/membership-checkout/) - [pmpro_checkout] - [Membership Confirmation](https://sustainablehealthcare.org.uk/membership-checkout/membership-confirmation/) - [pmpro_confirmation] - [Membership Orders](https://sustainablehealthcare.org.uk/membership-account/membership-orders/) - [pmpro_invoice] - [Your Profile](https://sustainablehealthcare.org.uk/membership-account/your-profile/) - [Our partners](https://sustainablehealthcare.org.uk/our-partners/) - Discover the organisations that share our vision and drive us forward Our partners are like-minded organisations who have worked with us on groundbreaking projects, initiatives and research that has promoted environmentally responsible practices, improved patient care and outcomes, and created impactful change across the healthcare sector. If you would like to work with CSH then - [Privacy policy](https://sustainablehealthcare.org.uk/privacy-policy/) - Inspire • Empower • Transform Privacy Policy of The Centre for Sustainable Healthcare The Centre for Sustainable Healthcare (CSH) has developed this policy to help you understand what we do with your data and how we keep it secure. This policy applies to The Centre for Sustainable Healthcare Ltd, company number No. 7450026 and as - [Contact us](https://sustainablehealthcare.org.uk/contact-us/) - Contact us Inspire • Empower • Transform Get in touch with our teams General information If you would like to get in touch we would love to hear from you. Please contact Abbiey Auterra, our People and Operations Lead. Your email will be forwarded to the appropriate member of the team as soon as possible. - [Equality, diversity and inclusion statement](https://sustainablehealthcare.org.uk/equality-diversity-and-inclusion-statement/) - Equality, diversity and inclusion statement Inspire • Empower • Transform The Centre for Sustainable Healthcare (CSH) recognises, and values people’s differences and the strength and power of our diverse community will support us all to reach our sustainable healthcare goals. CSH will do all it can to ensure it is committed to diversity in all - [T3 Sustainable Innovation in Nursing and Midwifery Leadership Training - booking form](https://sustainablehealthcare.org.uk/t3-sustainable-innovation-in-nursing-and-midwifery-leadership-training-booking-form/) - Sustainable Innovation in Nursing and Midwifery Leadership Training - booking form - [T2 Sustainability Analysis and Quality Improvement in Nursing and Midwifery - booking form](https://sustainablehealthcare.org.uk/t2-sustainability-analysis-and-quality-improvement-in-nursing-and-midwifery-booking-form/) - Sustainability Analysis and Quality Improvement in Nursing and Midwifery - join the waitlist - [Tutor Login](https://sustainablehealthcare.org.uk/tutor-login-4/) - [Tutor Login](https://sustainablehealthcare.org.uk/tutor-login-3/) - [Tutor Login](https://sustainablehealthcare.org.uk/tutor-login-2/) - [Courses log in](https://sustainablehealthcare.org.uk/courses-log-in/) - [Student sign-up](https://sustainablehealthcare.org.uk/student-sign-up/) - Please enter your details below to sign up for our free sustainable kidney care course. Keep your login details safe so you can save your progress and return to the course whenever you want. If you need any support, please email info@sustainablehealthcare.org.uk - [Student Registration](https://sustainablehealthcare.org.uk/student-registration/) - [Tutor Certificate](https://sustainablehealthcare.org.uk/tutor-certificate/) - [Tutor Login](https://sustainablehealthcare.org.uk/tutor-login/) - [Cart](https://sustainablehealthcare.org.uk/cart/) - [Checkout](https://sustainablehealthcare.org.uk/checkout/) - [Dashboard](https://sustainablehealthcare.org.uk/dashboard/) - [Instructor Registration](https://sustainablehealthcare.org.uk/instructor-registration/) - [Elective experiences](https://sustainablehealthcare.org.uk/elective-experiences/) - Elective experiences After an initial self-study training course, students apply theory to practice by working alongside our staff on a range of clinical, green space and education projects. Here are some examples Lauren Spiller-Boulter Final Year Medical Student, University of Oxford, 2026 “I'm interested in dermatology and helped with the Dermatology Sustainability Network resources. I - [Work placements](https://sustainablehealthcare.org.uk/volunteer/) - Learn by doing Collaborate with us to produce practical changes in healthcare. Projects may include developing sustainability practices in a particular specialty, creating training materials, measuring outcomes, making presentations or developing peer networks. Placements are conducted remotely, with an opportunity to meet once a month in Oxford. Clinicians Work with us to develop your career - [Sustainable occupational therapy](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-occupational-therapy/) - Sustainable occupational therapy Consideration of the environment is integral to occupational therapy models and interventions, yet if we are not addressing the issue of climate change and the probable impacts on service users and ourselves, are we being truly holistic? The World Federation of Occupational Therapists, Royal College of Occupational Therapists (RCOT) and Swedish Association - [Fellows and Scholars](https://sustainablehealthcare.org.uk/fellows-and-scholars/) - Fellows and Scholars Our dedicated fellows and scholars have worked alongside CSH to contribute to projects and research that has had a significant impact on the role of sustainability in healthcare. On return to clinical practice, they become life-long ambassadors for sustainability within their specialty. If you are interested in setting up your own sustainability - [Sustainability analytics](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-analytics/) - CSH's sustainability analytics team offer data driven insights and tools for organisations to measure and optimise their sustainable decision making. Offering data driven insights to measure carbon CSH sustainability analysts are dedicated to empowering healthcare organizations (such as NHS Trusts and ICSs), health professionals, businesses, and researchers to understand, monitor, and address their environmental and - [Axrem](https://sustainablehealthcare.org.uk/our-sponsors/axrem-2/) - AXREM, the UK trade association representing suppliers of diagnostic medical imaging, radiotherapy, healthcare IT and care equipment, is proud to be partnering with NHS Forest.Their members supply cutting-edge technologies to the NHS that improve patient care, streamline processes and support better outcomes across the healthcare system. Alongside this, AXREM is committed to promoting environmental responsibility - [Press kit](https://sustainablehealthcare.org.uk/press-kit/) - Press kit Inspire • Empower • Transform At a glance Contact details Our dedicated media team can be reached directly on media@sustainablehealthcare.org.uk and are available for quotes, interviews and expert opinion on any aspect of sustainable healthcare. Who we are The Centre for Sustainable Healthcare is an independent charity and leading voice in the efforts to - [Partner with us](https://sustainablehealthcare.org.uk/partner-with-us/) - Inspire • Empower • Transform Our work The Centre for Sustainable Healthcare is at the forefront of supporting the healthcare sector to be more sustainable. We are committed to developing and implementing innovative solutions that reduce the sector’s environmental footprint whilst maintaining the highest standards of patient care. To do this we undertake a variety - [Our impact](https://sustainablehealthcare.org.uk/our-impact/) - Our impact Discover how we’ve been working to protect both people and nature through our innovative projects and impactful collaborations Explore our latest reports Since 2008, the Centre for Sustainable Healthcare has been bridging the gap between healthcare professionals, patients, and communities, highlighting the crucial connections between health and the environment. Our mission is to - [Green Team Competition](https://sustainablehealthcare.org.uk/services/green-team-competition/) - Green Team Competition The Green Team Competition is an award-winning programme in sustainable healthcare that transforms expert knowledge into action. It empowers NHS and healthcare organisations to bring sustainability and healthcare together, to improve clinical outcomes, reduce organisational costs and become thought leaders in their journey toward net zero. Cut Carbon to meet Net Zero - [Sustainability Fellowship and Scholarship](https://sustainablehealthcare.org.uk/sustainability-fellowship-and-scholarship/) - Sustainability Fellowship and Scholarship As part of our Sustainable Specialties programme, CSH has supported and hosted Fellows and Scholars with funding from their host organisations. These Fellows and Scholars gain a unique opportunity to learn about sustainability, develop skills in leadership and quality improvement, and contribute to an exciting new dimension of healthcare. On return to clinical practice, they - [Lead Facilitator - Education Team](https://sustainablehealthcare.org.uk/career/lead-facilitator-education-team-2/) - Lead Facilitator - Education Team Home-based with monthly travel to Oxford Reports To: Education Director Part-time post: 22.5 hours per week (0.6 FTE) Salary: £36,500 per annum (pro rata £21,900), plus contributory pension Fixed term for 12 months (with a view to extend into a permanent position) Apply by: Midnight on 5th March 2026 Expected - [Sustainable Quality Improvement (SusQI)](https://sustainablehealthcare.org.uk/sustainable-quality-improvement-susqi/) - Sustainable Quality Improvement (SusQI) Today's healthcare professionals are expected to do more than just deliver excellent patient care; they are also expected to contribute to improving healthcare services, using a process called Quality Improvement (QI). CSH has recognised the importance of embedding sustainable paradigms and initiatives into the foundations of quality improvement if the healtcare sector - [Our supporters](https://sustainablehealthcare.org.uk/our-sponsors/) - Learn about those who fuel our ambitions and help us achieve our goals Our supporters have helped CSH in a variety of ways, from direct funding through to organisational support. This has given CSH the resources we need to lead the way in groundbreaking projects, initiatives and research that have had a profound impact on - [Association of Surgeons in Training (ASiT)](https://sustainablehealthcare.org.uk/our-sponsors/asit/) - The Association of Surgeons in Training (ASiT) is proud to support NHS Forest as part of its 50th anniversary celebrations. Discover more on the ASiT website How ASiT has supported CSH To mark fifty years of representing and advocating for surgical trainees, ASiT is sponsoring the planting of 50 trees, symbolising both reflection on the - [Past Projects](https://sustainablehealthcare.org.uk/what-we-do/projects/past-projects/) - Learn about the projects CSH have been involved in and see the ongoing impact they have in the sustainable healthcare sector. Past projects with ongoing impact The Centre for Sustainable Healthcare has been engaging in research and projects pushing the boundaries of sustainable healthcare since 2008. Although many studies and research projects may be over, - [NHS Management Trainees  Experiences](https://sustainablehealthcare.org.uk/nhs-management-trainees-experiences/) - NHS Management Trainees experiences Our dedicated NHS management trainees have explored how triple bottom line quality improvement can shape a more sustainable future for healthcare. By joining our team on fixed-term placements, they’ve applied fresh perspectives and innovative approaches to projects that balance patient care, environmental impact, and financial stewardship. Their contributions have strengthened our - [Annual impact reports](https://sustainablehealthcare.org.uk/annual-reports/) - Explore our annual impact reports to see how we are driving change and making a difference in sustainable healthcare Since 2008, we’ve been working to connect healthcare professionals, patients, and communities with the crucial links between health and the environment. Our mission is to reduce healthcare’s resource footprint and empower the sector to lead in - [NHS England green plan resources and support](https://sustainablehealthcare.org.uk/services/nhs-england-green-plan-resources-and-support/) - NHS England's 2020 strategy "Delivering a Net Zero National Health Service" and the 2021/22 NHS Standard Contract set out the requirement for Trusts and Integrated Care Systems to develop a Green Plan. Since 2008, the Centre for Sustainable Healthcare has worked with healthcare providers to create a variety of resources, tools, networks and training programmes - [NHS Scotland Sustainability Strategy Resources and Support](https://sustainablehealthcare.org.uk/services/nhs-scotland-sustainability-strategy-resources-and-support/) - In 2019, NHS Scotland became the first national health service in the UK to commit to becoming a net-zero organisation, recognising the need to act to address the climate emergency and loss of biodiversity. NHS Scotland launched the 2022-2026 Climate Emergency and Sustainability Strategy in August 2022, which outlines five priority areas to assist them in achieving net-zero - [NHS Wales Decarbonisation Action Plan Resources and Support](https://sustainablehealthcare.org.uk/nhs-wales-decarbonisation-action-plan-resources-and-support/) - Croeso/Welcome! In 2019, Welsh Government declared a climate emergency to trigger more action to meet the climate change challenge, the first government in the world to declare such an emergency. In March 2021, the NHS Wales Decarbonisation Strategic Delivery Plan(link is external) was published, which details 46 initiatives and targets for the decarbonisation of NHS Wales. These initiatives and targets will - [North East London Health and Care Partnership](https://sustainablehealthcare.org.uk/our-sponsors/north-east-london-health-and-care-partnership/) - The North East London Health and Care Partnership is the bringing together of the local NHS Trust in north east London and numerous health and social care providers, local authorities and voluntary organisations to improve the health and wellbeing of local people and tackle health inequalities that exist in their borough. They are responsible for - [Green Nursing Showcase 2025](https://sustainablehealthcare.org.uk/what-we-do/projects/green-nursing-showcase-2025/) - Green Nursing Challenge Showcase 2025 videos and case study reports The Green Nursing Showcase took place on 20 October 2025 from 09:30 to 12:30. The event was dedicated to highlighting the inspiring work of the six project teams taking part in the Green Nursing Challenge. These teams are leading the way in creating more sustainable - [Education](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/) - Our education team at CSH offers a wide range of professional training and educational courses at an individual or whole organisational level, that will help equip healthcare teams with the knowledge, confidence and practical tools to embed sustainable approaches in their practice, Our sustainable healthcare courses Our courses are designed for people working in the - [CooperSurgical](https://sustainablehealthcare.org.uk/our-sponsors/coopersurgical/) - CooperSurgical is committed to advancing the care of women, babies, and families around the world. They empower individuals and healthcare professionals to make informed choices, and they’re proud to support both private and NHS clinics with trusted reproductive health solutions. Sustainability is a core part of their mission. They’ve introduced eco-conscious shipping, eliminating approximately 50,000 - [T1 Sustainable Innovation for Nurses and Midwives - booking form](https://sustainablehealthcare.org.uk/t1-sustainable-innovation-for-nurses-and-midwives-booking-form/) - Sustainable Innovation for Nurses and Midwives - booking form Thank you for your interest in the Sustainable Innovation for Nurses and Midwives course. This form is no longer in use. Please visit our course booking page to register for this course. - [Privacy](https://sustainablehealthcare.org.uk/privacy/) - View our Privacy Policy - [Philips](https://sustainablehealthcare.org.uk/our-sponsors/philips/) - PHILIPS: Advancing sustainable healthcare while supporting NHS Forest to grow greener, healthier futures. At Philips, sustainability is at the heart of everything they do – from designing energy-efficient, circular healthcare solutions to supporting projects that restore and protect nature. That’s why they’re proud to partner with the NHS Forest and its vital work in transforming - [Our resources](https://sustainablehealthcare.org.uk/what-we-do/our-resources/) - CSH's own resource library is filled with academic journals, case studies and impact reports of our pioneering work. What are CSH resources? Our mission at CSH is to inspire and empower people with the knowledge, skills and tools to play their part in the transformation to sustainable healthcare. To help achieve this, we have created - [GreenTheUK](https://sustainablehealthcare.org.uk/our-sponsors/greentheuk/) - GreenTheUK connects businesses with expert organisations and charities, including the Centre for Sustainable Healthcare, to fund and deliver biodiversity projects across the UK’s lands and seas. From urban green spaces to coastal restoration, they coordinate impactful initiatives and provide clear reporting, helping businesses make a measurable difference for nature and communities. Discover more on the GreenTheUK - [Sport England](https://sustainablehealthcare.org.uk/our-sponsors/sportenglandnationallottery/) - Sport England is an arms-length body of government responsible for growing and developing grassroots sport and getting more people active across England. It awards funding through the National Lottery. How these organisations have supported CSH Sport England and The National Lottery with support from Forestry England have funded our Green Health Routes North East programme - [Trustees](https://sustainablehealthcare.org.uk/career/trustees/) - Trustees Board meetings: quarterly – twice in person (Oxford) and twice via Teams. Sub-committees, such as Risk and Finance, also meet quarterly Time commitment: 4 hours/month, for an initial 3-year term This is a voluntary role; reasonable travel expenses will be reimbursed Apply by: 5pm on Wednesday 10th September 2025 We are recruiting up to four - [Sponsor us](https://sustainablehealthcare.org.uk/sponsor-us/) - Inspire • Empower • Transform Our vision Imagine every healthcare site delivering treatment as part of net zero health service; a health system where resources are used carefully to achieve the greatest health benefits and patients are empowered to care for their own health. Envision a health service that provides a healing environment whilst at - [Press contact](https://sustainablehealthcare.org.uk/press-contact/) - Media contact Inspire • Empower • Transform Are you a journalist or member of the media? Our Communications team love talking to journalists and members of the press or media from all over the world to share inspiring stories of positive change in sustainable healthcare. We can also provide expert opinion and analysis for any - [Clinical delivery lead](https://sustainablehealthcare.org.uk/career/csh-clinical-delivery-lead/) - Clinical Delivery Lead: Capacity Building in Sustainable Kidney Care Home-based with monthly travel to Oxford and quarterly to Europe Full/part-time post: 0.8 FTE Salary: £42,500 pro rata. Fixed term until: 31st December 2027 Apply by: 5pm on Monday 8th September 2025 Expected interview date: 16th September 2025 About The Centre for Sustainable Healthcare The Centre for Sustainable Healthcare - [Our team](https://sustainablehealthcare.org.uk/about/our-team/) - Our team Meet the people that make our work possible - [Our accountability](https://sustainablehealthcare.org.uk/our-accountability/) - Our accountability Discover how we uphold our commitments and ensure transparency in our journey towards sustainable healthcare Committed to accountability and transparency Accountability and transparency At the Centre for Sustainable Healthcare, accountability is not just a responsibility—it’s a core value that guides everything we do. We are committed to maintaining the highest standards of transparency, - [Nature and Healthcare](https://sustainablehealthcare.org.uk/what-we-do/education/nature-and-healthcare/) - Nature and Healthcare Book now Access the free course This free online module, developed in partnership between the Centre for Sustainable Healthcare, Healthcare Ocean and RSK, explores the complex relationship between nature, human health and the healthcare sector and what we can do to support nature to thrive. This is an online-only on-demand course. Learning - [Sustainable Innovation for Nurses and Midwives - expression of interest](https://sustainablehealthcare.org.uk/sustainable-innovation-for-nurses-and-midwives-eoi/) - Sustainable Innovation for Nurses and Midwives - expression of interest form - [Sustainability in Quality Improvement Academy](https://sustainablehealthcare.org.uk/services/sustainability-in-quality-improvement-academy/) - Sustainability