GREEN NEPHROLOGY 2010 SURVEY RESULTS

Green NephrologySurvey 2010

RESULTS SUMMARY81.2% hub units questioned63.8% response rate = response from 52% UK units

New representativesHalf offered new representatives = 41 additional people = 59% increase overall

Support locally and raising awarenessOver 2/3rd felt they had support from within their unit ‘in practice’

2/3rd spent time raising awareness using•teaching sessions•every day activities - waste reduction, bolus drugs (not infusion) etc.•meetings - clinical governance, HD, ward, MDT•dedicated meetings eg ‘renal environmental group’ •included in new staff orientation pack•events eg bike to work day

Green NephrologySurvey 2010

Use of resources

86.4% used CGH website – 70% in last 3 months70.5% used renal 10:10 checklist – 38.6% used posterSome used home made labels and flyers Would value downloadable ‘ready to use’ resources

Green NephrologySurvey 2010

Activity14-30% had tried to replicate case studies – 1/3rd still running27-54% would like to have a go2/3rd have made changes ‘however small’ in the last year11% have assisted others

Types of project Paper – electronic patient letters, double sided results, no local printingVideoconferencing – review patients, MDTs, staff educationE-consultationTele-OP – HD, CKD, Tx Water - central water treatment, reject salvage, central priming Central acid deliveryWaste – baler, recycling, reducing consumablesIT – auto shutdownFood – reduce waste in HD units

Green Stars15.9% submitted case study 20.5% planning toOnly 1 submitted green action plan (now 2)Only 1 have patient representative

Spreading out from renal servicesFife – waste management in theatres, medical + surgical wardsCornwall – SAP Trust wideBradford – e-consultation adopted by other servicesGlasgow – waste management in neuro theatres

Green NephrologySurvey 2010

Green NephrologySurvey 2010

SUMMARY•There is a lot of support for green nephrology at a local level•It is spreading beyond renal services •There is a high level of activity and desire to be active•Cost and carbon savings demonstrated for individual projects•There is evidence of replication of ideas between regions

Identified need for:•Time•Fewer financial barriers•More support at senior management and Trust level•Ways round regulations eg COSHH, EU•Downloadable resources•Searchable website•Educational tools•Link to other representatives / online communication facility•List of a few, clear areas to focus on + instructions

Green Nephrology

FUTURE FOCUS•Focus on local representatives•Clear need for resource development – website + tools + blog•Find a solution for

•Time – always a problem •Support from senior management + organization

The CSH aims to provide:•Background knowledge•Communication between representatives•Practical and teaching resources resources•Central reporting

Move to new model where Trusts / Boards fund a session of nurse time to implement sustainable healthcare projects eg as in Fife where £45k annual savings have been demonstrated?