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WHA T CAN YOU DO? 1 PERSONALLY PROFESSIONALLY - Staff Healthcare providers - Patients - Choose low carbon alternatives - Public - Deliver evidence-based care that minimises overtreatment, waste and unnecessary tests Adopt healthier and - Educate patients on preventative more sustainable care lifestyles What can I do? Administrators Talk to others – - Reduce low-value care together we can - Encourage sustainable practices catalyse mass action - Enable digital care to reduce travel INDIVIDUAL ACTIONS LESS WASTE FOOD TRAVEL BANKING ENERGY & MORE PRE-LOVEDINDIVIDUAL ACTIONS Encourage others to make these changes with you ACTIONS TO TAKE AT WORK Look around you and apply the principles of sustainable healthcare How can we reduce energy use and waste? Is this necessary? Is there an alternative? How can we prevent disease? ACTIONS TO TAKE AT WORK Who do you need to talk to? Estates? Senior QI team? management? Procurement? Other clinical departments? If in doubt, ask the sustainability team! Tim Hewes (Energy & Sustainability Manager), Becca Elson (Clinical Sustainability Lead), Brydie Murphy (Energy & Sustainability Coordinator)Use of paper Can you reduce the amount that you’re printing out e.g. extra copies of letters or copies of handover sheets?Consumables Are you using more than necessary e.g. opening items “just in case”?Equipment Is there a lower carbon alternative? e.g. reusable HotDog warming blankets vs inefficient and wasteful Bair huggersReview medications Is the patient taking their medications as directed? Can any medications be stopped? Can any be stepped down to oral/NG?Waste management Are you using the appropriate bin or are you unnecessarily sending something for high temp incineration?Discharge planning & patient empowerment How can we support the patient getting home as soon as possible? Can we remove lines and help them dress in their own clothes to empower them?PPE Is PPE required for the task?Low carbon treatments Are IV fluids and medications necessary or could lower carbon options e.g. NG/oral be used?Single use vs reusable Is there a reusable option available to avoid using single use plastics and then incinerating them?Is it necessary? Will this investigation change the patient’s management or are we doing it because we can? Is there a lower carbon option e.g. USS vs CT. Reducing low- value investigations that are not clinically indicated reduces waste, cost and risks to patientsEmpower patients Can patients wear their own clothes? Can they mobilise and transfer themselves? What else can we do to empower them and support their independence?Shared decision-making Ensures patients’ care aligns with their wishes, encourages active participation in their care and recovery and avoids “low-value care”Patient empowerment Advocate patient self-care and family involvement where possibleUsing patient’s own Request relatives/carers to bring in the patient’s own drugs, toiletries and clothes where possible to avoid wastageRehab Early rehab shortens hospital stays and improves outcomes and quality of lifeReduce unnecessary interventions Saves carbon, empowers patients and reduce risks of complicationsStock management Is stock well managed and rotated to prevent wastage and expiry? Consider ‘use me first’ stickers for stock nearing expiryAre gloves required? Gloves are usually only needed when preparing cytotoxic drugs or monoclonal antibodiesWaste management Do not put medicines down the sink or into tiger, orange, domestic or recycling waste streams Recycle outer packaging and leafletsReuse and repair Can you use a reusable device and repair them to extend their lifespan?‘Just in time’ Do you need to have everything opened and ready or can you open it when needed to reduce wastage?Reusable textiles Are single use textiles necessary or can you switch to reusable ones?Medications Is IV necessary or could this be given orally?Travel and telemedicine Is an appointment (and its necessary travel and time off work / caring) necessary or could telemedicine be used?One stop shops Could this appointment be combined with another to avoid unnecessary trips to the hospital?Paper vs digital Could information be given / taken digitally instead of using paper?Case StudiesCase Studies36Green Plan Action Issue Action No Vast amounts of waste sent for incinerationat huge Reduce clinical waste by 30% environmentaland financial cost 1 Nitrous oxide constitutes over 80% of the total Reduce nitrous oxide use by 80% anaesthetic gas carbon footprintand over 95% of piped 2 1 nitrous oxide is wasted in NHS trusts £300 million of NHS prescribed medicines are wasted Reduce medicines waste by 30% 3 each year through non-compliance, non-adher1nce, excessive orderingand dispensingand waste Many clinical staff unaware of the impact of clinical Every ward / department to have activity on the environment whilst others don't feel at least one Green Champion 4 empowered to make changes Over 31% of supplychain carbon footprintis from Reduce footprint of investigations 5 investigations (laboratory and radiology) by 10%ResourcesResourcesResourcesResourcesResourcesResourcesResourcesT ake home messages • Reducing our impact on the environment will improve the health of our patients, our staff, and the NHS • Sustainable healthcare is high quality healthcare that uses our resources responsibly • There are changes that all of us can make to have a positive impact – both in our personal and professional livesWHA T WILL YOU DO? 48Please fill out the feedback form to get your attendance certificate https://tinyurl.com/439by75m