in Quality Improvement (SusQI) Academy The Sustainability in Quality Improvement (SusQI) Academy provides training, support, and networking opportunities for embedding sustainability into QI education and practice. Organisations may enrol key staff in the Academy to access CSH expert support. Membership is suitable to those working within health professions education or in health service delivery - [Sustainable Dentistry block booking course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-dentistry/) - Sustainable Dentistry Course outline This course will help you to understand why sustainability matters, offering an overview of the complex relationship between human health, climate change and the wider environmental crisis. We describe the ways in which the health system itself is both vulnerable to and contributing to these issues, with a specific focus on - [Teaching Sustainability in Quality Improvement (SusQI) block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/block-booking-courses-for-organisations/teaching-sustainability-in-quality-improvement-susqi-course/) - Teaching Sustainability in Quality Improvement Improvement (SusQI) Course outline Accelerating our progress towards net zero emissions and tackling the broader environmental impact of healthcare requires rapid scaling up and embedding of sustainable approaches within the processes that drive change, clinical innovation and improvement. Additionally, to ensure sustainability becomes ‘business as usual’ for the next generation, - [Sustainability in Quality Improvement (SusQI) block booking Course](https://sustainablehealthcare.org.uk/sustainability-in-quality-improvement-susqi-course/) - Sustainability in Quality Improvement (SusQI) Course outline Sustainability has been recognised by the Royal College of Physicians as a domain of quality in healthcare, extending the responsibility of health services to patients not just of today, but of the future. As a domain of quality, it follows that sustainability should be explicitly addressed as part - [Carbon Footprinting for Healthcare block booking course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/carbon-footprinting-for-healthcare/) - Carbon Footprinting for Healthcare Course outline Climate change poses an existential threat to us. The NHS has acknowledged its contribution to greenhouse gas emission and set a goal of achieving Net Zero by 2045. But how do we get there? Though we know the NHS’s carbon footprint overall, the carbon impact of service changes, quality - [Sustainable Respiratory Care block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-respiratory-care/) - Sustainable Respiratory Care Course outline This course offers an overview of the relationship between human health and the climate and ecological crises, with a focus on respiratory health. It describes how the health system is vulnerable to, but also contributes to, climate change and ecological degradation, examines the specific contribution of inhalers to carbon emissions - [Sustainable procurement block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-procurement/) - Sustainable procurement Course outline This course helps you understand why sustainability matters, offering an overview of the relationship between health, the health sector and the climate and ecological crises. How is procurement both vulnerable to and contributing to climate change and ecological degradation? What does sustainable procurement look like? Using real world case studies and - [Sustainable primary care block booking course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-primary-care/) - Sustainable primary care Course outline This course was developed in collaboration with the Royal College of General practitioners and the Greener Practice network and is specifically tailored to health and social care staff working in primary care. It helps you understand why sustainability matters, offering an overview of the relationship between health, the health sector - [Sustainable mental health block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-mental-health/) - Sustainable mental health Course outline Developed in collaboration with the Royal College of Psychiatry, and designed for staff at any level across mental health and social care this 3-part course will help you to understand why sustainability matters; how mental health and the environment are inextricably linked and how health services both contribute to and - [Sustainable Kidney Care block booking course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-kidney-care/) - Sustainable Kidney Care Course outline This course offers an overview of the complex relationship between human health, climate change and the wider environmental crisis with a focus on kidney disease and kidney care. We describe the ways in which the health system itself, (and kidney care in particular) are both vulnerable to and contributing to - [Green Space and Health block booking course](https://sustainablehealthcare.org.uk/what-we-do/programmes/education/green-space-and-health-course/) - Green Space and Health Course outline This course offers an overview of the ways in which human health is inextricably linked to the health of the natural environment. This complex set of relationships is sometimes referred to as ‘planetary health’ and is increasingly recognised as a critical perspective in health creation. We summarise the international - [Sustainable Child Health block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-child-health/) - Sustainable Child Health Course outline This course, developed in collaboration with the Royal College of Paediatrics and Child Health explores the impacts of climate change and nature loss on the health and wellbeing of children and young people, and the ways in which the healthcare system is both vulnerable to and contributing to these crises. - [Sustainable Anaesthetics block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-anaesthetics/) - Sustainable Anaesthetics Course outline This course offers an overview of the complex relationship between human health, climate change and the wider environmental crisis. We describe how the health system is both vulnerable to and contributing to these issues, examining the specific contribution of anaesthetics to carbon emissions and other environmental impacts. The course then explores - [Sustainable Healthcare block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/sustainable-healthcare/) - Sustainable Healthcare Course outline This course offers an overview of the complex relationship between human health, climate change and the wider environmental crisis. We describe the ways in which the health system itself is both vulnerable to and contributing to these issues, then explore (using real world case studies) how we can deliver healthcare sustainably, - [Public Health Leadership for Sustainability block booking course](https://sustainablehealthcare.org.uk/what-we-do/education/public-health-leadership-for-sustainability/) - Public Health Leadership for Sustainability Course outline The Public Health Specialty Training Curriculum (2015) reflects the central importance of sustainable development to health and requires trainees to “demonstrate leadership in environmental sustainability with a focus on the links to health and climate change”. This interactive course equips public health professionals with leadership skills for environmental - [Green Specialty Challenge](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/green-specialty-challenge/) - Green Specialty Challenge The Green Specialty Challenge is a national programme to stimulate engagement, innovation and greater understanding of environmentally preferable options within a specialty. The Challenges demonstrate knowledge into action, and publicise impact clinical teams can have through practical, achievable changes. Each Challenge is delivered by the Centre for Sustainable Healthcare (CSH) in partnership - [Green Nursing Challenge applicant information](https://sustainablehealthcare.org.uk/what-we-do/projects/green-nursing-challenge-applicant-information/) - Green Nursing Challenge applicant information Join us in the Green Nursing Challenge to champion sustainability and drive positive change in nursing care. The NHS has committed to achieving NetZero emissions by 2040, extending to suppliers by 2045. Nurses, the largest and most trusted profession within healthcare, play a crucial role. By making changes in working - [All available dates for the Sustainable Child Health course](https://sustainablehealthcare.org.uk/what-we-do/education/block-booking-courses-for-organisations/all-available-dates-for-the-sustainable-child-health-course/) - All available dates for the Sustainable Child Health course 29/04/2025 07/11/2025 - [Green Maternity Showcase videos and case study reports](https://sustainablehealthcare.org.uk/what-we-do/projects/green-maternity-showcase-videos-and-impact-reports/) - Green Maternity Showcase videos and case study reports The Green Maternity Showcase was an event dedicated to highlighting the inspiring work of the nine project teams taking part in the Green Maternity Challenge. These teams are leading the way in creating more sustainable and equitable maternity care. The event featured presentations from 9 clinical teams presenting their Sustainable Quality - [Get involved](https://sustainablehealthcare.org.uk/get-involved/) - Get involved Join us in advancing sustainable healthcare and make a lasting impact by becoming part of the change Donate As a charity we rely on your donations to continue to provide our groundbreaking projects and research. If you would like to help please donate here. Donate Sponsor us Would you like to support CSH - [SusQI Beacon Site](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-in-quality-improvement-susqi/susqi-beacon-site/) - SusQI Beacon Site A SusQI Beacon Site are organisations that have been recognised for successfully integrating Sustainability in Quality Improvement (SusQI) into their practices and teaching, demonstrating a commitment to embedding sustainability principles within their quality improvement initiatives. SusQI Beacon Site status is awarded by CSH to signify a leading example of sustainable healthcare practices - [SusQI Academy](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-in-quality-improvement-susqi/susqi-academy/) - SusQI Academy The SusQI Academy integrates sustainability into Quality Improvement to create a more ethical and sustainable healthcare system What is the SusQI Academy? The Sustainability in QI (SusQI) Academy is designed for both healthcare delivery organisations and educational institutions, the Academy is a bespoke package, created in collaboration with your organisation to achieve the - [Key SusQI Initiatives](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-in-quality-improvement-susqi/key-susqi-initiatives/) - Key SusQI Initiatives ISQUA Supporting the International Society for Quality in Healthcare (ISQua) in advocating for sustainable healthcare, embedding sustainability into guidelines, and developing training packages to support integration. Learn more CQuIPS and CASCADES Collaborating with the University of Toronto’s Centre for Quality Improvement and Patient Safety (CQuIPS) and CASCADES to develop an environmental sustainability - [SusQI Licensing](https://sustainablehealthcare.org.uk/susqi-licensing/) - SusQI Licensing Please follow these guidelines for using SusQI materials. We are making all of our SusQI resources freely available for health professionals, health educators and those involved in sustainable healthcare. In return was ask that you abide by the specific license below and follow these Do's and Don'ts: Do share back your SusQI experiences with - [Education and training](https://sustainablehealthcare.org.uk/what-we-do/programmes/education-and-training/) - CSH offers a wide range of training courses to equip healthcare teams with the knowledge, confidence and practical tools to embed sustainable approaches in their practice; including making changes at an individual or team level, introducing sustainability to quality improvement processes, undertaking carbon footprint calculations, and take a leadership role on meeting Net Zero targets. - [Reviewing & Developing NHS Trust Green Plans](https://sustainablehealthcare.org.uk/services/nhs-trust-green-plan-analysis/) - Reviewing & Developing NHS Trust Green Plans NHS England’s 2020 strategy ‘Delivering a Net Zero National Health Service’ and the 2021/22 NHS Standard Contract set out the requirement for Trusts and Integrated Care Systems to develop Green Plans. The plan should detail the approach and practical steps they will take over a 3 year cycle - [Development of Carbon Reduction Plans](https://sustainablehealthcare.org.uk/services/carbon-reduction-plan-consultation/) - Development of Carbon Reduction Plans From April 2024, for all new contracts, the NHS requires suppliers to publish a Carbon Reduction Plan for their UK Scope 1, and 2 emissions and a subset of their Scope 3 emissions in accordance with their NHS Net Zero Supplier Roadmap. From April 2027, this requirement will be extended, - [Organisational Carbon Footprint Analysis](https://sustainablehealthcare.org.uk/services/organisational-carbon-footprint-analysis/) - Organisational Carbon Footprint Analysis In 2021-22 the NHS’s carbon footprint was 21.7 million tonnes of carbon dioxide equivalent. To reach The NHS’s ambitious commitment of net zero by 2045, as set out in the Health and Social Care Act 2022, all healthcare organisations must play their part. Calculating your organisation’s carbon footprint is an essential - [Carbon Footprint Analysis of Clinical Pathways](https://sustainablehealthcare.org.uk/services/carbon-footprint-analysis-of-clinical-pathways/) - Carbon Footprint Analysis of Clinical Pathways For the NHS to reduce its greenhouse gas (GHG) emissions to net zero by 2045, not only NHS estates but also models of care need to be decarbonised. Understanding the carbon footprint of your clinical pathway/service will help to identify its carbon hotspots and open up opportunities for health - [](https://sustainablehealthcare.org.uk/services/carbon-footprint-analysis-of-healthcare-products/) - Carbon Footprint Analysis of Healthcare Products A product carbon footprint comprises the total greenhouse gas (GHG) emissions generated by a product’s full life cycle, from extraction of raw materials to end of life. If you manufacture healthcare products, analysing your product’s carbon footprint will help your company understand its product climate change impact, identify the - [RSK](https://sustainablehealthcare.org.uk/our-sponsors/rsk-2/) - RSK is a global leader in the delivery of sustainable solutions. Their family of more than 200 environmental, engineering and technical services businesses works together to provide practical solutions to some of the greatest challenges societies have ever faced. These challenges, and the responses to them, are perhaps best captured by the United Nations Sustainable - [Croudace Homes](https://sustainablehealthcare.org.uk/our-sponsors/croudace-homes/) - Croudace Homes is a privately owned housebuilding company operating throughout the South East of England Discover more on the Croudace Homes website How Croudace Homes has supported CSH We are delighted that Croudace Homes have committed to donating a tree for every house physically completed, making an annual donation towards biodiversity features such as bird - [Water Plus](https://sustainablehealthcare.org.uk/our-sponsors/water-plus/) - Water plus are the trusted, award winning water retail partner for over 360,000 customer accounts for organisations throughout England and Scotland. From supermarkets to multinational manufacturers, national chains to corner shops, the public sector to charities, they support organisations of all sizes across all sectors with their water accounts. Discover more on the Water Plus - [Tula Energy](https://sustainablehealthcare.org.uk/our-sponsors/tula-energy/) - Tula Energy is an energy consultancy firm who compare live wholesale gas and electricity rates, using a mix of strategic partnerships, live market platforms and tools to help businesses stay ahead of the curve with their energy pricing. Discover more on the Tula Energy website How Tula Energy has supported CSH. We’d like to thank Tula - [IQVIA](https://sustainablehealthcare.org.uk/our-sponsors/iqvia/) - IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry. IQVIA creates intelligent connections across all aspects of healthcare through its analytics, transformative technology, big data resources and extensive domain expertise. Discover more on the IQVIA website How IQVIA has supported CSH IQVIA sponsored 2,000 - [DSSR](https://sustainablehealthcare.org.uk/our-sponsors/dssr/) - DSSR makes buildings habitable and energy efficient, helping clients achieve net zero carbon through sustainable MEP systems. Discover more on the DSSR website How DSSR has supported CSH. We are delighted that DSSR Consulting Engineers have committed to an annual donation of 500 trees for the NHS Forest. DSSR is a forward-thinking, award-winning firm of consulting engineers specialising - [The Forestry Commission](https://sustainablehealthcare.org.uk/the-forestry-commission/) - The Forestry Commission is the government department responsible for protecting, expanding and promoting the sustainable management of woodlands. Discover more on the Forestry Commission website How the Forestry Commission has supported CSH. CSH has been awarded funding from the Government’s Trees Call to Action Fund for our Green Space for Health programme. This will enable us to plant 21,000 - [Department for Environment, Food and Rural Affairs](https://sustainablehealthcare.org.uk/our-sponsors/department-for-environment-food-and-rural-affairs/) - The Department for Environment, Food and Rural Affairs (DEFRA) is a UK government department responsible for environmental protection, food production and standards, agriculture, fisheries, and rural communities. Discover more on the DEFRA website How DEFRA has supported CSH. CSH has been awarded funding from the Government’s Trees Call to Action Fund for our Green Space for Health programme. This will enable us - [Heritage Fund](https://sustainablehealthcare.org.uk/our-sponsors/heritage-fund-2-2/) - The Heritage fund is the largest funder for UK heritage. Using money raised by National Lottery players, we distribute grants from £10,000 to £10million to support projects across the UK that connect people and communities to their heritage, and it distributes heritage funding on behalf of the UK and devolved governments. Heritage can be anything from - [Sustainability in Quality Improvement (SusQI) Beacon Site Recognition](https://sustainablehealthcare.org.uk/services/sustainability-in-quality-improvement-susqi-beacon-site-recognition/) - Sustainability in Quality Improvement (SusQI) Beacon Site Recognition The Sustainability in Quality Improvement (SusQI) Beacon Site Programme gives recognition to institutions and organisations integrating sustainability into quality improvement teaching and training. Developed through the SusQI education programme, pilot beacon sites were established across all four nations of the UK and also in the Republic of Ireland, - [Sustainable respiratory care](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-respiratory-care/) - Sustainable respiratory care 25,000 people a year die of Chronic Obstructive Pulmonary Disease (COPD) in the UK alone and the NHS spends £420 million a year directly on treating COPD with an estimated 1 tonne of CO2e per episode. In 2012, CSH was funded for a year by GSK, to run a project to improve the - [Sustainable dentistry](https://sustainablehealthcare.org.uk/what-we-do/our-sustainable-specialties/sustainable-dentistry/) - Sustainable dentistry Dental services have an important opportunity to address the sustainability of services – from the design of the clinical pathway to the organisation and delivery of care. In 2015-16 CSH undertook a project to measure the carbon footprint of dental services in England, funded by a grant from Public Health England. The report, released - [Cookie Policy (UK)](https://sustainablehealthcare.org.uk/cookie-policy-uk/) - [I work for an academic institution or in postgraduate education](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-in-quality-improvement-susqi/susqi-academy/i-work-for-an-academic-institution-or-in-postgraduate-education/) - Why embed sustainability into your teaching programme? Sustainability is included within: The GMC outcomes for medical graduates The Academy of Medical Royal Colleges QI curriculum The latest NMC Standards of Proficiency for Midwives The world Federation of Occupational Therapists minimum standards for education These requirements have yet to be translated into widespread practice and NHS sustainability - [I work for a healthcare delivery organisation](https://sustainablehealthcare.org.uk/what-we-do/programmes/sustainability-in-quality-improvement-susqi/susqi-academy/i-work-for-a-healthcare-delivery-organisation/) - Thank you for your interest in embedding sustainability into your organisational QI approach The climate and ecological crisis represents the biggest threat to human health and wellbeing of the century . The healthcare sector has a significant carbon footprint, with the way we deliver clinical care impacting hugely on this. Whilst healthcare professionals are increasingly motivated to reduce the harmful environmental and - [News and blog](https://sustainablehealthcare.org.uk/news-and-blog/) - News and blog Explore our latest news and blogs for insights into our work and collaborative efforts in shaping a more sustainable future for the healthcare sector Filter by type Recommended topics Tags - [Our ethical fundraising policy](https://sustainablehealthcare.org.uk/our-ethical-fundraising-policy/) - Our ethical fundraising policy Discover how we honour our commitments and maintain transparency in our approach to ethical fundraising Our commitment to ethical fundraising The Centre for Sustainable Healthcare (CSH) and its Board of Trustees are committed to ensuring that fundraising activities are carried out in an ethical manner. Purpose of this policy The purpose - [Guidance](https://sustainablehealthcare.org.uk/guidance/) - CSH Sustainable Guides Explore our bespoke guides for the healthcare sector, designed to help you create a more sustainable workplace Search guidance Filter by topic - [Education](https://sustainablehealthcare.org.uk/what-we-do/education/) - Inspire • Empower • Transform - [Green Space For Health](https://sustainablehealthcare.org.uk/green-space-for-health/) - Our Green Space for Health team inspires and supports healthcare sites in transforming their green space for health, wellbeing and biodiversity. Green space has long been acknowledged as playing a vital role in illness prevention and recovery. Nature-based solutions are also critical for tackling climate change. A nature-positive health service is one of the keys - [Title test](https://sustainablehealthcare.org.uk/title-test/) - Heading 1 Heading 2 Heading 3 Heading 4 Heading 5 Heading 6 Heading 1 Heading 2 Heading 3 Heading 4 Heading 5 Heading 6 - [Introduction](https://sustainablehealthcare.org.uk/introduction/) - Inspire • Empower • Transform Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce ultrices luctus nulla, eu lobortis erat convallis in. Quisque ac velit sem. Cras id hendrerit quam. Morbi ullamcorper odio eu massa placerat, sed eleifend ex vehicula. Nulla hendrerit pellentesque accumsan. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere - [Blocks](https://sustainablehealthcare.org.uk/blocks/) - Heading 1 Heading 2 Heading 3 Heading 4 Heading 5 Heading 6 Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in - [Test page](https://sustainablehealthcare.org.uk/test-page/) - Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec blandit purus nec dui ullamcorper fermentum. Curabitur et tellus aliquam, tincidunt turpis sed, consequat diam. Phasellus quis tristique felis, at blandit tortor. Nam vel convallis erat. Etiam neque eros, faucibus sed aliquet nec, scelerisque quis dolor. Aenean fringilla magna non magna blandit molestie. Mauris erat ligula, ## Activities - [Resource Library ](https://sustainablehealthcare.org.uk/activity/resource-library/) - We manage and host an extensive resource library of academic publications, case studies, education and training resources, policy reports, and more. Anyone can access our full collection of sustainable healthcare resources, such as toolkits and case studies. You can also add new resources to the library to help us grow this important information hub. Take me to the Resource Library Link goes to external site - [The NHS Forest](https://sustainablehealthcare.org.uk/activity/nhs-forest/) - The NHS Forest is dedicated to transforming the green spaces of healthcare sites for health, wellbeing and biodiversity through tree planting. - [SusQI ](https://sustainablehealthcare.org.uk/activity/susqi/) - Sustainability in Quality Improvement (SusQI) is an approach to improving healthcare in a holistic way, by assessing quality and value through the sustainable value lens. In SusQI, the health outcomes of a service are measured against its environmental, social and economic costs and impacts to determine its "sustainable value." This relationship - outcomes weighed against cost and impact - is what - [The Networks ](https://sustainablehealthcare.org.uk/activity/the-networks/) - The Networks Platform, developed by the Centre for Sustainable Healthcare, provides a digital space for sharing resources, knowledge, and ideas, and connecting with like-minded individuals from around the world. Take me to the Networks Link goes to external site The Networks community is an internationally respected online platform, for all those interested in making healthcare sustainable. Our - [Green Gastroenterology Challenge 2026](https://sustainablehealthcare.org.uk/activity/green-gastroenterology-challenge-2026/) - Green Gastroenterology Challenge 2026 The Green Gastroenterology Challenge 2026 is a project led by the Centre for Sustainable Healthcare to support gastroenterology professionals to lead sustainable healthcare initiatives and implement improvements to patient care, with additional benefits of reducing costs and carbon emissions. The Green Gastroenterology Challenge is fully funded by Micro-Tech UK and delivered in partnership with the British Society of Gastroenterology. What - [The Future of Health and Social Care: Harnessing the Power of Nursing and Midwifery to Lead Change in Climate and Social Justice ](https://sustainablehealthcare.org.uk/activity/the-future-of-health-and-social-care-harnessing-the-power-of-nursing-and-midwifery-to-lead-change-in-climate-and-social-justice/) - The Future of Health and Social Care Harnessing the power of nursing and midwifery to lead change in climate and social justice The Centre for Sustainable Healthcare has partnered with the Burdett Trust for Nursing to launch a groundbreaking pilot project aimed at improving sustainable practice education and training for nurses and midwives across the - [Sustainable Kidney Care Project](https://sustainablehealthcare.org.uk/activity/sustainable-kidney-care-project/) - Sustainable Kidney Care project Kidney care is one of the most resource-intensive specialities in healthcare, making it a key focus for achieving sustainability goals. Recognising this, the Centre for Sustainable Healthcare is leading a pioneering two-phase initiative to reduce the carbon footprint of kidney care while delivering cost savings, conserving water, and continuing to deliver - [KitNewCare - transforming kidney care across Europe](https://sustainablehealthcare.org.uk/activity/kitnewcare-transforming-kidney-care-across-europe/) - CSH is a partner in a new project to make kidney care more sustainable as part of the European Union’s key funding programme for Innovation and research to tackle climate change - [Mapping the living kidney donor pathway project](https://sustainablehealthcare.org.uk/activity/mapping-the-living-kidney-donor-pathway-project/) - This short project will map and investigate the carbon impacts of the donor pathway, and variations within it. - [Nature Recovery Rangers](https://sustainablehealthcare.org.uk/activity/nature-recovery-rangers/) - Our Nature Recovery Rangers work with NHS partners at healthcare sites to improve the quality of green spaces. - [Green walking for mental health recovery](https://sustainablehealthcare.org.uk/activity/green-walking-for-mental-health-recovery/) - The Green Walking Project aims to reconnect patients with nature and outside spaces both as a form of treatment and as a preventative measure. - [Ending Entonox Waste Project](https://sustainablehealthcare.org.uk/activity/ending-entonox-waste-project/) - Ending Entonox Waste project Entonox is a 1:1 mixture of Nitrous Oxide and Oxygen and is used primarily in maternity departments as an analgesic during labour, where its rapid onset and short duration of action are suited to intermittent use during contractions. Historically, it has also been used for similar reasons in paediatric and emergency - [Green Nursing Challenge 2025](https://sustainablehealthcare.org.uk/activity/green-nursing-challenge-2025/) - Green Nursing Challenge 2025 The Green Nursing Challenge was a CSH led project to support nurses to lead on sustainable healthcare initiatives and implement improvements to patient care with additional benefits of reducing costs and carbon emissions. The Green Nursing Challenge has been fully funded by Micro-Tech UK and is working in partnership with - [Reusable MedTech in the NHS – Pioneering Sustainable Healthcare ](https://sustainablehealthcare.org.uk/activity/reusable-medtech-in-the-nhs-pioneering-sustainable-healthcare/) - Reusable MedTech in the NHS – Pioneering Sustainable Healthcare The Centre for Sustainable Healthcare (CSH) partnered with the Department for Health and Social Care’s (DHSC) Design for Life (DfL) team and Brighton and Sussex Medical School (BSMS) to deliver a groundbreaking pilot project on the use of reusable medical technologies (MedTech) in the NHS. This - [Medicine Waste in Care Homes Project](https://sustainablehealthcare.org.uk/activity/medicine-waste-in-care-homes/) - This project will explore the environmental and social impacts of medicines waste in care homes. - [Green Maternity Challenge 2024](https://sustainablehealthcare.org.uk/activity/green-maternity-challenge-2024/) - Six clinical teams will receive training and mentoring from CSH to develop, plan, run, and measure projects to improve sustainability and equity in the maternity care pathway - [Maternity care project](https://sustainablehealthcare.org.uk/activity/taking-collective-action-to-deliver-low-carbon-equitable-maternity-care-project/) - This year-long SBRI project aims to engage the multi-disciplinary maternity community and bring them together to discuss how the findings can influence future maternity care - [Environmentally Sustainable Healthcare programme on eLearning for Healthcare](https://sustainablehealthcare.org.uk/activity/environmentally-sustainable-healthcare-programme-on-elearning-for-healthcare/) - Environmentally Sustainable Healthcare programme on eLearning for Healthcare The Centre for Sustainable Healthcare (CSH) has partnered with NHS England e-Learning for Healthcare to produce a series of short, practical, online sessions to support and empower healthcare staff to practice sustainable healthcare where they work. Overview The Environmentally Sustainable Healthcare (ESH) programme provides healthcare professionals with - [The Desflurane Reduction Project](https://sustainablehealthcare.org.uk/activity/the-desflurane-reduction-project/) - The Desflurane Reduction Project Anaesthesia is the speciality responsible for patient care before, during and after operations. During the operation, the type of anaesthetic delivered can vary depending upon the clinician’s preference and suitability for the patient. Patients can undergo traditional general anaesthesia using anaesthetic gases or intravenous drugs to put them to sleep. Alternatively, patients - [The Nitrous Oxide Project](https://sustainablehealthcare.org.uk/activity/the-nitrous-oxide-project/) - Nitrous oxide is a potent greenhouse gas and ozone depleting substance, it persists in the environment for over 121 years, destabilising our climate for several generations. Within the UK, anaesthetic nitrous oxide emissions are comparable to 320,000 flights from London to New York and it constitutes over 80% of the total anaesthetic gas carbon footprint. Nitrous - [Green surgery challenge 2021](https://sustainablehealthcare.org.uk/activity/green-surgery-challenge-2021/) - The Green Surgery Challenge 2021 was an opportunity for the UK’s surgical community to recognise the value of sustainable healthcare for surgical conditions. - [Nursing Insights Project](https://sustainablehealthcare.org.uk/activity/nursing-insights-project/) - The Nursing and Midwifery Insights Survey aims to identify carbon reducing actions and behaviours for clinical nurses and midwives. - [Sustainable dentistry guide](https://sustainablehealthcare.org.uk/activity/sustainable-dentistry-guide/) - This Guide has been developed as a practical resource for dental teams wishing take action to make their practice more sustainable. - [Connecting Q Locally](https://sustainablehealthcare.org.uk/activity/connecting-q-locally/) - Connecting Q Locally ran a series of 4 virtual events addressing ‘hot topics’ in sustainable healthcare. - [The SusQI education project: putting theory into practice](https://sustainablehealthcare.org.uk/activity/the-susqi-education-project-putting-theory-into-practice/) - This project was set up to demonstrate the inclusion of sustainable healthcare principles into health professions quality improvement education - [The Anaesthetic Gas Scavenging System (AGSS) project](https://sustainablehealthcare.org.uk/activity/the-anaesthetic-gas-scavenging-system-agss-project/) - The 'Anaesthetic Gas Scavenging System Project' is a project that any healthcare professional can carry out in the theatre environment. Operating theatres are energy hot spots that are six times more energy-intense than hospitals as a whole; at least 84% of the carbon footprint of the operating theatre suite comes from energy consumption (in the absence of Desflurane use). - [Bee healthy project](https://sustainablehealthcare.org.uk/activity/bee-healthy-project/) - The Bee Healthy project was developed to help GP surgeries to create borders with nectar-rich herbaceous perennials. - [Space to breath study](https://sustainablehealthcare.org.uk/activity/space-to-breath-study/) - Our year-long study focused on three NHS sites that had taken steps to encourage their staff to relax and recharge in green space. ## Courses - [Sustainable Innovation for Nurses and Midwives (Accredited by the CPD Standards Office)](https://sustainablehealthcare.org.uk/course/sustainable-innovation-for-nurses-and-midwives/) - [Sustainable Innovation Leadership for Senior Nurses and Midwives](https://sustainablehealthcare.org.uk/course/sustainable-innovation-in-nursing-and-midwifery-leadership-training/) - [Sustainability Analysis and Quality Improvement in Nursing and Midwifery](https://sustainablehealthcare.org.uk/course/sustainability-analysis-and-quality-improvement-in-nursing-and-midwifery/) - [Sustainable Respiratory Care](https://sustainablehealthcare.org.uk/course/sustainable-respiratory-care/) - This foundation course offers an overview of the relationship between human health and the climate and ecological crises, with a focus on respiratory health. It demonstrates how the health system is vulnerable to, but also contributes to, climate change and ecological degradation, examines the specific contribution of inhalers to carbon emissions and other environmental impacts and explores how to develop a more sustainable approach to respiratory healthcare whilst maintaining or improving quality of care. The course also highlights the leadership role healthcare staff can play in the transformation towards a system that works for all, within planetary boundaries. Please select one date: Workshop: Wednesday 25 September 2024 [9.00-13.00 BST] Self study opens: 28 July 2024 The dates advertised below are not yet bookable, please email education.admin@sustainablehealthcare.org.uk to register your interest. Workshop: Thursday 6 February 2025 [13.00-17.00 GMT] £100 - £250 + VAT | Learn more - [Sustainable Procurement](https://sustainablehealthcare.org.uk/course/sustainable-procurement/) - This interactive course highlights the leadership role procurement staff can play in the transformation towards a net zero health system. The course provides an overview of the relationship between procurement of goods, the health sector and the climate and ecological crises. How is procurement both vulnerable to and contributing to climate change and ecological degradation? What would sustainable procurement of goods look like? Using a practical workshop approach the course explores the steps which procurement staff can take to become leaders in sustainable transformation. Please select one date: Workshop: Thursday 28 November 2024 [9.00-13.00 GMT] Self study period opens: 31 October 2024 The dates advertised below are not yet bookable, please email education.admin@sustainablehealthcare.org.uk to register your interest. Workshop: Tuesday 11 February 2025 [9.00-13.00 GMT] £100 - £250 + VAT | Learn more - [Sustainable Primary Care](https://sustainablehealthcare.org.uk/course/sustainable-primary-care/) - The course is intended as an overview of the field for primary care staff at any level who are new to sustainable healthcare. The training will help you to understand why sustainability matters, then help you to ‘green’ your practice using case studies from primary care, and offering tips and tricks for implementing sustainability improvements. The foundation courses also lay the groundwork for developing your skills further in the technical courses. Please select one date: Workshop: Thursday 3 October 2024 [9.00-13.00 BST] Self-study period opens: 5 September 2024 Workshop: Wednesday 7 May 2025 [9.00-13.00 BST] £100 - £250 + VAT | Learn more - [Sustainable Mental Healthcare](https://sustainablehealthcare.org.uk/course/sustainable-mental-healthcare/) - Developed in collaboration with the Royal College of Psychiatry Planetary Health and Sustainability Committee, this short 3-part foundation course brings together people from across mental health and social care to develop social, environmental and financial sustainability in mental health services. The course is intended as an overview of the field for staff at any level who are new to sustainable mental healthcare. The training will help you to understand why sustainability matters, then using case studies from the NHS as examples, you will gain the basic tools to implement sustainability projects in your area. The foundation courses also lay the groundwork for developing your skills further in the technical courses. Please select one date: Workshop: Tuesday 8 October 2024 [13.00-17.00 BST] Self-study period opens: 10 September 2024 Workshop: Friday 21 March 2025 [9.00-13.00 GMT] £100 - £250 + VAT | Learn more - [Sustainable Dentistry](https://sustainablehealthcare.org.uk/course/sustainable-dentistry/) - This course explains how dentistry contributes to climate change and ecological degradation, and helps dental care professionals and support staff in primary and secondary care to apply sustainable practices in their work. It offers an overview of the relationship between dentistry, health, and the climate crisis. How are dentistry and healthcare both vulnerable to and contributing to climate change and ecological degradation? What would sustainable dentistry look like? What might the wider benefits be and how can we achieve this? The course also highlights the leadership role dental staff can play in providing care for all within planetary boundaries. Please select one date: Workshop: Tuesday 21 January 2025 [9.00-13.00 GMT] Self-study period opens: 24 December £100 - £250 + VAT | Learn more - [Sustainable Child Health](https://sustainablehealthcare.org.uk/course/sustainable-child-health/) - This foundation course will explore the impacts of climate change on the health and wellbeing of children, on the running of services and considers how services may be contributing to the problem. We will outline a comprehensive vision of a system of care and an education plan that will maximise children’s opportunities to thrive and also allows the ecosystems which support them to flourish. Participants are invited to consider how the principles of sustainability can be applied in their settings, using a mix of theory and case examples. The workshop and ongoing support through the cafes will then support participants to develop and implement sustainability projects. Please select one date: Workshop: Wednesday 6 November 2024 [9.00-13.00 GMT] Self study period opens: 9 October 2024 £100 - £250 + VAT | Learn more - [Sustainable Anaesthetics](https://sustainablehealthcare.org.uk/course/sustainable-anaesthetics/) - This foundation course offers an overview of the relationship between human health and the climate and ecological crises, with a focus on anaesthetics and the operating department. It demonstrates how the health system is vulnerable to, but also contributes to, climate change and ecological degradation, examines the specific contribution of anaesthetics to carbon emissions and other environmental impacts and explores how to develop a more sustainable approach to the practice of anaesthetics and the operating department, whilst maintaining or improving quality of care. This course is endorsed by Please select one date: Workshop: Thursday 21 November 2024 [13.00-17.00 GMT] Self-study period opens: 24 October 2024 The dates advertised below are not yet bookable, please email education.admin@sustainablehealthcare.org.uk to register your interest. Workshop: Wednesday 23 April 2025 [13.00-17.00 BST] £100 - £250 + VAT | Learn more - [Public Health Leadership for Sustainability](https://sustainablehealthcare.org.uk/course/public-health-leadership-sustainability/) - This interactive foundation course equips public health professionals with leadership skills for environmental sustainability within and outside the health and care sector. The course provides an overview of the relationship