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So what hold one second, what can you do? Um So we've kind of talked of, well, I've talked about a lot of things that already today. Um But I'd like to kind of break it down to the things you can do personally. So as staff patients of public um adopting those healthier lifestyles, more single lifestyles, talking to other people, as he mentioned at the start that our value um make it infectious, go and influence other people. And thank you professionally. So if you're a healthcare provider, you can choose those low carbon alternatives, deliver that evidence based care that minimizes over treatment and minimizes waste and unnecessary tests and really focuses on high value, good quality care and educate patients both on preventative care. Um But also on what they can do to make their lives happier, healthier and more sustainable. If you're in an administrative role, then you can also focus on reducing that low value care, encouraging sustainable practices within your team. Um and where appropriate, enabling digital to care and can reduce travel or like Sharon did focusing care in the community rather than bringing everybody to you. So just to summarize some of these individual actions that have been talked about today. Think about your food. What changes can you make? You don't need to go all in and suddenly switch to being vegan overnight. All these changes accumulate and sometimes it takes a little bit of transition time, but think about what you can do what you're willing to do. We still have loads of food leftover as well. So if you want to take some snacks and some of the plant based milks to try at home or with your teams, please feel free to eat. Um Think about your travel um kind of going from the best to the worst digital where it's appropriate active transport. So walking, cycling, getting on public transport, driving by electric vehicle if you're lucky enough to have one. but really reducing your car travel as much as possible. Um for all the reason that pa talk about and then avoiding flying whenever we can thinking about the banking when I checked the other day, um the bank and nationwide both offer you money to switch your current account. Um I'm not saying you need to go through those, but they are some of the good ones that um here named Monzo as well. Great for traveling abroad. Just try to avoid Barclays, HSBC Santander Lloyds, they're all very grubby with their fingers and the oil money. Um So if you're able to switch, that's a really, it really doesn't take that long um thinking about your energy use both at work and at home. Um and also thinking about how you can reduce your waste. Um So really kind of preventing that use in the first place, reducing it, um breathing whatever you can and then recycling where as a last resort and if you haven't already kind of come across some of these websites, a lot of the stuff that I get is secondhand and you can get some absolute bargains really high quality for not much money. So Gumtree is great for furniture house things, garden stuff, pretty much, you name it, it's on there. Um ebay as well, everybody knows, but you can find loads of great um pre love things and vintage is fantastic. Um For clothes, you can find all things, vintage things, even the season stuff, people just will sell anything for not much. Um And you can sell your own clothes. So if you're not already on there really recommend it. Um So try and encourage other people to make these changes with you again, make it infectious and be that kind of that leader amongst you, your family and your friends and your colleagues. Um and then thinking about what you can do at work. So look around you and think about how you can apply the principles of sustainable health care. Um So can we do anything to prevent that ill health in the first place? Can we empower patients more? Can we get rid of some of these wasteful activities. Can we just do what is necessary and not anything more? And have you got any low carbon spaces that we can make? So trying to get some of those ideas, how can we reduce energy use and waste at work? Is what I'm doing really necessary or am I just doing it out of habit? Is that actually going to benefit the patient and make a change to their management or am I just doing it? Because that's what we've always done and I'm on autopilot. Um Is there an alternative um to what I'm using or what I'm doing? Um And how can we prevent disease? How can we, we kind of stop it at the source? There's always analogy of pulling people out of the river trying to save them, but they're still jumping in upstream. So we need to really try and prevent that ill health in the first place. Um As well. It's really important is we're all I think in this, we can sometimes feel a little bit alone or we don't just know where to start with, maybe asked um senior and they've said no because they don't also don't know who to talk to and then it kind of stops there. So we really want you to get involved with us, talk to us and we'll try and help get your ideas off the ground. So, um it's a good idea when you're planning a project or thinking of an idea, think about who you might need to talk to. So do you need to talk to the estate team because it's energy, electricity, um lights, heating. Um Do you need to talk to procurement? So Liam who was here earlier will be your guy for that. Um So thinking about those low carbon alternatives. Do you need to get your seniors management