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Yeah. Right. Welcome everyone to the primary and community care session. We've just one minute early. So I'm just going to wait a minute or so for people to arrive if that's ok. Ok. Fantastic. I think we should make a start. So welcome everyone. I'm co sharing this session with Joanna and delighted to see people join and really, really looking forward to this session on primary and community care, which as we all know is absolutely crucial in the move towards more sustainable health care. So I'm going to start by following the schedule and start off with um introducing Doctor Abigail Fright who is a GP based in Brighton and I will let her tell you more from there. Thanks everyone. Thank you very much. Um So, whoops, sorry, starting the wrong slide. Let me get back to the beginning. Um So you've got a sneak preview then. So, yeah, so I'm a GP partner and trainer in Brighton and I'm just telling here to tell you about how one ordinary GP practice received a platinum award for sustainability in Brighton. So I don't know about you, but I find it hard to know where to start. To try and help my practice become more sustainable and we're just an ordinary practice and everyone is busy trying to help with their patients, with finances, with their staff. And I've always in a of these impressive, famous sustainable practices who win awards and um they seem to do things like setting up community kitchens and working with their councils and developing active travel. And everyone in the practice appears to be working towards their net zero goal. So, but even if it feels like you're the only one in your workplace, working towards sustainability, you'll be surprised at what you can achieve. So these are some of the things that we've managed to do in my like medical center in Brighton and it has taken a few years. So it didn't happen all at once. But as you can see, we've got an award um and sustainability, we've got a hot bin, first star food. We've got an electric bike for visits, an EV charger. We do blister blister pack recycling. We've got solar panels, we've um switched our single use instruments to reusable. We're developing a community garden and we got an award for increasing our recycling rate. We've changed our lights to L EDS and we've saved the ICB over 1000 lbs in a year by optimizing asthma care. And that's just on inhalers alone and all our prescribers have done a deprescribing course. So, how did we do this? Well, several factors were helpful it's difficult trying to save the whole world all at once. So if you can break it down into individual actions, that can be really helpful. And I found um the green impact for health toolkit really useful in this and Steph Islands gonna speak a bit more about this next. Um And I think enjoying what you're doing rather than begrudging, it is also important, even if it feels like you're the only one doing it at the beginning, you'll soon find that other people do come on board and just enjoy it. Thinking about what legacy you'd like to leave behind. I sort of changed what I was doing and realizing what influence healthcare workers have in their practices or in their workplaces in general. And also um thinking about how your procurement and management decisions can actually cause harm to the world. So sort of thinking before you do anything and thinking, are there other options? The other thing in meetings, if you can try and be brave? Um I didn't, I'm not someone who likes to impose my beliefs on others. So I found I wasn't saying things, but when I did pluck up the courage to suggest some sustainable ideas, it was like pushing at an open door. And I found that actually other people were interested and um I'm pointing out the positives of things that you do our reasonable equipment policy. Um And switching to reasonable equipment has saved about 1500 lbs a year. So being able to show that can be helpful and we get a lot of people applying for jobs in our practice because of our sustainability sort of credentials. Also, finding allies and medical students and GP registrars are really helpful in here. They sort of started me going with this or were quite supportive at the beginning and finding um a supportive network to work with. And there's one called Greener Practice that I'll tell you a bit more about which I found really helpful. Also thinking about funding opportunities. Um I've got funding from the council, a local council from Greener NHS from the government. So, tapping into those things and then lastly looking at the bigger picture, trying to sort of visualize your goal and where you want to get to and above all persevering can be really helpful. So I'm just gonna really quickly tell you a little bit about Greener Practice cos I've recently become a director of Greener Practice and they, we've developed a new website which has got really easy sort of quality improvement projects that people can use and also resource library and it's all about sustainability. So I'm gonna take you through a whistle stop tour. So on the left, you can see that there's different filters you can choose from because we've got over 50 projects on there and I'll take you through one of them, which is our formula milk prescribing one and it will tell you sort of what this project can achieve around the CCC areas and green impact for health toolkit, how long it's likely to take benefits for patients, the practice and the planet. Then it takes you about why it's important and all the evidence behind it, it will take you through which searches you need to do, what training you need to give to your staff, who to communicate with and how there'll be texts you can copy and information for patients and then it goes through you what to do for re auditing and appointments and then how to scale the project up and down. And there'll also be a top tip and or a case study from a practice that's done this project. And at the end, you'll get a certificate that you can ship it in your appraisals and show to CCC as well. So, um th this project, well, in, in order to sort of keep the whole platform up to date and accurate, um, the website team does need a small amount of funding and the ideal would be if Greener NHS was to fund it for all the practices in the country. However, currently they're not doing this, but some I CBS are keen to do this for their practices including Sussex, which is great. But in the meantime, lots of PCN S or you can ask your PCN if they'll fund it for you or your practices or individuals. Um, so that they can help to sort of improve patient care and save money. There's lots of projects on both. So um if anyone wants to ask any more about this, that would be great. And they all do link with the Green Impact for Health Toolkit, which as I said, I know um Steph Islands about to talk about. So um yeah, so please ask away if you have anything else that you want to say at the end or some questions in the chat? Thank you very much. Thank you, Abby. That was fantastic and absolutely bang on time. So I'm going to also request that if anyone has any questions that you put them in the chat and we will discuss these with the presenters at the end. So please do feel free to ask anything at all, um anything practical or to do with policy. Um But it's great to hear that link between local and national as well and some of those motivators. I'd now like to invite uh Stephanie Island to uh share her presentation, please. Thanks, Stephanie. Hi. Thank you so much. Um Good afternoon everyone. I hope you're having a good day and keeping cool as you can see. I've got my fan on cause it's a bit hot here. Um I am just going to share my screen. Um Are you