between public health, the health sector and the climate and ecological crises. How is the health system both vulnerable to and contributing to climate change and ecological degradation? What would a sustainable health system look like? What might the wider public health benefits be and how can we achieve this? Please select one date: Workshop: Wednesday 11 December 2024 [9.00-13.00 GMT] Self-study period opens: 13 November 2024 The dates advertised below are not yet bookable, please email education.admin@sustainablehealthcare.org.uk to register your interest. Workshop: Wednesday 19 March 2025 [9.00-13.00 GMT] £100 - £250 + VAT | Learn more - [Teaching Sustainability in Quality Improvement](https://sustainablehealthcare.org.uk/course/teaching-sustainability-quality-improvement/) - After completing the Sustainablility in Quality Improvement course, academic and clinical educators can join this mini-course to practice integrating sustainability concepts into mainstream quality improvement teaching. Please select one date: Workshop: Thursday 3 October 2024 [14.00-16.30 BST] Self-study period opens: 5 September Workshop: Thursday 16 January 2025 [9.00-11.30 GMT] Workshop: Wednesday 12 March 2025 [14.00-16.30 GMT] Workshop: Thursday 22 May 2025 [9.00-11.30 BST] £100+ VAT | Learn more - [Green Space and Health](https://sustainablehealthcare.org.uk/course/green-space-and-health/) - Green space contributes to physical and mental wellbeing and offers therapeutic benefits for recovery from illness. This foundation course explores the evidence and illustrates how you can integrate these into your own practice. The course is intended for health and social care professionals in primary, secondary or social care, including those working in mental health - [Sustainability in Quality Improvement](https://sustainablehealthcare.org.uk/course/sustainability-quality-improvement/) - This intensive course introduces health professionals and educators to the concept of ‘sustainable value’ and the ‘SusQI’ framework for integrating sustainability into quality improvement. Workshop: Thursday 26 September 2024 [13.00-17.00 BST] Self-study period opens: 29 August 2024 Workshop: Wednesday 16 October 2024 [13.00-17.00 BST] Self-study period opens: 18 September 2024 Workshop: Wednesday 20 November 2024 [8.00-12.00 GMT] Self-study period opens: 23 October 2024 Workshop: Tuesday 3 December 2024 [13.00-17.00 GMT] Self-study period opens: 6 November 2024 £150 - £350 + VAT | Learn more - [Carbon Footprinting for Healthcare](https://sustainablehealthcare.org.uk/course/carbon-footprinting-healthcare/) - This carbon footprinting course is for health professionals and quality improvement leads. It offers an understanding of what a carbon footprint is, how it can be used in the health sector's endeavour to go net zero and how it is measured. Please choose one date: Workshop: *FULLY BOOKED* Tuesday 24 September 2024 [8.00-12.00 BST]​ Self-study period opens: 27 August 2024 Workshop *FULLY BOOKED* : Wednesday 2 October 2024 [8.00-12.00 BST]​ Self-study period opens: 4 September 2024 Workshop: Thursday 7 November 2024 [9.00-13.00 GMT]​ Self-study period opens: 10 October 2024 View more dates £150 - £350 + VAT | Learn more - [Net Zero Leadership Training for Boards](https://sustainablehealthcare.org.uk/course/net-zero-board-level-training/) - [Sustainable Healthcare](https://sustainablehealthcare.org.uk/course/sustainable-healthcare/) - This foundation course offers an overview of the complex relationship between human health and the climate and ecological crises. We outline the ways in which the health system is both vulnerable to and contributing to climate change and ecological degradation, then explores (with case studies as examples) what a sustainable healthcare system could look like. We consider what the wider benefits might be and how can we achieve this. Please select one date: Workshop: Wednesday 25 September 2024 [9.00-13.00 BST] Self-study period opens: 28 August Workshop: Tuesday 8 October 2024 [13.00-17.00BST] Self-study period opens: 10 September Workshop: Thursday 21 November 2024 [13.00-17.00 GMT] Self-study period opens: 24 October Workshop: Thursday 5 December 2024 [13.00-17.00 GMT] Self-study period opens: 7 November Workshop: Tuesday 21 January 2025 [9.00-13.00 GMT] Self-study period opens: 24 December The dates advertised below are not yet bookable, please email education.admin@sustainablehealthcare.org.uk to register your interest. Workshop: Thursday 6 February 2025 [13.00-17.00 GMT] Workshop: Friday 21 March 2025 [9.00-13.00 GMT] Workshop: Wednesday 23 April 2025 [13.00-17.00 BST] Workshop: Wednesday 7 May 2025 [9.00-13.00 BST] Workshop: Thursday 19 June 2025 [9.00-13.00 BST] £100 - £250 + VAT | Learn more - [Nature and Healthcare](https://sustainablehealthcare.org.uk/course/nature-and-healthcare/) - [KitNewCare: An Introduction to Sustainable Kidney Care](https://sustainablehealthcare.org.uk/course/kitnewcare-an-introduction-to-sustainable-kidney-care/) ## People - [Aidan Corcoran](https://sustainablehealthcare.org.uk/person/aidan-corcoran/) - Aidan is the Liverpool ranger. His professional background includes many years working in Irish native woodland restoration, both as a contractor and as an ecologist. His work is cited by the Irish Forest Service in their educational materials for landowners and contractors, and he has recently been producing educational material for Woodlands of Ireland, the body charged with promotion - [Daphne Scott-Sawyer](https://sustainablehealthcare.org.uk/person/daphne-scott-sawyer/) - Daphne Scott-Sawyer is a Chief People Officer and Board Advisor with experience across global, high-growth organisations in the digital, media and technology sectors. She supports leadership teams on people strategy, organisational design and transformation, with a focus on building sustainable, high-performing organisations and systems. Daphne is also a qualified yoga teacher and has a strong - [Una Devlin](https://sustainablehealthcare.org.uk/person/una-devlin/) - Una brings a diverse set of skills to her role as Communications Lead with a varied background in communications, community engagement, and creative learning. She has worked for organisations including the BBC, the NHS and a wide variety of social inclusion projects in the charitable sector. Her expertise lies in strategic content development and creation, - [Emma Myers](https://sustainablehealthcare.org.uk/person/emma-myers/) - Emma joined the team in April 2026 as a Senior Nature Recovery Ranger based at Guy's and St Thomas' NHS Trust in London. Emma trained with the Royal Horticultural Society in 2008 and later read Occupational Therapy at LSBU going on to work as an occupational therapist for the NHS. She has a post-graduate diploma in - [Anand Singh Bhopal](https://sustainablehealthcare.org.uk/person/anand-singh-bhopal/) - Anand is a researcher in Global Health and Climate-Resilient Health Systems at the Norwegian Institute of Public Health, and an affiliate researcher at the Bergen Centre for Ethics and Priority Setting in Health at the University of Bergen, Norway. His work focuses on how environmental sustainability can be fairly and efficiently integrated into healthcare priority - [Charlotte Carson](https://sustainablehealthcare.org.uk/person/charlotte-carson/) - Charlotte is a passionate facilitator with over ten years' experience delivering workshops, events and campaigns across sustainability, health, community and the arts. Working with kindness and care, Charlotte brings enthusiasm and curiosity to learning. You will probably find her tangled up in weeds in her allotment or wind in her hair as she rides her - [Stefano Pochetti](https://sustainablehealthcare.org.uk/person/stefano-pochetti/) - Stefano Pochetti is a registered nurse and Head of Clinical Programmes in NHS England, leading regional work on palliative and end of life care, workforce development and system improvement across integrated care systems and local NHS organisations. His work focuses on strengthening leadership, improving population outcomes and supporting more coordinated, community based models of care. - [Mike Tomson](https://sustainablehealthcare.org.uk/person/mike-tomson/) - Mike is a clinically-retired General Practitioner in Sheffield. He is a medical educationist (formerly with HEE), a coach, the Director of Greener Practice, is involved in teaching sustainability to postgraduate GPs in Yorkshire, and works on sustainability with RCGP. - [Liv Chester](https://sustainablehealthcare.org.uk/person/liv-chester/) - Liv is a community gardener, designer and builder of infrastructure in community green spaces with a background in community-led architectural projects and a keen interest in permaculture. She has nearly 10 years experience of working with communities in a variety of roles in urban gardens and green spaces. Recently, she’s co-led a new community plant - [Matt Ross](https://sustainablehealthcare.org.uk/person/matt-ross/) - Matt is the new Nature Recovery Ranger for Stockport and Tameside NHS Trusts. He has had a lifelong love of nature, first inspired by watching butterflies in the local park when he was a boy. Thirty years later, his passion for insects – and all kinds of nature – is stronger than ever! For the - [Ella Dixon](https://sustainablehealthcare.org.uk/person/ella-dixon/) - Ella joined the team in April 2026 as the Bradford Nature Recovery Ranger. Before this role she worked for almost 9 years for a charity called Open Country, supporting people with disabilities to access and enjoy the countryside through a range of outdoor activities. This involved running a weekly conservation work party and walking groups, adapted - [Abbiey Auterra](https://sustainablehealthcare.org.uk/person/abigail-kay/) - Abbiey joined the Centre for Sustainable Healthcare with a strong passion for protecting the planet and supporting sustainable practices. With a background in administration and finance, they bring organisation, efficiency, and a keen eye for detail to the team. They hold a BA (Hons) in Film and Media from the University of Stirling, where they - [Ingeborg Steinbach](https://sustainablehealthcare.org.uk/person/ingeborg-steinbach/) - Ingeborg leads the metrics work at CSH. The team supports healthcare organisations, healthcare professionals and researchers to estimate the carbon footprint, social and financial impact of healthcare organisations and products, clinical pathways and quality improvement projects as well as developing tools to support this analysis. Ingeborg has a background in nutrition science and a master’s - [Dr Hayley Pinto](https://sustainablehealthcare.org.uk/person/dr-hayley-pinto/) - Hayley Pinto is a consultant addiction psychiatrist. Hayley has a degree in psychology and completed general practice training before pursuing a career in psychiatry. She has 30 years’ clinical and teaching experience in the NHS and publicly funded services and is a member of Health for XR, Psych Declares and a speaker for Greenpeace UK. - [Rachel McLean](https://sustainablehealthcare.org.uk/person/rachel-mclean/) - Rachel is Acting Transformation Director, where she co-leads the Sustainability in Action service team. Her work focuses on developing impactful approaches to sustainable clinical practice alongside strategic development of CSH’s clinical transformation programmes, including Sustainable Specialties and SusQI. Rachel has a clinical background in speech pathology and previously worked as a neonatal speech and language therapist in London - [Dr Matt Sawyer](https://sustainablehealthcare.org.uk/person/dr-matt-sawyer/) - Dr Matt Sawyer worked as a GP for nearly two decades in the North East of England but realised his real interest was across both planetary and patient/population health. He ran an environmental sustainability consultancy – SEE Sustainability – covering environmental sustainability issues facing healthcare prior to starting as Sustainability Analyst for CSH. He loves - [Jennifer Martin](https://sustainablehealthcare.org.uk/person/dr-jennifer-martin/) - Jenni brings over 13 years’ experience working across global health, gender equality and sustainability in more than fifty countries, advising leaders across the public, private and global health sectors. She is the Founder of Menstrual Rights Global, now active in forty-five countries, and brings hands-on experience in governance, partnership-building and leading diverse teams at the intersection - [Elaine Mead](https://sustainablehealthcare.org.uk/person/elaine-mead-2/) - Elaine is a lifelong healthcare professional and leader with over 35 years’ experience across clinical, managerial and executive roles in the NHS and academia. She is currently an Executive Director at Improvement, Care and Compassion, supporting healthcare leaders across the UK and Europe, and is a trained Lean practitioner with extensive experience in quality improvement. - [Rebecca Veazey](https://sustainablehealthcare.org.uk/person/rebecca-veazey/) - Rebecca is an Organisational Development Advisor with a background leading NHS strategy, policy and transformation programmes. She has over 16 years experience working on campaigns and change programmes in the public and non-profit sector and developing people and organisations. Her roles include working as a Strategy Advisor and Policy and Delivery Lead at NHS England - [Dr Furat Al-Murani](https://sustainablehealthcare.org.uk/person/dr-furat-al-murani/) - Furat is a medical doctor with a Master's degree in Global Public Health. He leads the EU KitNewCare programme to develop a sustainable kidney care pathway for Europe. - [Olly Coe](https://sustainablehealthcare.org.uk/person/olly-coe/) - Olly joined CSH as Clinical Communications & Networks Lead in June 2025. They support CSH’s Sustainable Healthcare Networks, and oversee communications for the Clinical Transformations service. Olly holds a BSc in Psychology and a Doctorate in Clinical Psychology, and has previously worked across a range of NHS Clinical Psychology services where they observed the many - [Dan Loveard](https://sustainablehealthcare.org.uk/person/dan-loveard/) - Dan is an experienced community lead having spent a decade managing and delivering a diverse range of environmental and health projects across the UK. He comes to us from Warwickshire Wildlife Trust where he played an active role both operationally and strategically in bringing about nature’s recovery and connecting people from all walks of life - [Dr Ayoma Ratnappuli](https://sustainablehealthcare.org.uk/person/dr-ayoma-ratnappuli/) - Ayoma is an HIV/Genitourinary Medicine specialist registrar and the Sustainability in Quality Improvement (SusQI) Clinical and Education Specialist. She leads on embedding SusQI into undergraduate and postgraduate education and professional development. - [Aycan Yasar](https://sustainablehealthcare.org.uk/person/aycan-yasar/) - Aycan works as Horizon Europe Project Lead within the EU Horizon KitNewCare project. She has a background in sustainability and has been involved in energy efficiency initiatives, including funding the public sector to install green technologies. She also has experience in account management, collaborating with clients on the transition to electric vehicles. Aycan holds a - [Hattie Attwell](https://sustainablehealthcare.org.uk/person/hattie-attwell/) - Hattie is Horizon Europe Project Lead within the EU Horizon KitNewCare project. She has a BSc in Geography and a Master of Laws in Health, Law and Society from the University of Bristol. Hattie has previous experience working in governance, risk management, and patient safety for organisations including reproductive choice charities and private healthcare providers. - [Eliza Green](https://sustainablehealthcare.org.uk/person/eliza-green/) - Eliza is our Lead Facilitator, responsible for developing and delivering CSH’s education courses, and supporting our sustainable healthcare initiatives across the UK. A clinical orthoptist by background, she led clinical education programmes and focused on special educational needs care and service improvement across leading London hospitals. Eliza previously designed and facilitated climate change and social - [Dr Marta Arias](https://sustainablehealthcare.org.uk/person/dr-marta-arias/) - Marta Arias is a Nephrology specialist working in the Nephrology and Kidney Transplant Service of the Hospital Clinic in Barcelona (HCB). She has more than fifteen years of experience in the field of advanced chronic kidney disease and haemodialysis (HD), actively participating during this time in different projects whose main objective has been the improvement - [Catherine Richards](https://sustainablehealthcare.org.uk/person/catherine-richards/) - Cath leads the SusQI programme for the SusQI Academy and courses/ education. She launched the Academy for CSH and is developing the service to provide the biggest benefits to members. Cath has undergraduate degrees in Human Psychology BSc and Occupational Therapy BSc. She has worked in the NHS within adult community mental health teams as - [Debs Kerry](https://sustainablehealthcare.org.uk/person/debs-kerry/) - Debs joined CSH in 2025 as the Green Team Delivery Lead, supporting healthcare teams to embed sustainability into quality improvement projects. Her healthcare sustainability journey began by implementing local sustainability projects, such as walking aid reuse and ethyl chloride reductions. These reduced the environmental impact of services whilst maintaining high standards of patient care. Debs has completed - [Susannah O’Riordan](https://sustainablehealthcare.org.uk/person/susannah-oriordan/) - Susannah has worked in the conservation sector for over 20 years in a variety of roles with Butterfly Conservation and The Wildlife Trusts. She has led a wide range of projects focused on habitat creation and restoration, wildlife surveys, environmental education and community engagement. Passionate about connecting people with nature, Susannah loves inspiring others to - [Dr Duika Burges Watson](https://sustainablehealthcare.org.uk/person/dr-duika-burges-watson/) - Dr Duika Burges Watson is a researcher who has published extensively on altered eating and sensory issues, particularly working with patients experiencing sensory loss through cancer treatment, COVID-19, and other conditions. Her nature recovery work will focus on nature-based sensory opportunities that support both clinical health outcomes and biodiversity goals with measurable co-benefits for personal - [Ruth Boyle](https://sustainablehealthcare.org.uk/person/ruth-boyle/) - Ruth Joined CSH as a Nature Recovery Ranger in June 2025. She is passionate about healing our relationship with nature and making green spaces accessible to all. Ruth has an academic background in life sciences, having graduated with a degree in biochemistry from the University of Bristol in 2024. She is also a recent graduate - [Lucy Kennedy](https://sustainablehealthcare.org.uk/person/lucy-kennedy/) - Lucy joined the team in June 2025 as Senior Nature Recovery Ranger covering Nottinghamshire. Lucy has 15+ years experience of bringing people together with gardening and nature, primarily in urban settings. Lucy has undertaken a range of roles that have seen her do everything from delivering training, developing volunteer schemes and improving inclusion and wellbeing - [Robin Webb](https://sustainablehealthcare.org.uk/person/robin-webb/) - Robin was appointed as Fundraising Officer in July 2025. His fundraising experience includes roles as Bid Writer and Grants Officer with the national children’s charity Spurgeons, with a 20-year background in specialist copywriting. Robin is experienced in leading fundraising strategy development, managing complex bids and grant funding applications and managing fundraising monitoring, evaluation and development. - [Sara Lemaitre](https://sustainablehealthcare.org.uk/person/sara-lemaitre/) - Sara first volunteered with CSH in 2022 and joined the team six months later as a communications assistant. She now oversees communications and marketing for our services, core programmes, and several internal teams. Before CSH, she worked internationally in language teaching and media outreach. Passionate about health and wellbeing, she promotes access to nature and - [Lucy Brown](https://sustainablehealthcare.org.uk/person/lucy-brown/) - Lucy joined CSH in 2024 as Clinical Delivery Lead for the EU-funded KitNewCare project, and became Development Director in 2025. A registered Children’s Nurse and senior clinical leader, she brings wide-ranging experience from Director of Nursing roles across the health system. Lucy is passionate about driving sustainable transformation in healthcare and leads strategic programmes to - [Nuala Hampson](https://sustainablehealthcare.org.uk/person/nuala-hampson/) - Nuala Hampson is a pharmacist and educator. She helped us set strategy for sustainable pharmacy initiatives and facilitated our Net Zero Leadership training and sustainable healthcare courses. Nuala has over 20 years’ experience of clinical pharmacy in primary care and over 15 years’ experience in postgraduate pharmacy education. She is a member of Pharmacy Declares, a group of climate-conscious - [David Cameron](https://sustainablehealthcare.org.uk/person/david-cameron/) - David leads the Education