involved? Um Are there other clinical departments that would be, could be involved in this project and actually collaborating together, we can make a much bigger impact. Um And then our lovely Q I team who have been so supportive of our projects already. Um And if you're in doubt, ask the sustainability team, ask him bri or myself, we've also got a generic sustainability at SFT um dot nhs.uk um email address. So if in doubt, just drop us a message and we'll try and put you in touch or we'll go on the hunt for you and try and work out um how we can get it off the ground. Um So I've just got a few slides just of some kind of generic hospital scenarios and just I'll point out a few other things that when I look at these scenes, I think what can we maybe change? Um So think about our use of paper, obviously, with our switch to epic, this will really reduce the amount of paper. But in the meantime, can we reduce how much we're using. Quite often, we print off emails or extra copies of clinic letters and they're also already all online. I often print out loads of handover sheets and I've had colleagues who do them halfway through the day just because they got a bit messy. So, can we be sensible about it? The consumables are using more than necessary. Um Can we just have them ready, clean in their packet and use them just in case and put them back if you don't use it really simple things. Looking at our equipment, we've talked a lot about hot dogs and warming blankets. Um, today. So thank you about those there. Um, review medications. Are they taking them as directed? If not, we need to be educating our patients and making sure that they're taking them properly. Can we stop any of them? Can we step them down to oral or IV, oral or NG rather than IV that comes in all the plastic and class with all these extra added emissions? Um, think about our waste management. Um I know it takes a little bit of kind of mental reprogramming to think about which goes on which bin, but we've got those labels on the internet if you can't find them, get in touch with me, so we can help do that. And I know sometimes it's just a couple of steps away, but it really does make a big difference as we've learned today. Um, empowering patients and thinking about the discharge planning. So can we support them in getting them home as soon as possible? Are we getting them up and moving when they're able to, are we dressing them in their own clothes so that they feel more like themselves? Um, and can we do things like remove lines and, um, yeah, as I said, get them in their own clothes to make them feel more human, more able to look after themselves. Um Another scenario thinking about PPE, so I've had some emails this morning about our gloves off campaign, which will hopefully be getting posters out and about in the next few weeks, fingers crossed if we can get it all sorted. Um So if any of you are happy to help put up posters in your areas that would be really helpful, drop us an email and we'll be emailing it out to our green champions as well. But as we've already talked about many times today, we're using far more than is necessary and putting our patients at risk. So just rethinking that. Um So yeah, this is our new poster that should be being printed out soon. Um So gloves are needed for when it's an aseptic procedure. If it's an infectious patient or if you're at risk of getting any bodily fluid spilled on you. If your patient is clean, you're touching or you're examining them. We all used to touch people just normally with clean hands and have that human contact rather than kind of treating all our patients as if they're dirty and we don't want to go anywhere near them. We need to go back to those five moments of hand hygiene and just keep it simple. Um, thinking again about low carbon treatments IV fluids and medications. Can we step them down, encouraging people to eat and drink single use and reusable materials. We've talked lots about them today. Um, again, is this investigation necessary? And no, I've been guilty in the past of doing a lot of blood tests just because I can, we just kind of tick all the boxes and I might as well add that on, on, but it does really add up. Um There's been a great project from one of the posters done by their um, critical care team here reducing the number of blood tests they do and it does really add up. Um So if you haven't seen their poster have a little local line, it's great. Um, and thinking about the appropriate imaging and are we doing things because it's necessary or just because that's a quick solution? I remember a lot of these investigations and interventions don't come at no risk to the patient. It's often an easy option for us. But if it's not going to improve their care or their management, we really should be rethinking it, um, empowering patients again. So, um, can we get them to mobilize themselves, transfer themselves? Really keep them independent and feeling human. And there's a fantastic project that won our post the competition about keeping people in their own clothes. And it feels a lot better to not feel like a patient if it's possible, thinking about shared decision making. Um We, there's a little bit of a risk about of us kind of just making decisions for patients, but we really need to be making sure that the care we're giving them aligns with their wishes. We're not doing more than they want. Um, just because I think we've got a bit of a habit, well, not a habit but we all want to protect people.