and Training team and coordinates strategy for workforce development. He has over twenty years' experience in professional education, and previously worked as Assistant Director of Professional Development at the Royal College of GPs. David holds a doctorate in education, with a focus on mentoring and professional identity construction. - [Neil Ingram](https://sustainablehealthcare.org.uk/person/neil-ingram/) - Neil started at CSH in August 2023, and brings a decade of conservation forestry experience to support CSH’s delivery of tree planting on the NHS estate. He has a Master’s degree in Sustainable Management of Natural Resources. - [Ben Whittaker](https://sustainablehealthcare.org.uk/person/ben-whittaker/) - Ben previously worked across the SusQI and Specialties programmes to support and supervise fellows and scholars, and deliver Green Team competitions and SusQI training. He also oversaw the Green Walking in Mental Health Recovery initiative and managed some of the CSH networks, including Allied Health Professions Susnet. Ben was the initial project lead for the - [Sarah Walpole](https://sustainablehealthcare.org.uk/person/sarah-walpole/) - Sarah is an Infectious Deceases Registrar in Newcastle Hospitals. She began developing teaching materials and joined the Sustainable Healthcare Education network in 2009, during medical undergraduate training at Leeds Medical School. During Foundation training, she began working as a Clinical Teaching Fellow in Sustainability, Health and Healthcare at the University of Leeds, developing and delivering - [Dr Georgie Sowman](https://sustainablehealthcare.org.uk/person/dr-georgie-sowman/) - Georgie is a GP and the Sustainability Clinical Lead for the Northeast ICS, the Health Education Northeast England Faculty of Sustainability, and the RCGP Northeast Faculty Lead for Sustainability. Georgie leads the NE ICS Biodiversity and NHS Green Estate working groups. She also co-founded a platform that explores the co-dependency of ocean and human health. - [Dr Cassandra Thiel](https://sustainablehealthcare.org.uk/person/dr-cassandra-thiel/) - Dr Cassandra Thiel is an Assistant Professor at New York University in the School of Medicine, the Wagner School of Public Service, and the Tandon School of Engineering. Her research utilizes life cycle assessment and principles of industrial ecology to analyze and improve the environmental performance of infrastructure systems, hospital design, healthcare practice, and medical - [Aileen Shackell](https://sustainablehealthcare.org.uk/person/aileen-shackell/) - Aileen Shackell established her landscape design practice, Aileen Shackell landscape Design, in 2007. Aileen is a Chartered Member of the Landscape Institute and has developed a number of specialisms over the years, including landscape design for therapeutic purposes; Aileen was lead author on the policy document 'Greenspace Design for Health and Wellbeing' published in 2013. - [Dr Chantelle Rizan](https://sustainablehealthcare.org.uk/person/dr-chantelle-rizan/) - Chantelle was appointed as Clinical Lecturer in Sustainable Healthcare at Brighton and Sussex Medical School in 2022, following her PhD evaluating ways to mitigate the carbon footprint of products used in the operating theatre. Chantelle seeks to translate her research into practice and policy, and is an academic advisor for a national report on Greener Surgery in collaboration - [Annie Palstam](https://sustainablehealthcare.org.uk/person/annie-palstam/) - Annie Palstam is a physiotherapist by profession, associate professor in rehabilitation medicine at University of Gothenburg and senior lecturer at Dalarna University, Sweden. Annies main interest and strong commitment lies in research and teaching concerning sustainable healthcare and the role of physiotherapy, and joined the Centre for Sustainable Healthcare with this focus. She is also - [Siobhan Parslow-Williams](https://sustainablehealthcare.org.uk/person/siobhan-parslow-williams/) - Associate Siobhan is a Planetary Health Registered Nurse Specialist and Skills Coach at LDN Apprenticeships, where we partner to offer Sustainable Healthcare apprenticeship placements. She previously led evaluation for our SusQI programme, supported the SusQI Academy and Green Team Competitions, and now manages our academic partnerships. A registered nurse with a background in emergency care, primary care, research, and teaching, she completed the NIHR Advanced Leadership Programme in 2019. She also founded Parents for Future Norwich and co-founded Eco Action Families. - [Elaine Mead](https://sustainablehealthcare.org.uk/person/elaine-mead/) - Elaine has enjoyed over 35 years’ experience working in clinical, senior management, and executive board-level roles within the National Health Service across the UK, with her last role as CEO in the North of Scotland. Elaine now works independently as Leadership Faculty for the Institute of Healthcare Improvement and Lead European Faculty forCatalysis, currently coordinating and supporting Executive Leaders across Northern Europe. As a committed practitioner of Quality Improvement, Elaine is a certified Lean Leader and was Executive Sensei for the NHSE/I - [Jacob Krzanowski](https://sustainablehealthcare.org.uk/person/jacob-krzanowski/) - Jacob is a specialist registrar in general adult psychiatry carrying out his training at the South London and Maudsley (SLaM) NHS Foundation Trust. He has an interest in the interface between mental health and green spaces having organised and implemented green-space walking groups for patients and staff. In 2018-19 he worked with CSH to establish the Green Walking Project to promote and facilitate - [Catherine Floyd](https://sustainablehealthcare.org.uk/person/catherine-floyd/) - With a background in nursing, Catherine has held a range of NHS health improvement, health protection and clinical governance roles. She has a Master’s in Public Health and PG Diploma in NHS Management. Before joining CSH as their Clinical Specialties Lead, Catherine worked in Locum Consultant in Public Health roles in Wales, focussing on COVID-19, - [Amarantha Fennell-Wells](https://sustainablehealthcare.org.uk/person/amarantha-fennell-wells/) - Amarantha Fennell-Wells is a senior clinical policy manager at the Office of the Chief Dental Officer England. She graduated from Bristol Dental School in 2016 and completed the full three years of Dental Core Training in a variety of specialties: paediatric, special care and hospital dentistry; dental public health; and an on-call rota in oral - [Tamsin Ellis](https://sustainablehealthcare.org.uk/person/tamsin-ellis/) - Tamsin is a GP in London who helped design and write the sustainable primary care course. She is a director and co-chair of Greener Practice (the UK’s primary care sustainability network). She has previously worked as a primary care net zero clinical lead for North Central London Integrated Care System (NCL ICS) and has worked with - [Brett Duane](https://sustainablehealthcare.org.uk/person/brett-duane/) - Brett Duane graduated from the University of Otago, New Zealand with a degree in dentistry. He has worked in Primary dental care as an Associate Dentist in England, and a self-employed dentist in Australia and New Zealand. He has a Masters in Management in Health (University of Newcastle, Australia), a Masters in Public Health (University - [Dr Alice Clack](https://sustainablehealthcare.org.uk/person/dr-alice-clack/) - Alice is a consultant Obstetrician and Gynaecologist who, since completing her training, has worked in The Gambia, Liberia, and Sierra Leone as a specialist and educator, and with Chelsea and Westminster NHS Trust and Betsi Cadwaladr NHS Trust as a Locum Consultant. She was the SusQI Education Fellow for 2022-2023, during which she supported the - [Andrew Cassels-Brown](https://sustainablehealthcare.org.uk/person/andrew-cassels-brown/) - Andy Cassels-Brown is a UK NHS Consultant Ophthalmologist with a special interest in public health and research publications, including climate change mitigation and adaptation. He has wide experience in low, middle and high income healthcare settings, including Africa, Asia, and the Pacific. He worked with CSH in the development of the Standard Chartered Bank supported - [Alifia Chakera](https://sustainablehealthcare.org.uk/person/alifia-chakera/) - Alifia is the Head of Pharmaceutical Sustainability within the Health and Social Care Directorate within Scottish Government. Her experience spans 30 years as pharmacist and Health Systems Specialist, influencing national and international healthcare policies to drive system-wide improvements in health equity, environmental sustainability, and cost efficiency within the UK Government, WHO, European Commission, and major - [Professor Mahmood Bhutta](https://sustainablehealthcare.org.uk/person/professor-mahmood-bhutta/) - In 2006 Mahmood founded the Medical Fair and Ethical Trade Group (hosted at the British Medical Association) in response to labour rights abuses in the manufacture of medical products, including surgical instruments, gloves and textiles. He works with the NHS, and international procurement organisations and NGOs, to foster better working conditions in healthcare supply chains. He - [Paul Batchelor](https://sustainablehealthcare.org.uk/person/paul-batchelor/) - Paul qualified from Liverpool working in a number of primary dental care posts prior to taking up the post of lecturer at the London Hospital. He them moved to King’s College and onto UCL. He currently holds an honorary Chair in the Faculty of medicine at UCLan, honorary Senior Lecturer post at UCL, dental lead - [Dr Aarti Bansal](https://sustainablehealthcare.org.uk/person/dr-aarti-bansal/) - Aarti is a GP and founded the Greener Practice network in 2017 to enable primary care to move towards environmentally sustainable healthcare. Her main interest is in the integration of sustainable clinical healthcare principles into all aspects of policy and professional practice. She is co-chair of the RCGP Climate Emergency Advisory Group and is working - [Iris Blom](https://sustainablehealthcare.org.uk/person/iris-blom/) - Dr Iris Blom is a PhD candidate at the London School of Hygiene and Tropical Medicine, researching greenhouse gas mitigation in healthcare systems and its connection to adaptation in the context of climate change. She is a medical doctor from the Netherlands and holds a master’s degree in Global Affairs from Tsinghua University in Beijing, - [Duncan Mackay](https://sustainablehealthcare.org.uk/person/duncan-mackay/) - Trustee Duncan Mackay has recently retired as Head of urban and peri-urban environments at Natural England. He also formerly led the agency’s Natural Health Service and Walking for Health programmes. Since 2018 he has been an elected member of the Council of the National Trust and is a Fellow of the Landscape Institute and the - [Clare Scully](https://sustainablehealthcare.org.uk/person/clare-scully/) - Clare has nearly 20 years of international experience in the healthcare sector, specialising in strategy development and leadership. She has a strong track record of driving sustainable, evidence-based, and future-focused decision-making at both Board and Executive levels. As a qualified executive coach, Clare is passionate about continuous learning and development, whether from a personal, professional, - [Joanna Romanowicz](https://sustainablehealthcare.org.uk/person/joanna-romanowicz/) - Joanna Romanowicz is the Director of Engagement at SOS-UK, a student-led education charity dedicated to sustainability. With 15 years of experience managing sustainability-focused, multi-partner programmes across Europe in the education, public, healthcare, cultural, and charity sectors, Joanna also currently serves as a leader within the charity sector. She is a Certified Environmentalist. - [Angela Hayes](https://sustainablehealthcare.org.uk/person/angela-hayes/) - Angela has received a two-year sponsorship, from Micro-tech-UK, to work for the Centre for Sustainable Healthcare as a Nurse fellow and Project lead. She is responsible for the national Green Team Nursing Challenge, CSH’s Nursing & Midwifery network; and for developing bespoke sustainability training for nurses. Angela worked recently as a Clinical Nurse Specialist in - [Anna Brady](https://sustainablehealthcare.org.uk/person/anna-brady/) - Anna joined CSH in April 2025 to lead the Future of Health and Social Care project, focusing on sustainability education and practice in nursing and midwifery. A paediatric nurse with degrees in International Relations, Public Health, and Health Systems Governance, she has worked in NICU/IMC, refugee health, FGM prevention, and women’s rights. Her work in - [Natalie Oman](https://sustainablehealthcare.org.uk/person/natalie-oman/) - Natalie administers the CSH education projects. She worked for several years in homelessness services and is involved in climate justice activism. - [Stefi Barna](https://sustainablehealthcare.org.uk/person/stefi-barna/) - Stefi Barna designs learning outcomes, training courses and assessments for sustainable healthcare. She previously taught global public health at Queen Mary University of London, Norwich Medical School, Azim Premji University (India) and the University of Bergen. - [Dr Frances Mortimer](https://sustainablehealthcare.org.uk/person/frances-mortimer/) - Frances is responsible for strategic development of CSH's clinical transformation programmes, including Sustainable Specialties and SusQI, and has a lead role in the European KitNewCare project in sustainable kidney care. Frances designed CSH’s Principles of Sustainable Clinical Practice and the SusQI framework for incorporating sustainability into quality improvement in healthcare. She previously trained and worked - [Sarah Jordan](https://sustainablehealthcare.org.uk/person/sarah-jordan/) - Sarah's background is in environmental psychology, exploring the relationship between people and our natural environment. She has experience at a director level in both environmental and healthcare organisations, formerly as one of the founders and director of Hope for the Future, a climate and nature communications charity that supports communities to influence and achieve change. Sarah is - [Chris Naylor](https://sustainablehealthcare.org.uk/person/chris-naylor/) - Chris has a background in health policy and research and is passionate about creating sustainable health and care services that are resilient for the future. He is a Senior Fellow at the health policy think tank, The King’s Fund, where he continues to work part-time, and has an MSc in public health. He is an experienced - [Hazel Walsh](https://sustainablehealthcare.org.uk/person/hazel-walsh/) - Hazel manages CSH operations. She first joined CSH as the Clinical Programme manager and brings a strong understanding of CSH projects and services to the COO role. She has a Bachelor of Science degree in Osteopathy and worked as an Osteopath for ten years before moving into project management. - [Rachel Stancliffe](https://sustainablehealthcare.org.uk/person/rachel-stancliffe-2/) - Rachel has a Human Sciences degree (Oxford) and a Master’s degree in demography and epidemiology from the London School of Economics. She worked in public health initiatives in the UK, Georgia and Kazakhstan before helping to develop The Cochrane Library during the first decade of its life. ## Courses - [Zrównoważona Opieka nad Nerkami](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/) - Ten godzinny moduł wyjaśnia związek między zdrowiem nerek a klimatem. Wykorzystuje praktyczne przykłady, aby pokazać, jak zapewnić wysokiej jakości opiekę przy jednoczesnym zmniejszeniu zanieczyszczenia środowiska. Nefrologia jest zasobochłonną specjalnością. Oznacza to, że na leczenie każdego pacjenta poświęcamy dużo czasu, energii i pieniędzy. Emisje dwutlenku węgla z dializy na pacjenta rocznie mogą być 18 razy większe - [Cura Sostenibile dei Reni](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/) - Questo modulo di 1 ora spiega la relazione tra la salute dei reni e il clima. Utilizza esempi pratici per dimostrare come fornire assistenza di alta qualità riducendo al contempo l'inquinamento ambientale. La nefrologia è una specialità ad alta intensità di risorse. Ciò significa che spendiamo molto tempo, energia e denaro per il trattamento di ciascun paziente. Le emissioni di carbonio derivanti dalla dialisi per paziente all'anno possono essere 18 volte superiori alle emissioni delle cure mediche nel loro complesso. Semplici cambiamenti - [La Atención Renal Sostenible](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/) - Este módulo de una hora de duración explica la relación entre la salud renal y el clima. Utiliza ejemplos prácticos para demostrar cómo proporcionar una atención de alta calidad al tiempo que se reduce la contaminación ambiental. La atención renal es una especialidad que consume muchos recursos. Esto significa que dedicamos mucho tiempo, energía y - [Sustainable Kidney Care](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/) - This 1-hour module explains the relationship between kidney health and the climate. It uses practical examples to demonstrate how to provide high-quality care while reducing environmental pollution. Kidney care is a resource-intensive specialty. This means we spend a lot of time, energy and money on each patient’s treatment. The carbon emissions from dialysis per patient ## Lessons - [Wat is het probleem?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/wat-is-het-probleem/) - Wat is het probleem?SamenvattingClimate change directly worsens kidney health through heat, pollution, infections, and dehydrationKidney patients are especially vulnerable to disruptions in water, power, and transportKidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products, with dialysis contributing 2/3 of the carbon footprint of kidney care servicesMost emissions come - [2. Empower patients](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/2-empower-patients-2-2/) - 2. Empower patientsHelping patients co-manage their condition improves outcomes and reduces demand. Consider personalised care, and referrals to online patient support groups. Chronic kidney disease management pre-dialysisManagement of chronic kidney disease aims to reverse early disease where possible and slowing progression to avoid the need for kidney replacement therapy. Progression of disease can be detected - [3. Lean care pathways](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/3-lean-care-pathways-2-2/) - 3. Lean care pathways Care pathways are often wasteful of patient and staff time and resources. A ‘lean’ or ‘streamlined’ pathway minimises unnecessary or inefficient treatment. For example virtual wards, re-evaluating default blood tests, or dialysing closer to home. Virtual wards, remote monitoring and electronic communication Virtual wards provide hospital-level care to patients at home, - [4. Low carbon alternatives](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/4-low-carbon-alternatives-2-2/) - 4. Low carbon alternativesHaemodialysis, peritoneal dialysis and transplantationKidney replacement therapy is a ‘carbon hotspot’ in kidney care. Existing data suggests the carbon footprint of in-centre haemodialysis has not fallen over the last 10 years. This study shows generalising across countries or even dialysis centres is limited by variability in energy use, energy source (renewables vs - [5. Resource efficiency](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/5-resource-efficiency-2-2/) - 5. Resource efficiencyResources include water, equipment, consumables, waste, and buildings energy. Here are some examples of how to reduce resource use in kidney care.Reduce energy use in dialysisWe should reduce the associated emissions of dialysis where it cannot be avoided. The figure below shows the breakdown of emissions for in-centre haemodialysis for a service in - [Future technologies](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/future-technologies-2-2/) - Future technologies A core deliverable of KitNewCare focuses on piloting and evaluating emerging technologies that are not yet routine practice but have strong potential to contribute to sustainable kidney care. Below are some examples. Dialyser reuse systems Preliminary life cycle assessment findings suggest that reusing hemodialysers substantially reduces carbon emissions, resource use, water use, and - [What can I do?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/what-can-i-do-2-6/) - What can I do? You have read many examples of how to improve patient care while reducing pollution, waste, and costs. Some of those projects may be useful to implement in your workplace. Here is a summary of how you can improve patient care, streamline services and cut emissions. Remember that: Individuals can make a - [Leading change in your area](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/leading-change-in-your-area-2-2/) - Leading change in your area Below is a framework to help think about how change happens. It helps you see where you have influence, who you need to bring with you, and how to work with people so an idea can take hold. Stakeholder analysis Making long term changes requires engaging those likely to be - [Summary and contact us](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/summary-and-contact-us-2-2/) - Summary and contact us Summary Climate change directly worsens kidney health through heat, pollution, infections, and dehydration Kidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products. But because kidney care has clear pathways and high resource use, it is well positioned for rapid sustainability gains Sustainable healthcare aligns - [Resources](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/resources-2-2/) - Resources Peer Network and Resource Library The Kidney Care Sustainability Network is a global professional community, hosted by Centre for Sustainable Healthcare, that connects clinicians, technicians, managers, researchers and patients who are working to cut the environmental impact of kidney care while improving quality and outcomes. The network Resource Library has case studies, practical tools, - [Publications](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/publications-2-2/) - Publications Here is a list of recent scientific papers. Publications for 2026-27 are listed here Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Around 850 million people worldwide have CKD. By 2030 - [Case studies](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/case-studies-2/) - Case studiesHere are real world case studies, grouped according to their sustainable healthcare principle (Prevention, Patient Empowerment, Lean Care Pathways, Low Carbon Alternatives). Lean Care Pathways Surgery: rationalisation of arteriovenous fistula surgical trays University Hospital Coventry and Warwickshire Trust (2024)Arteriovenous fistula surgical trays were rationalised by removing unused instruments, reducing the number of items and avoiding unnecessary sterilisation. - [Health and the environment](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/health-and-the-environment-2-2/) - Health and the environmentFigure 1: Interaction between our health and the environment. van Gelder, M.K., Mortimer, F.,Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025Human health is inextricably linked to the health of the Earth's natural systems. The food in our supermarkets, the water in our taps and the air we breathe are all products of the - [Climate change and health](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/climate-change-and-health-2-2/) - Climate change and health “Climate change is increasingly destabilising the planetary systems and environmental conditions on which human life depends” The Lancet Countdown on Health and Climate (2025) Figure 2: The direct and indirect effects of climate change on health and wellbeing. Centre for sustainable Healthcare Climate change and kidney care Heatwaves and drought increase - [Carbon hotspots](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/carbon-hotspots-2-2/) - Carbon hotspots Haemodialysis and peritoneal dialysis are carbon hotspots. Although less than 0.1% of a typical population receives dialysis, it constitutes nearly 2/3 of the carbon footprint of a kidney service. It relies on large volumes of water, energy, single-use equipment and frequent patient travel. Supply chain and pharmaceuticals 72% of the carbon emissions in - [Kidney disease and social inequality](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/kidney-disease-and-social-inequality-2-2/) - Kidney disease and social inequality Globally, more than 850 million people have some form of kidney disease; most of them without knowing it. The prevalence of kidney disease increased by 29% between 1990 and 2017, causing 1.2 million deaths by 2017. End stage kidney disease, or permanent kidney failure, requires kidney replacement therapies (dialysis or - [What is the solution?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/what-is-the-solution-2-6/) - What is the solution? Summary Sustainable healthcare aligns with high-quality care: prevention, lean pathways, empowered patients and reduced low-value activity improve both patient outcomes and environmental impact. The global kidney community is mobilising to reduce the environmental impact of kidney care. The most powerful way to reduce kidney-related carbon emissions and waste is to prevent - [Sustainable value](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/sustainable-value-2-2/) - Sustainable valueFigure 6: A nested model for sustainable healthcareSustainability in kidney care improves population health and minimises environmental damage and costs. It integrates environmental stewardship, social equity and fiscal responsibility to develop healthy, equitable and resilient communities over time. A sustainable kidney care system improves, maintains or restores health, while minimising negative impacts on the - [Current strategies](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/current-strategies-2-2/) - Current strategies There are two ways to reduce the environmental impact of kidney care. Reduce the number of people who fall ill and need services Reduce the ‘carbon intensity’ of kidney care by using the least environmentally damaging, clinically effective option. Here are some ways to improve patient outcomes while reducing social costs, environmental costs, - [1. Prevent disease](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/lessons/1-prevent-disease-2-2/) - 1. Prevent diseaseKeeping kidneys healthy is the most powerful way to prevent suffering and reduce waste, pollution, and costs. It can also reduce health inequalities. Here’s how to do it:Prevent kidney disease by managing diabetes, hypertension, obesity, smoking and excessive analgesic usePrevent kidney disease by improving diet. Here is how a plant-based diet can contribute - [Studia przypadków](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/studia-przypadkow/) - Studia przypadkówPoniżej przedstawiono rzeczywiste studia przypadków, pogrupowane według zasady zrównoważonej opieki zdrowotnej (Zapobieganie, Pacjent Upodmiotowienie, Szlaki Szczupłe, Niskoemisyjna Alternatywy) Szlaki SzczupłeSurgery: rationalisation of arteriovenous fistula surgical trays University Hospital Coventry and Warwickshire Trust (2024)Arteriovenous fistula surgical trays were rationalised by removing unused instruments, reducing the number of items and avoiding unnecessary sterilisation. This reduced carbon emissions from - [Publikacje](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/publikacje/) - PublikacjePoniżej znajduje się lista najnowszych publikacji naukowych. Publikacje z lat 2026–27 są dostępne tutaj.Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Around 850 million people worldwide have CKD. By 2030 6 million - [Zasoby](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/zasoby/) - ZasobySieć współpracy i biblioteka zasobówKidney Care Sustainability Network to globalna społeczność zawodowa, prowadzona przez Centre for Sustainable Healthcare, która łączy klinicystów, techników, menedżerów, badaczy i pacjentów działających na rzecz ograniczenia wpływu opieki nefrologicznej na środowisko przy jednoczesnej poprawie jakości opieki i wyników leczenia. Biblioteka zasobów tej sieci obejmuje studia przypadków, praktyczne narzędzia, prezentacje innowacyjnych rozwiązań oraz wsparcie dla zespołów - [Pubblicazioni](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/pubblicazioni/) - PubblicazioniEcco un elenco di articoli scientifici recenti. Le pubblicazioni per il 2026-27 sono elencate qui Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Circa 850 milioni di persone in tutto il mondo - [Casi di studio](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/casi-di-studio/) - Casi di studioDi seguito sono riportati casi di studio reali, raggruppati secondo il rispettivo principio di assistenza sanitaria sostenibile (Prevenzione, Paziente Responsabilizzazione, Percorsi Efficienti, Basso Tenore di Carbonio Alternative). Percorsi Efficienti (Lean Care Pathways)Surgery: rationalisation of arteriovenous fistula surgical trays University Hospital Coventry and Warwickshire Trust (2024)Arteriovenous fistula surgical trays were rationalised by removing unused instruments, reducing - [Casos prácticos](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/casos-practicos/) - Casos prácticosA continuación se presentan casos prácticos reales, agrupados según su principio de atención sanitaria sostenible (Prevención, Empoderamiento del Paciente, Vías Magras, Alternativas de Bajo Carbono). Lean Care Pathways (Vías Magras)Surgery: rationalisation of arteriovenous fistula surgical trays University Hospital Coventry and Warwickshire Trust (2024)Arteriovenous fistula surgical trays were rationalised by removing unused instruments, reducing the number of - [Planetary heath page 1 for COPY](https://sustainablehealthcare.org.uk/learning/susqi/lessons/planetary-heath-page-1-for-copy-3/) - dsdhgd gfjigk text appears in Sus Healthcare and Sus Primary Care - [Planetary heath page 1 for COPY](https://sustainablehealthcare.org.uk/learning/a-pretend-course/lessons/planetary-heath-page-1-for-copy-2/) - dsdhgd gfjigk text appears in Sus Healthcare and Sus Primary Care - [Planetary heath page 1 for COPY](https://sustainablehealthcare.org.uk/learning/susqi/lessons/planetary-heath-page-1-for-copy/) - dsdhgd gfjigk text appears in Sus Healthcare and Sus Primary Care - [page 1](https://sustainablehealthcare.org.uk/learning/a-pretend-course/lessons/page-1/) - fhgngh dfhhf - [Case studies](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/case-studies/) - Case studiesHere are real world case studies, grouped according to their sustainable healthcare principle (Prevention, Patient Empowerment, Lean Care Pathways, Low Carbon Alternatives). Lean Care Pathways Surgery: rationalisation of arteriovenous fistula surgical trays University Hospital Coventry and Warwickshire Trust (2024)Arteriovenous fistula surgical trays were rationalised by removing unused instruments, reducing the number of items and avoiding unnecessary sterilisation. - [Risorse](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/risorse/) - RisorseRete paritaria e biblioteca delle risorse Il Kidney Care Sustainability Network è una comunità professionale globale, ospitata dal Centre for Sustainable Healthcare, che collega medici, tecnici, manager, ricercatori e pazienti che stanno lavorando per ridurre l'impatto ambientale della cura dei reni migliorando al contempo la qualità e i risultati. La rete Resource Library ha casi di studio, strumenti pratici, mette in luce le innovazioni e supporta i - [Riepilogo e contattaci](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/riepilogo-e-contattaci/) - Riepilogo e contattaciSintesi I cambiamenti climatici peggiorano direttamente la salute dei reni attraverso il calore, l'inquinamento, le infezioni e la disidratazioneLa cura del rene stessa determina elevate emissioni di carbonio, uso di acqua, rifiuti e si basa fortemente su prodotti monouso. Ma poiché la cura dei reni ha percorsi chiari e un uso elevato delle risorse, è ben - [Cambiamenti importanti nella tua zona](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/cambiamenti-importanti-nella-tua-zona/) - Cambiamenti importanti nella tua zonaDi seguito è riportato un quadro per aiutare a pensare a come avviene il cambiamento. Ti aiuta a vedere dove hai influenza, chi devi portare con te e come lavorare con le persone in modo che un'idea possa prendere piede. Analisi delle parti interessateFare cambiamenti a lungo termine richiede di coinvolgere - [Cosa posso fare?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/cosa-posso-fare/) - Cosa posso fare?Hai letto molti esempi di come migliorare la cura del paziente riducendo al contempo l'inquinamento, gli sprechi e i costi. Alcuni di questi progetti possono essere utili da implementare sul posto di lavoro. Ecco un riepilogo di come è possibile migliorare l'assistenza ai pazienti, semplificare i servizi e ridurre le emissioni. Ricorda che:Gli - [Tecnologie del futuro](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/tecnologie-del-futuro/) - Tecnologie del futuroUn risultato fondamentale di KitNewCare si concentra sul pilotaggio e la valutazione di tecnologie emergenti che non sono ancora pratiche di routine ma hanno un forte potenziale per contribuire alla cura sostenibile dei reni. Di seguito sono riportati alcuni esempi:Sistemi di riutilizzo del dializzatore I risultati preliminari della valutazione del ciclo di vita suggeriscono che il riutilizzo degli - [5. Efficienza delle risorse](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/5-efficienza-delle-risorse/) - 5. Efficienza delle risorseLe risorse includono acqua, attrezzature, materiali di consumo, rifiuti ed energia degli edifici. Ecco alcuni esempi di come ridurre l'uso delle risorse nella cura dei reni. Ridurre il consumo di energia in dialisiDovremmo ridurre le emissioni associate alla dialisi laddove non possono essere evitate. La figura seguente mostra la ripartizione delle emissioni per l'emodialisi in - [Punkty zapalne węgla](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/punkty-zapalne-wegla/) - Punkty zapalne węglaHemodializa i dializa otrzewnowa są najistotniejszymi “punktami zapalnymi” w kontekście emisji dwutlenku węgla. Chociaż mniej niż 0,1% typowej populacji jest dializowana, to dializa stanowi prawie 2/3 śladu węglowego opieki nefrologicznej. System ten opiera się bowiem na wysokim zużyciu wody, energii, osprzętu i częstych dojazdach pacjentów.Łańcuch dostaw i produkty farmaceutyczne72% emisji dwutlenku węgla w - [Punti di crisi del carbonio](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/punti-di-crisi-del-carbonio/) - Punti di crisi del carbonioL'emodialisi e la dialisi peritoneale sono punti caldi del carbonio. Sebbene meno dello 0,1% di una popolazione tipica riceva la dialisi, costituisce quasi i 2/3 dell'impronta di carbonio di un servizio renale. Si basa su grandi volumi di acqua, energia, attrezzature monouso e frequenti viaggi dei pazienti.Catena di approvvigionamento e prodotti - [Publicaciones](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/publicaciones/) - PublicacionesAquí hay una lista de artículos científicos recientes. Las publicaciones para 2026-27 se enumeran aquíImproving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Alrededor de 850 millones de personas en todo el mundo - [Recursos](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/recursos/) - RecursosRed de profesionales y biblioteca de recursos La Red de Sostenibilidad en la Atención Renal (Kidney Care Sustainability Network) es una comunidad profesional global, gestionada por Centre for Sustainable Healthcare, que conecta a médicos, técnicos, gestores, investigadores y pacientes que trabajan para reducir el impacto medioambiental de la atención renal, al tiempo que mejoran la calidad y los resultados. La - [Resumen y contacto](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/resumen-y-contacto/) - Resumen y contactoResumen El cambio climático empeora directamente la salud renal a través del calor, la contaminación, las infecciones y la deshidrataciónLa atención renal genera por sí misma elevadas emisiones de carbono, un gran consumo de agua y una gran cantidad de residuos, y depende en gran medida de productos de un solo uso. Sin embargo, dado que - [Liderar el cambio en tu ámbito](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/liderar-el-cambio-en-tu-ambito/) - Liderar el cambio en tu ámbitoA continuación se presenta un marco que te ayudará a reflexionar sobre cómo se produce el cambio. Te permite ver dónde tienes influencia, a quién necesitas involucrar y cómo trabajar con las personas para que una idea se consolide. Análisis de las partes interesadas Para lograr cambios a largo plazo es necesario involucrar tanto a las - [¿Qué puedo hacer?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/que-puedo-hacer/) - ¿Qué puedo hacer?Ha leído muchos ejemplos de cómo mejorar la atención al paciente y, al mismo tiempo, reducir la contaminación, los residuos y los costes. Algunos de esos proyectos pueden ser útiles para ponerlos en práctica en su lugar de trabajo. A continuación, le ofrecemos un resumen de cómo puede mejorar la atención al paciente, optimizar los - [Tecnologías del futuro](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/tecnologias-del-futuro/) - Tecnologías del futuroUno de los principales objetivos de KitNewCare se centra en poner a prueba y evaluar tecnologías emergentes que aún no son una práctica habitual, pero que tienen un gran potencial para contribuir a la atención renal sostenible. A continuación se muestran algunos ejemplos:Sistemas de reutilización de dializadores Los resultados preliminares de la evaluación del ciclo de vida - [5. Eficiencia en el uso de los recursos](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/5-eficiencia-en-el-uso-de-los-recursos/) - 5. Eficiencia en el uso de los recursosLos recursos incluyen agua, equipos, consumibles, residuos y energía de los edificios. A continuación se ofrecen algunos ejemplos de cómo reducir el uso de recursos en la atención renal. Reducir el consumo energético en la diálisis Debemos reducir las emisiones asociadas a la diálisis cuando no sea posible evitarla. La siguiente figura muestra el - [4. Alternativas bajas en carbono](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/4-alternativas-bajas-en-carbono/) - 4. Alternativas bajas en carbonoHemodiálisis, diálisis peritoneal y trasplante La terapia de sustitución renal es uno de los principales focos de emisiones de carbono en la atención renal. Los datos existentes sugieren que la huella de carbono de la hemodiálisis en centro ha disminuido en los últimos 10 años. Este estudio muestra que la generalización entre países o incluso entre centros - [3. Vías de atención clínica optimizadas](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/3-vias-de-atencion-clinica-optimizadas/) - 3. Vías de atención clínica optimizadasLos procesos asistenciales suelen suponer un desperdicio de tiempo y recursos tanto para los pacientes como para el personal. Una vía «optimizada» o «racionalizada» minimiza los tratamientos innecesarios o ineficaces. Por ejemplo, las salas virtuales, la reevaluación de los análisis de sangre rutinarios o la realización de la diálisis más cerca del domicilio. Salas virtuales, monitorización remota y comunicación electrónicaLas salas - [2. Empoderar a los pacientes](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/2-empoderar-a-los-pacientes/) - 2. Empoderar a los pacientesAyudar a los pacientes a gestionar conjuntamente su enfermedad mejora los resultados y reduce la demanda. Considere una atención personalizada y la derivación a grupos de apoyo en línea para pacientes.Manejo de la enfermedad renal crónica prediálisis El tratamiento de la enfermedad renal crónica tiene como objetivo revertir la enfermedad en sus primeras fases, siempre que sea posible, y ralentizar su - [1. Prevenir la enfermedad](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/1-prevenir-la-enfermedad/) - 1. Prevenir la enfermedadMantener los riñones sanos es la forma más eficaz de prevenir el sufrimiento y reducir los residuos, la contaminación y los costes. También puede reducir las desigualdades en materia de salud. A continuación se explica cómo hacerlo:Prevenir la enfermedad renal controlando la diabetes, la hipertensión, la obesidad, el tabaquismo y el uso excesivo de - [Estrategias actuales](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/estrategias-actuales/) - Estrategias actualesHay dos formas de reducir el impacto medioambiental de la atención renal. Reducir el número de personas que enferman y necesitan servicios Reducir la huella de carbono de la atención renal utilizando la opción clínicamente eficaz y menos perjudicial para el medio ambiente. A continuación se presentan algunas formas de mejorar los resultados de los pacientes y, al mismo tiempo, reducir los costes sociales, medioambientales y económicos.Figura 7: Principios de la atención renal sostenible, Mortimer et al. Cursos de atención sanitaria sostenible; Atención renal, Atención renal sostenible, Soluciones en la atención renal. https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-kidney-care-individual-course/ - [Valor sostenible](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/valor-sostenible/) - Valor sostenibleFigure 6: A nested model for sustainable healthcareLa sostenibilidad en la atención renal mejora la salud de la población y minimiza el daño medioambiental y los costes. Integra la gestión medioambiental, la equidad social y la responsabilidad fiscal para desarrollar comunidades saludables, equitativas y resilientes a lo largo del tiempo. Un sistema de atención renal - [¿Cuál es la solución?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/cual-es-la-solucion/) - ¿Cuál es la solución?Resumen La asistencia sanitaria sostenible va de la mano de una atención de alta calidad: la prevención, los procesos optimizados, el empoderamiento de los pacientes y la reducción de las actividades de escaso valor mejoran tanto los resultados de los pacientes como el impacto medioambientalLa comunidad nefrológica mundial se está movilizando para reducir el impacto medioambiental - [Enfermedad renal y desigualdad social](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/enfermedad-renal-y-desigualdad-social/) - Enfermedad renal y desigualdad social A nivel mundial, más de 850 millones de personas padecen algún tipo de enfermedad renal; la mayoría de ellas sin saberlo. La prevalencia de la enfermedad renal aumentó un 29 % entre 1990 y 2017, causando 1,2 millones de muertes en 2017.La enfermedad renal en fase terminal, o insuficiencia renal permanente, requiere terapias de sustitución - [Puntos críticos de carbono](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/puntos-criticos-de-carbono/) - Puntos críticos de carbonoLa hemodiálisis y la diálisis peritoneal son puntos críticos de carbono. Aunque menos del 0,1 % de una población típica recibe diálisis, esta constituye casi dos tercios de la huella de carbono de un servicio renal. Depende de grandes volúmenes de agua, energía, material de un solo uso y desplazamientos frecuentes de los pacientes.Cadena de suministro y productos - [Cambio climático y salud](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/cambio-climatico-y-salud/) - Cambio climático y salud«El cambio climático está desestabilizando cada vez más los sistemas planetarios y las condiciones ambientales de las que depende la vida humana» The Lancet Countdown on Health and Climate (2025) Figura 2: Los efectos directos e indirectos del cambio climático sobre la salud y el bienestar. Centro para la Atención Sanitaria Sostenible (Centre for Sustainable Healthcare) El cambio climático y la atención renal Las olas de calor y la sequía aumentan el riesgo de - [Salud y medio ambiente](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/salud-y-medio-ambiente/) - Salud y medio ambienteFigura 1: Interacción entre nuestra salud y el medio ambiente. van Gelder, M.K., Mortimer, F., Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025La salud humana está indisolublemente ligada a la salud de los sistemas naturales de la Tierra. Los alimentos de nuestros supermercados, el agua de nuestros grifos y el aire que respiramos son todos - [¿Cuál es el problema?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/lessons/cual-es-el-problema/) - ¿Cuál es el problema?ResumenEl cambio climático empeora directamente la salud renal a través del calor, la contaminación, las infecciones y la deshidrataciónLos pacientes renales son especialmente vulnerables a las interrupciones en el suministro de agua, electricidad y transporteLa atención renal en sí misma genera altas emisiones de carbono, un elevado consumo de agua y residuos, y depende en - [4. Alternative a basse emissioni di carbonio](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/4-alternative-a-basse-emissioni-di-carbonio/) - 4. Alternative a basse emissioni di carbonioEmodialisi, dialisi peritoneale e trapiantoLa terapia sostitutiva renale è un "hotspot di carbonio" nella cura dei reni. I dati esistenti suggeriscono che l'impronta di carbonio dell'emodialisi in centro non è diminuita negli ultimi 10 anni. Questo studio mostra che la generalizzazione tra i paesi o anche tra i centri - [Zmiana klimatu a zdrowie](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/zmiana-klimatu-a-zdrowie/) - Zmiana klimatu a zdrowie„Zmiana klimatu coraz bardziej destabilizuje systemy planetarne i warunki środowiskowe, od których zależy życie ludzkie” The Lancet Countdown on Health and Climate (2025) Rysunek 2: Bezpośrednie i pośrednie skutki zmiany klimatu dla zdrowia i dobrostanu. Centre for sustainable Healthcare Zmiany klimatyczne a opieka nad nerkami Fale upałów i susze zwiększają ryzyko odwodnienia, kamicy nerkowej i ostrego uszkodzenia nerek. Stany te mogą być powikłane przewlekłą chorobą nerek, na którą zapadolność wciąż rośnie na całym świecie. Dotyczy to w nieproporcjonalnym stopniu osób o niższym statusie społeczno-ekonomicznym, zwłaszcza pracowników rolnych, którzy często - [Podsumowanie i kontakt](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/podsumowanie-i-kontakt/) - Podsumowanie i kontaktStreszczenie Zmiana klimatu bezpośrednio pogarsza zdrowie nerek poprzez działanie wysokiej temperatury, zanieczyszczeń, zakażeń i odwodnienia.Sama opieka nefrologiczna wiąże się z wysoką emisją gazów cieplarnianych, dużym zużyciem wody, wytwarzaniem odpadów oraz znacznym uzależnieniem od produktów jednorazowego użytku. Jednocześnie, ze względu na jasno określone modele opieki i wysokie wykorzystanie zasobów, jest ona obszarem szczególnie predysponowanym do szybkiego osiągania - [Wiodąca zmiana w Twojej okolicy](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/wiodaca-zmiana-w-twojej-okolicy/) - Wiodąca zmiana w Twojej okolicyPoniżej przedstawiono ramy postępowania pomocne w zrozumieniu mechanizmów wdrażania zmian. Umożliwiają one określenie obszarów, na które można oddziaływać, wskazanie osób, które należy zaangażować, oraz zaplanowanie współpracy tak, aby dana idea mogła zostać skutecznie wdrożona. Analiza interesariuszy Wdrażanie długoterminowych zmian wymaga zaangażowania zarówno osób, które prawdopodobnie będą nimi objęte, jak i tych, które dysponują możliwością ich urzeczywistnienia. Należy - [Co mogę zrobić?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/co-moge-zrobic/) - Co mogę zrobić?Przedstawiono liczne przykłady pokazujące, jak można poprawiać opiekę nad pacjentem, jednocześnie ograniczając zanieczyszczenie środowiska, ilość odpadów oraz koszty. Część z tych rozwiązań może znaleźć zastosowanie również w Państwa miejscu pracy. Poniżej zamieszczono podsumowanie działań służących poprawie opieki nad pacjentem, usprawnieniu organizacji świadczeń oraz redukcji emisji. Warto pamiętać, że:pojedyncze osoby również mogą inicjować realne zmiany!niewielkie i szybkie usprawnienia przynoszą pierwsze sukcesy oraz budują podstawę dla dalszych zmianKidney Care Sustainability Network stanowi międzynarodową społeczność wspierającą - [Technologie przyszłości](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/technologie-przyszlosci/) - Technologie przyszłościGłównym celem KitNewCare jest pilotowanie i ocena nowych technologii, które nie są jeszcze rutynową praktyką, ale mają duży potencjał, aby przyczynić się do zrównoważonej opieki nefrologicznej. Poniżej kilka przykładów.Systemy ponownego użycia dializatora Wstępne wyniki oceny cyklu życia wskazują, że ponowne wykorzystywanie dializatorów, w porównaniu z ich jednorazowym użyciem, istotnie ogranicza emisje gazów cieplarnianych, zużycie zasobów i wody oraz ekotoksyczność - [5. Efektywne gospodarowanie zasobami](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/5-efektywne-gospodarowanie-zasobami/) - 5. Efektywne gospodarowanie zasobamiDo zasobów zalicza się wodę, sprzęt, materiały eksploatacyjne, odpady oraz energię zużywaną w budynkach. Poniżej przedstawiono przykłady działań pozwalających ograniczyć zużycie zasobów w opiece nefrologicznej. Zmniejszenie zużycia energii podczas dializy Należy ograniczać emisje związane z dializoterapią wszędzie tam, gdzie nie można jej uniknąć. Poniższy rysunek przedstawia strukturę emisji związanych z hemodializą stacjonarną w jednym z ośrodków w Wielkiej Brytanii; media, - [4. Alternatywne rozwiązania niskoemisyjne](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/4-alternatywne-rozwiazania-niskoemisyjne/) - 4. Alternatywne rozwiązania niskoemisyjneHemodializa, dializa otrzewnowa i transplantacja Terapia nerkozastępcza stanowi „punkt zapalny” emisji w opiece nefrologicznej. Dostępne dane sugerują, że ślad węglowy hemodializy prowadzonej w ośrodku nie zmniejszył się w ciągu ostatnich 10 lat. Badanie to pokazuje, że uogólnianie wyników między krajami, a nawet między ośrodkami dializ, jest ograniczone ze względu na zmienność zużycia energii, źródła energii (odnawialne źródła energii vs elektrownie - [3. Usprawnione strategie opieki nad pacjentem](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/3-usprawnione-strategie-opieki-nad-pacjentem/) - 3. Usprawnione strategie opieki nad pacjentemOrganizacja opieki często wiąże się z nieefektywnym wykorzystaniem czasu pacjentów, personelu i zasobów. Bardziej usprawniony model opieki pozwala ograniczyć zbędne lub nieefektywne elementy leczenia. Pomocne mogą być na przykład wirtualne oddziały, reocena paneli badań krwi lub dializowanie bliżej domu.Wirtualne oddziały, zdalne monitorowanie i komunikacja elektronicznaWirtualne oddziały zapewniają opiekę szpitalną pacjentom w domu, a telemedycyna może - [2. Wzmocnienie pozycji pacjentów](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/2-wzmocnienie-pozycji-pacjentow/) - 2. Wzmocnienie pozycji pacjentówPomaganie pacjentom we współzarządzaniu ich stanem poprawia wyniki i zmniejsza zapotrzebowanie na interwencję personelu medycznego. Zawsze należy rozważyć spersonalizowaną opiekę i skierowanie do internetowych grup wsparcia dla pacjentów.Postępowanie w przypadku przewlekłej choroby nerek w okresie predializy Leczenie przewlekłej choroby nerek ma na celu odwrócenie wczesnej choroby tam, gdzie to możliwe i spowolnienie progresji, aby uniknąć konieczności terapii nerkozastępczej. Postęp choroby można wykryć poprzez systematyczne badania przesiewowe albuminurii i kreatyniny. Dowody pochodzące z interwencji dietetycznych na bazie roślin pokazują, że zmniejszenie obciążenia kwasowego, obciążenia fosforanami i ogólnoustrojowego stanu zapalnego mogą pomóc w - [1. Zapobieganie chorobom](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/1-zapobieganie-chorobom/) - 1. Zapobieganie chorobomUtrzymanie zdrowych nerek jest najpotężniejszym sposobem zapobiegania powikłaniom medycznym, zmniejszania produkcji odpadów i zanieczyszczeń oraz redukcji kosztów. Co więcej profilaktyka może również zmniejszyć nierówności zdrowotne. Oto jak to zrobić: Zapobieganie chorobom nerek poprzez skuteczną terapię cukrzycy, nadciśnienia, otyłości, rzucienie palenia tytoniu oraz ograniczenie nadmiernego stosowania środków przeciwbólowych Zapobieganie chorobom nerek poprzez poprawę diety. Oto, w jaki sposób dieta roślinna może przyczynić się do zapobiegania przewlekłej chorobie nerek Zapobieganie chorobom nerek poprzez promowanie aktywności fizycznej. Zaleca się rozmowy na temat aktywności fizycznej podczas każdego kontaktu z pacjentem. Największe korzyści z aktywności fizycznej są u tych osób, które obecnie nie uprawiają żadnej aktywności fizycznej. Warto pamiętać, że jedna na cztery badane osoby twierdzi, że byłaby bardziej aktywna, gdyby doradzał jej to pracownik opieki zdrowotnej. Monitorowanie grup wysokiego ryzyka i pacjentów hospitailzownaych za pomocą zestawu narzędzi Międzynarodowego Towarzystwa Nefrologicznego - [Obecne strategie](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/obecne-strategie/) - Obecne strategieIstnieją dwa sposoby zmniejszenia wpływu opieki nefrologicznej na środowisko. Profilaktyka chorób nerek, która doprowadzi do zmniejszenia liczby osób, które potrzebują opieki medycznej.Zmniejszenie „intensywności emisji dwutlenku węgla” w opiece nefrologicznej pioprzez zastosowanie najmniej szkodliwej dla środowiska i klinicznie skutecznej opcji. Oto kilka sposobów na poprawę wyników pacjentów przy jednoczesnym zmniejszeniu kosztów społecznych, kosztów środowiskowych i kosztów finansowych. Rysunek 7: Principles of Sustainable Kidney Care, Mortimer et al. Sustainable Healthcare Courses; Kidney Care, Sustainable Kidney Care, Solutions in Kidney Care. https://sustainablehealthcare.org.uk/what-we-do/programmes/education/sustainable-kidney-care-individual-course/ - [Zrównoważona wartość](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/zrownowazona-wartosc/) - Zrównoważona wartośćRysunek 6: Zagnieżdżony model zrównoważonej opieki zdrowotnej Zrównoważony rozwój w opiece nefrologicznej poprawia zdrowie populacji i minimalizuje szkody i koszty środowiskowe. Ponadto integruje on zarządzanie środowiskiem, sprawiedliwość społeczną i odpowiedzialność ekonomiczną, aby z czasem rozwijać zdrowe, sprawiedliwe i odporne społeczności. Zrównoważony system opieki nefrologicznej poprawia, utrzymuje lub przywraca zdrowie, jednocześnie minimalizując negatywny wpływ na klimat, z korzyścią dla zdrowia i dobrego samopoczucia - [Jakie jest rozwiązanie?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/jakie-jest-rozwiazanie/) - Jakie jest rozwiązanie?StreszczenieZrównoważona opieka zdrowotna jest zgodna z opieką wysokiej jakości: profilaktyka, konkretne, sprawdzone procedury, pacjenci otrzymujący wsparcie i redukcja interwencji o niskiej wartości poprawiają zarówno wyniki pacjentów, jak i redukują negatywny wpływ na środowisko. Światowa społeczność nefrologiczna mobilizuje się, aby zmniejszyć wpływ opieki nefrologicznej na środowisko. Najpotężniejszym sposobem na zmniejszenie emisji dwutlenku węgla i redukcję produkcji odpadów związanych z chorobami nerek jest zapobieganie przewlekłej chorobie nerek Drugim najpotężniejszym sposobem jest wykrycie i leczenie przewlekłej choroby nerek na wczesnym etapie Umożliwienie pacjentom współzarządzania opieką i zapewnienie zdalnej, opartej na telemedycynie opieki zmniejsza zapotrzebowanie na tranport. Emisje dwutlenku węgla z dializy pochodzą głównie z dostaw osprzętu, zużycia wody i energii. Redukcja materiałów eksploatacyjnych i ponowne użycie wody odrzuconej zmniejsza emisje i produkcję odpadów związanych z dializą. - [Choroby nerek a nierówności społeczne](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/choroby-nerek-a-nierownosci-spoleczne/) - Choroby nerek a nierówności społeczneNa całym świecie ponad 850 milionów ludzi choruje na chorobę nerek; Większość z nich o tym nie wie. Częstość występowania chorób nerek wzrosła o 29% w latach 1990-2017, powodując 1,2 miliona zgonów do 2017 roku.Schyłkowa niewydolność nerek wymaga terapii nerkozastępczej (hemodializa, dializa otrzewnowa, przeszczep nerki) lub opieki zachowawczej. Szacuje się, że - [Zdrowie i środowisko](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/zdrowie-i-srodowisko/) - Zdrowie i środowiskoRysunek 1: Interakcje między naszym zdrowiem a środowiskiem. van Gelder, M.K., Mortimer, F.,Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025 Zdrowie ludzkie jest nierozerwalnie związane ze zdrowiem naturalnych systemów Ziemi. Jedzenie w naszych supermarketach, woda w kranach i powietrze, którym oddychamy, są produktami naturalnego świata. Te zasoby naturalne stanowią podstawę globalnej gospodarki, tworzą dobrostan psychiczny i tożsamość kulturową oraz wnoszą radość i zachwyt do naszego życia. Inne, nieoczywiste zasoby przyrody obejmują: Produkty farmaceutyczne: Wiele „nowoczesnych” leków pochodzi z substancji chemicznych występujących w przyrodzie, w tym do 75% stosowanych obecnie antybiotyków.Wychwytywanie gazów cieplarnianych: Grunty i oceany są głównymi „pochłaniaczami” gazów cieplarnianych, zdolnych do wychwytywania do 60 % produkowanych przez nas gazów cieplarnianych. Od 1980 r. emisje gazów cieplarnianych podwoiły się, a ludzie wyeliminowali prawie połowę dzikich ptaków, ssaków, ryb, bezkręgowców i owadów z naszej planety. Jest to istotne dla opieki - [W czym problem?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/lessons/w-czym-problem/) - W czym problem?StreszczenieZmiana klimatu bezpośrednio pogarsza zdrowie nerek poprzez upały, toksyny, infekcje i odwodnienie Pacjenci z chorobami nerek są szczególnie narażeni na powikłania zakłóceń w dostawach energii, wody lub utrudnień transportuOpieka nefrologiczna sama w sobie napędza wysoką emisję dwutlenku węgla, zużycie wody, produkcję odpadów i w dużym stopniu opiera się na produktach jednorazowego użytku, a dializa przyczynia się do 2/3 śladu węglowego opieki nefrologicznejWiększość emisji pochodzi z łańcuchów dostaw, - [Topic](https://sustainablehealthcare.org.uk/learning/new-course__trashed/lessons/topic/) - Topic - [3. Percorsi di cura efficienti](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/3-percorsi-di-cura-efficienti/) - 3. Percorsi di cura efficientiI percorsi di cura sono spesso uno spreco di tempo e risorse del paziente e del personale. Un percorso "snello" o "semplificato" riduce al minimo il trattamento non necessario o inefficiente. Ad esempio reparti virtuali, rivalutazione degli esami del sangue predefiniti o dialisi più vicino a casa. Virtual wards, remote monitoring and - [2. Responsabilizzare i pazienti](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/2-responsabilizzare-i-pazienti/) - 2. Empower patients Helping patients co-manage their condition improves outcomes and reduces demand. Consider personalised care, and referrals to online patient support groups. Chronic kidney disease management pre-dialysis Management of chronic kidney disease aims to reverse early disease where possible and slowing progression to avoid the need for kidney replacement therapy. Progression of disease can - [1. Prevenire le malattie](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/1-prevenire-le-malattie/) - 1. Prevenire le malattie Mantenere i reni sani è il modo più potente per prevenire la sofferenza e ridurre gli sprechi, l'inquinamento e i costi. Può anche ridurre le disuguaglianze sanitarie. Ecco come fare:Prevenire le malattie renali gestendo il diabete, l'ipertensione, l'obesità, il fumo e l'uso eccessivo di analgesiciPrevenire le malattie renali migliorando la dieta. Ecco - [2. Empower patients](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/2-empower-patients-2/) - 2. Empower patientsHelping patients co-manage their condition improves outcomes and reduces demand. Consider personalised care, and referrals to online patient support groups. Chronic kidney disease management pre-dialysisManagement of chronic kidney disease aims to reverse early disease where possible and slowing progression to avoid the need for kidney replacement therapy. Progression of disease can be detected - [4. Low carbon alternatives](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/4-low-carbon-alternatives-2/) - 4. Low carbon alternativesHaemodialysis, peritoneal dialysis and transplantationKidney replacement therapy is a ‘carbon hotspot’ in kidney care. Existing data suggests the carbon footprint of in-centre haemodialysis has not fallen over the last 10 years. This study shows generalising across countries or even dialysis centres is limited by variability in energy use, energy source (renewables vs - [5. Resource efficiency](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/5-resource-efficiency-2/) - 5. Resource efficiencyResources include water, equipment, consumables, waste, and buildings energy. Here are some examples of how to reduce resource use in kidney care.Reduce energy use in dialysisWe should reduce the associated emissions of dialysis where it cannot be avoided. The figure below shows the breakdown of emissions for in-centre haemodialysis for a service in - [Strategie attuali](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/strategie-attuali/) - Strategie attualiCi sono due modi per ridurre l'impatto ambientale della cura dei reni.Ridurre il numero di persone che si ammalano e hanno bisogno di serviziRidurre l'"intensità di carbonio" della cura dei reni utilizzando l'opzione meno dannosa dal punto di vista ambientale e clinicamente efficace.Ecco alcuni modi per migliorare i risultati dei pazienti riducendo al contempo - [Valore sostenibile](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/valore-sostenibile/) - Valore sostenibileFigura 6: Un modello annidato per un'assistenza sanitaria sostenibileLa sostenibilità nella cura dei reni migliora la salute della popolazione e riduce al minimo i danni e i costi ambientali. Integra la gestione ambientale, l'equità sociale e la responsabilità fiscale per sviluppare comunità sane, eque e resilienti nel tempo. Un sistema di assistenza renale sostenibile - [Qual è la soluzione?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/qual-e-la-soluzione/) - Qual è la soluzione? Sintesi Un'assistenza sanitaria sostenibile è in linea con un'assistenza di alta qualità: prevenzione, percorsi magri, pazienti responsabilizzati e ridotta attività di basso valore migliorano sia i risultati dei pazienti che l'impatto ambientale. La comunità renale globale si sta mobilitando per ridurre l'impatto ambientale della cura dei reni. Il modo più potente - [Malattie renali e disuguaglianza sociale](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/malattie-renali-e-disuguaglianza-sociale/) - Malattie renali e disuguaglianza socialeA livello globale, più di 850 milioni di persone hanno una qualche forma di malattia renale; la maggior parte di loro senza saperlo. La prevalenza della malattia renale è aumentata del 29% tra il 1990 e il 2017, causando 1,2 milioni di morti entro il 2017.Una malattia renale allo stadio terminale, - [Cambiamenti climatici e salute](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/cambiamenti-climatici-e-salute/) - Cambiamenti climatici e salute “"I cambiamenti climatici destabilizzano sempre più i sistemi planetari e le condizioni ambientali da cui dipende la vita umana" The Lancet Countdown on Health and Climate (2025) Figura 2: Gli effetti diretti e indiretti dei cambiamenti climatici sulla salute e sul benessere. Centre for sustainable Healthcare Cambiamenti climatici e cure renali - [Salute e ambiente](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/salute-e-ambiente/) - Salute e ambiente Figura 1: Interazione tra la nostra salute e l'ambiente. van Gelder, M.K., Mortimer, F.,Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025 La salute umana è indissolubilmente legata alla salute dei sistemi naturali della Terra. Il cibo nei nostri supermercati, l'acqua nei nostri rubinetti e l'aria che respiriamo sono tutti prodotti del mondo naturale. - [Qual è il problema?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/lessons/qual-e-il-problema/) - Qual è il problema? Summary I cambiamenti climatici peggiorano direttamente la salute dei reni attraverso il calore, l'inquinamento, le infezioni e la disidratazione I pazienti renali sono particolarmente vulnerabili alle interruzioni dell'acqua, dell'energia e dei trasporti La cura del rene stessa determina elevate emissioni di carbonio, uso di acqua, rifiuti e si basa fortemente su prodotti monouso, con la dialisi che contribuisce per 2/3 all'impronta di carbonio dei servizi di cura del rene La maggior parte delle emissioni proviene dalle catene di approvvigionamento, non dall'energia o dai rifiuti in loco Poiché la cura dei reni ha percorsi chiari e un elevato uso di risorse, è possibile migliorarne molto la sostenibilità I cambiamenti sostenibili ad alto impatto includono: ottimizzare i percorsi di cura per evitare la necessità di dialisi; ridurre al minimo l'uso di prodotti monouso; ridurre gli imballaggi; e prescrivere in modo sostenibile La malattia renale crea importanti oneri sociali che si estendono ben oltre i sintomi clinici, influenzando l'occupazione, le relazioni, le esigenze di tempo e la stabilità finanziaria per i pazienti e le famiglie. - [1. Prevent disease](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/1-prevent-disease-2/) - 1. Prevent diseaseKeeping kidneys healthy is the most powerful way to prevent suffering and reduce waste, pollution, and costs. It can also reduce health inequalities. Here’s how to do it:Prevent kidney disease by managing diabetes, hypertension, obesity, smoking and excessive analgesic usePrevent kidney disease by improving diet. Here is how a plant-based diet can contribute - [Current strategies](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/current-strategies-2/) - Current strategies There are two ways to reduce the environmental impact of kidney care. Reduce the number of people who fall ill and need services Reduce the ‘carbon intensity’ of kidney care by using the least environmentally damaging, clinically effective option. Here are some ways to improve patient outcomes while reducing social costs, environmental costs, - [Publications](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/publications-2/) - Publications Here is a list of recent scientific papers. Publications for 2026-27 are listed here Improving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Around 850 million people worldwide have CKD. By 2030 - [Resources](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/resources-2/) - Resources Peer Network and Resource Library The Kidney Care Sustainability Network is a global professional community, hosted by Centre for Sustainable Healthcare, that connects clinicians, technicians, managers, researchers and patients who are working to cut the environmental impact of kidney care while improving quality and outcomes. The network Resource Library has case studies, practical tools, - [Summary and contact us](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/summary-and-contact-us-2/) - Summary and contact us Summary Climate change directly worsens kidney health through heat, pollution, infections, and dehydration Kidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products. But because kidney care has clear pathways and high resource use, it is well positioned for rapid sustainability gains Sustainable healthcare aligns - [Leading change in your area](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/leading-change-in-your-area-2/) - Leading change in your area Below is a framework to help think about how change happens. It helps you see where you have influence, who you need to bring with you, and how to work with people so an idea can take hold. Stakeholder analysis Making long term changes requires engaging those likely to be - [What can I do?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/what-can-i-do-2/) - What can I do? You have read many examples of how to improve patient care while reducing pollution, waste, and costs. Some of those projects may be useful to implement in your workplace. Here is a summary of how you can improve patient care, streamline services and cut emissions. Remember that: Individuals can make a - [Future technologies](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/future-technologies-2/) - Future technologies A core deliverable of KitNewCare focuses on piloting and evaluating emerging technologies that are not yet routine practice but have strong potential to contribute to sustainable kidney care. Below are some examples. Dialyser reuse systems Preliminary life cycle assessment findings suggest that reusing hemodialysers substantially reduces carbon emissions, resource use, water use, and - [3. Lean care pathways](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/3-lean-care-pathways-2/) - 3. Lean care pathways Care pathways are often wasteful of patient and staff time and resources. A ‘lean’ or ‘streamlined’ pathway minimises unnecessary or inefficient treatment. For example virtual wards, re-evaluating default blood tests, or dialysing closer to home. Virtual wards, remote monitoring and electronic communication Virtual wards provide hospital-level care to patients at home, - [Sustainable value](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/sustainable-value-2/) - Sustainable valueFigure 6: A nested model for sustainable healthcareSustainability in kidney care improves population health and minimises environmental damage and costs. It integrates environmental stewardship, social equity and fiscal responsibility to develop healthy, equitable and resilient communities over time. A sustainable kidney care system improves, maintains or restores health, while minimising negative impacts on the - [What is the solution?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/what-is-the-solution-2/) - What is the solution? Summary Sustainable healthcare aligns with high-quality care: prevention, lean pathways, empowered patients and reduced low-value activity improve both patient outcomes and environmental impact. The global kidney community is mobilising to reduce the environmental impact of kidney care. The most powerful way to reduce kidney-related carbon emissions and waste is to prevent - [Kidney disease and social inequality](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/kidney-disease-and-social-inequality-2/) - Kidney disease and social inequality Globally, more than 850 million people have some form of kidney disease; most of them without knowing it. The prevalence of kidney disease increased by 29% between 1990 and 2017, causing 1.2 million deaths by 2017. End stage kidney disease, or permanent kidney failure, requires kidney replacement therapies (dialysis or - [Carbon hotspots](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/carbon-hotspots-2/) - Carbon hotspots Haemodialysis and peritoneal dialysis are carbon hotspots. Although less than 0.1% of a typical population receives dialysis, it constitutes nearly 2/3 of the carbon footprint of a kidney service. It relies on large volumes of water, energy, single-use equipment and frequent patient travel. Supply chain and pharmaceuticals 72% of the carbon emissions in - [Climate change and health](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/climate-change-and-health-2/) - Climate change and health “Climate change is increasingly destabilising the planetary systems and environmental conditions on which human life depends” The Lancet Countdown on Health and Climate (2025) Figure 2: The direct and indirect effects of climate change on health and wellbeing. Centre for sustainable Healthcare Climate change and kidney care Heatwaves and drought increase - [Health and the environment](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/health-and-the-environment-2/) - Health and the environmentFigure 1: Interaction between our health and the environment. van Gelder, M.K., Mortimer, F.,Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025Human health is inextricably linked to the health of the Earth's natural systems. The food in our supermarkets, the water in our taps and the air we breathe are all products of the - [What is the problem?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/lessons/what-is-the-problem-2/) - What is the problem?SummaryClimate change directly worsens kidney health through heat, pollution, infections, and dehydrationKidney patients are especially vulnerable to disruptions in water, power, and transportKidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products, with dialysis contributing 2/3 of the carbon footprint of kidney care servicesMost emissions come - [Health and the environment](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/health-and-the-environment/) - Health and the environmentFigure 1: Interaction between our health and the environment. van Gelder, M.K., Mortimer, F.,Blankestijn, P.J., Gerritsen, K.G.F. ERA Neph-Manual 2025Human health is inextricably linked to the health of the Earth's natural systems. The food in our supermarkets, the water in our taps and the air we breathe are all products of the - [5. Resource efficiency](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/5-resource-efficiency/) - 5. Resource efficiencyResources include water, equipment, consumables, waste, and buildings energy. Here are some examples of how to reduce resource use in kidney care.Reduce energy use in dialysisWe should reduce the associated emissions of dialysis where it cannot be avoided. The figure below shows the breakdown of emissions for in-centre haemodialysis for a service in - [2. Empower patients](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/2-empower-patients/) - 2. Empower patientsHelping patients co-manage their condition improves outcomes and reduces demand. Consider personalised care, and referrals to online patient support groups.Chronic kidney disease management pre-dialysisManagement of chronic kidney disease aims to reverse early disease where possible and slowing progression to avoid the need for kidney replacement therapy. Progression of disease can be detected by - [1. Prevent disease](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/1-prevent-disease/) - 1. Prevent diseaseKeeping kidneys healthy is the most powerful way to prevent suffering and reduce waste, pollution, and costs. It can also reduce health inequalities. Here’s how to do it:Prevent kidney disease by managing diabetes, hypertension, obesity, smoking and excessive analgesic usePrevent kidney disease by improving diet. Here is how a plant-based diet can contribute - [Publications](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/publications/) - PublicationsHere is a list of recent scientific papers. Publications for 2026-27 are listed hereImproving the sustainability and quality of kidney health care through life cycle assessments, quality improvement, education and technical innovations: the KitNewCare approach - Duane et al. J Nephrol. 38(1):87-99. Jan 2025. Around 850 million people worldwide have CKD. By 2030 6 million - [Resources](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/resources/) - ResourcesPeer Network and Resource LibraryThe Kidney Care Sustainability Network is a global professional community, hosted by Centre for Sustainable Healthcare, that connects clinicians, technicians, managers, researchers and patients who are working to cut the environmental impact of kidney care while improving quality and outcomes. The network Resource Library has case studies, practical tools, spotlights innovations, - [Summary and contact us](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/summary-and-contact-us/) - Summary and contact usSummaryClimate change directly worsens kidney health through heat, pollution, infections, and dehydrationKidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products. But because kidney care has clear pathways and high resource use, it is well positioned for rapid sustainability gainsSustainable healthcare aligns with high-quality care: prevention, - [Leading change in your area](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/leading-change-in-your-area/) - Leading change in your area Below is a framework to help think about how change happens. It helps you see where you have influence, who you need to bring with you, and how to work with people so an idea can take hold. Stakeholder analysis Making long term changes requires engaging those likely to be - [What can I do?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/what-can-i-do/) - What can I do?You have read many examples of how to improve patient care while reducing pollution, waste, and costs. Some of those projects may be useful to implement in your workplace. Here is a summary of how you can improve patient care, streamline services and cut emissions. Remember that:Individuals can make a difference!Small, quick - [Future technologies](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/future-technologies/) - Future technologiesA core deliverable of KitNewCare focuses on piloting and evaluating emerging technologies that are not yet routine practice but have strong potential to contribute to sustainable kidney care. Below are some examples.Dialyser reuse systemsPreliminary life cycle assessment findings suggest that reusing hemodialysers substantially reduces carbon emissions, resource use, water use, and freshwater ecotoxicity compared - [4. Low carbon alternatives](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/4-low-carbon-alternatives/) - 4. Low carbon alternativesHaemodialysis, peritoneal dialysis and transplantationKidney replacement therapy is a ‘carbon hotspot’ in kidney care. Existing data suggests the carbon footprint of in-centre haemodialysis has not fallen over the last 10 years. This study shows generalising across countries or even dialysis centres is limited by variability in energy use, energy source (renewables vs - [3. Lean care pathways](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/3-lean-care-pathways/) - 3. Lean care pathways Care pathways are often wasteful of patient and staff time and resources. A ‘lean’ or ‘streamlined’ pathway minimises unnecessary or inefficient treatment. For example virtual wards, re-evaluating default blood tests, or dialysing closer to home.Virtual wards, remote monitoring and electronic communicationVirtual wards provide hospital-level care to patients at home, and telemedicine can - [Current strategies](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/current-strategies/) - Current strategiesThere are two ways to reduce the environmental impact of kidney care.Reduce the number of people who fall ill and need servicesReduce the ‘carbon intensity’ of kidney care by using the least environmentally damaging, clinically effective option.Here are some ways to improve patient outcomes while reducing social costs, environmental costs, and financial costs. - [Sustainable value](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/sustainable-value/) - Sustainable value Figure 6: A nested model for sustainable healthcare Sustainability in kidney care improves population health and minimises environmental damage and costs. It integrates environmental stewardship, social equity and fiscal responsibility to develop healthy, equitable and resilient communities over time. A sustainable kidney care system improves, maintains or restores health, while minimising negative impacts - [What is the solution?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/what-is-the-solution/) - What is the solution? Summary Sustainable healthcare aligns with high-quality care: prevention, lean pathways, empowered patients and reduced low-value activity improve both patient outcomes and environmental impact. The global kidney community is mobilising to reduce the environmental impact of kidney care. The most powerful way to reduce kidney-related carbon emissions and waste is to prevent - [What is the problem?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/what-is-the-problem/) - What is the problem?SummaryClimate change directly worsens kidney health through heat, pollution, infections, and dehydrationKidney patients are especially vulnerable to disruptions in water, power, and transportKidney care itself drives high carbon emissions, water use, waste, and relies heavily on single-use products, with dialysis contributing 2/3 of the carbon footprint of kidney care servicesMost emissions come - [Kidney disease and social inequality](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/kidney-disease-and-social-inequality/) - Kidney disease and social inequalityGlobally, more than 850 million people have some form of kidney disease; most of them without knowing it. The prevalence of kidney disease increased by 29% between 1990 and 2017, causing 1.2 million deaths by 2017.End stage kidney disease, or permanent kidney failure, requires kidney replacement therapies (dialysis or kidney transplantation), - [Carbon hotspots](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/carbon-hotspots/) - Carbon hotspotsHaemodialysis and peritoneal dialysis are carbon hotspots. Although less than 0.1% of a typical population receives dialysis, it constitutes nearly 2/3 of the carbon footprint of a kidney service. It relies on large volumes of water, energy, single-use equipment and frequent patient travel.Supply chain and pharmaceuticals72% of the carbon emissions in kidney care come - [Climate change and health](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/climate-change-and-health/) - Climate change and health“Climate change is increasingly destabilising the planetary systems and environmental conditions on which human life depends” The Lancet Countdown on Health and Climate (2025) Figure 2: The direct and indirect effects of climate change on health and wellbeing. Centre for sustainable HealthcareClimate change and kidney careHeatwaves and drought increase the risk of - [What is sustainable kidney care?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/lessons/what-is-sustainable-kidney-care/) - What is sustainable kidney care? This 1-hour module explains the relationship between kidney health and the climate. It uses practical examples to demonstrate how to provide high-quality care while reducing environmental pollution. Kidney care is a resource-intensive specialty. This means we spend a lot of time, energy and money on each patient’s treatment. The carbon emissions from dialysis per patient year can be 18 times greater than the emissions of medical care as a ## Quizzes - [Quiz - what is the solution?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/quizzes/quiz-what-is-the-solution-5/) - [Quiz - What can I do?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/quizzes/quiz-what-can-i-do-5/) - [Quiz - what is the problem?](https://sustainablehealthcare.org.uk/learning/dutch-version-duurzame-zorg-in-de-nefrologie-sustainable-kidney-care/quizzes/quiz-what-is-the-problem-5/) - [Quiz - what is the problem?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/quizzes/quiz-what-is-the-problem/) - [Quiz - Cosa posso fare?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/quizzes/quiz-what-can-i-do-2/) - [Quiz - Qual è la soluzione?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/quizzes/quiz-what-is-the-solution-2/) - [Quiz - Qual è il problema?](https://sustainablehealthcare.org.uk/learning/cura-sostenibile-dei-reni-2/quizzes/quiz-what-is-the-problem-2/) - [Cuestionario - ¿Qué puedo hacer?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/quizzes/quiz-what-can-i-do-4/) - [Cuestionario - ¿Cuál es la solución?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/quizzes/quiz-what-is-the-solution-4/) - [Cuestionario - ¿Cuál es el problema?](https://sustainablehealthcare.org.uk/learning/la-atencion-renal-sostenible/quizzes/quiz-what-is-the-problem-4/) - [Quiz - Co mogę zrobić?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/quizzes/quiz-what-can-i-do-3/) - [Quiz - Jakie jest rozwiązanie?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/quizzes/quiz-what-is-the-solution-3/) - [Quiz - W czym problem?](https://sustainablehealthcare.org.uk/learning/zrownowazona-opieka-nad-nerkami-2/quizzes/quiz-what-is-the-problem-3/) - [Quiz - What can I do?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/quizzes/quiz-what-can-i-do/) - [Quiz - what can I do?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/quizzes/sustainable-kidney-care-what-can-i-do/) - [Quiz - what is the solution?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/quizzes/sustainable-kidney-care-what-is-the-solution/) - [Quiz - what is the solution?](https://sustainablehealthcare.org.uk/learning/sustainable-kidney-care/quizzes/quiz-what-is-the-solution/) - [Quiz - what is the problem?](https://sustainablehealthcare.org.uk/learning/introduction-to-sustainable-kidney-care__trashed/quizzes/sustainable-kidney-care-what-is-the-problem/) ## Meetings - [test](https://sustainablehealthcare.org.uk/learning/a-pretend-course/zoom-lessons/test/) - Test ## Events - [Introduction to CSH](https://sustainablehealthcare.org.uk/event/introduction-to-csh/) - 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