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thing. That's really exciting for us to decode medics. We've been working really, really hard. Teo, get the launch of the ICO Quick bank for in time to the conference on. I'm gonna hand over to the quick team who we're gonna be talking to you about. Sustainability, Quick bank. So let's welcome our ego. Quit bank. Go quick. Hello. Um, Onda, It's a pleasure to introduce the flagship one of the flagship ICO medics projects to you. The ICO quit. And this is a project been working on for quite a while with the aim of inspiring people to action exam, playing good practice and scaling up change on our plan for this afternoon was we're going to talk through the quick bank and how we envisioned it working. We'll get it here from one of our office is shining with how she found the process of the quick bank. But first, I just wanted to give you a little bit of background. The project. So we heard from human, got married this morning, who reinforced the devastating effects of climate change on health on biodiversity. And then Nick Watts told us of the need for healthcare to react and given the scale of the change on the short time frame that we've got to make that change. We need it to happen on a levels at a systems level with the green or in a chest policy change, governance, finance, but also in a ninja vigil level. And I think that's why a lot of us are here. We want to know what we can do about the problem. I want to hear from those who are doing something about the problem to inspire us, and we see that in Althea individual projects that are taking place across the country. Some of them we've been so lucky to showcase to you today innovative sustainability projects that happen when someone sees a problem in really life at that place of work and address is it that makes really change amazing work, but sometimes limited and that it's happening in one place or there's multiple people seeing the same problem but working in silos to address it, replicating the effort. So it seemed to us that this was a good place to start to look that we wanted to identify, celebrate and scale up all these projects to create large scale. Change on that leaves me very nicely to the original leak. A quick Iko quick project. The coffee cup, quick. Thanks so much, Francis. Eso Mine is Nathan on. I just want to say a few words about where all of this really began on. So cause my back to 2020. It was January are starting a new job in intensive care on I came in fresh eyes full of enthusiasm to try and reduce our goal of usage. So I put my hand up and said, Hey, I think you know, probably 90. We used to many gloves on. I think we don't need to be using so many gloves. We can wash our hands. It's all unnecessary waste. Um, it was not with enthusiasm. People were keen. And then about two weeks later, this small problem called Kevin turned up on very quickly overnight. All of that went out the window and were wearing 33 lbs of gloves for every single patient we saw. So my initial initiative didn't go to plan Theglobe idea went straight out the window on very quickly. I had to cast my mind. Teo, what could I do? And so I had lots of conversations with consultants on actually about an hour and a half conversation with the waste manager at the hospital. He was very interesting guy on be found that we were generating a lot of plastic ways through all of the ppd and through throughout the Cape initiatives as well, which is necessary at the beginning of the pandemic. But the numbers were absolutely staggering. So at that stage in the pandemic and this is in the first wave and things got worse than the second wave, we were using 20,000 plastic aprons every single day in our department alone on, we were using 50,000 loves every single day. Say the numbers were accessory in our hospital, not in our department. The numbers were pretty staggering on. I worked very hard to try and do something about it, but unfortunately I didn't have that option because everything was being centrally supplied. Everything was coming through procurement century, three government contracts on. So just a few weeks before the end of my my six month period, they're on cable was starting to wind down a little bit then and so I had a little bit more time again and I thought, Okay, well, what can I do? Something about What? Can I leave this six month rotation and feel like I've made a difference here on. So I turned my attention to the coffee cup, which seems like we were using quite a few, but I didn't know how many. And I thought, Surely, if I can't, I can't have an impact on PPE. I can't impact on all of the clinical side of things. What about the coffee cups on? So I did some digging, came in and found that in our department alone in the I. T U staff room, we're using 560 coffee cups a day, And that wasn't including for patients. That was just for the staff on. That seems crazy because there weren't anywhere near that many staff working there. But when you think about the shift changes on the fact that people often used to cups because it keeps the drink warmer for longer, and then they get discarded because in the rest, sleep goes off or whatever. And so we were getting through 560 cups a day, which works out at 210,000 cups a year, which we were spending 10,000 lbs on hmm. And in the same time, we were struggling to fund ultrasound machines in our department on ultrasound machines could start at 5000 lbs. So just on coffee cuts were actually saying that we need these more than we need to ultrasound machines, which, I mean, maybe that's tree units. So before I left, I did some surveys, put out some educational posters and thought about some ideas. Eventually, it came down to just bringing your own coffee cup as the answer. Dishwashers had their own problems. Who's responsible for Is it domestics job, perhaps? Know, is it your job? Well, people obviously won't have the time, necessarily in a busy clinical shift on when we spoke to infection control, they're actually quite happy, because when we're using the communal single use cups before everyone was leaning into the box, they were putting their hands over all of the other cups, and so on so forth. So on the back. Under this project, Lucy, one of the other economics founders, helped me to continue. This is like left the department on over the next few months, we managed to get that number down on save up to 10,000 lbs a year in that apartment on 210,000 cups per year, which is pretty pretty great. And so I spoke about this at the World Extreme Medicine Conference in October of that year. On on the back end of that hall, probably about 10 or so people got in touch with a Hey, do you mind sharing your resources? You know your emails. Your post is that kind of thing just so we can repeat it in our own hospitals. That's really where the idea of this was born. I thought, If I have gone to all of the work of producing all of these light chains, all of these posters on so on so forth, why you get someone else to get through exactly the same process again when I can just send them everything I've done and they can repeat the project, and that's what happened. So I messaged, I'm a message hour of I messaged Dave Onda a few other people and May, and they said, Hey, we're going to do this project and say the project was repeated. The Whittington hospital repeated that card of medical school. It's repeated. Queen Square neurosurgery. Critical care unit is repeated in lots of places, and then numbers add up. And we thought, Okay, this is something. We're actually making a difference here, even if it is small, our action steam matter on. So we wanted to figure out How much do they matter? And at that stage, we thought, Okay, there's four of us on the medics team on Grace. I don't if she's in the audience, was one of the other founding members there. I'm And so we thought, Well, let's try and figure out how big is the problem. And so at that stage, which is probably a bit ambitious, we decided to get in touch with every single NHS. Keep trust in the country on Austin through a freedom of information request. How much do you spend on coffee cups on a plastic country? On first, you're surprised actually had this data, but some hospitals had it down to individual teaspoons, which is quite impressive, but the numbers were pretty staggering. So across the NHS on acute trusts essay, we we got responses back from about 110 trusts out 150 we emails, um so across the NHS, an acute trust that doesn't include any of primary care. It doesn't include any of the cost is, or Starbucks or anything in the hospital. It doesn't include mental health, trust or rehabilitation, just but just in a trust. Acute trust in the UK We were using 221 million coffee cups each year on that equates to 5 million lbs worth of any chest budget being spent on coffee cups in the single financial year. In terms of the carbon emissions of that, we were talking about thie carbon footprint of an inhaler earlier, like driving to Sheffield. So the carbon footprint off the coffee cups being used in any chest trust in the years, the equipment of driving to the moon and back 61 times. So hopefully that puts it into contact. That those humble little actions just taking a coffee cup actually do make a difference. And so, with on the back end of that idea, being too few other people thought about economics is a zoo concept whereby we could share resources, share access to all of these things on then I was listening to another conference where someone said that we need to think big starts more than scale quickly, and so that's what I thought we could do. This will build up a bank of projects that people have done, tried and tested and piloted another hospitals of success stories. Cheryl the resources and make it free and open access for anyone who wants to repeat this product in the hospital on the NHS has 1.5 million staff. It's year of the largest employer. There are lots and lots of medical students, nursing students, doctors, nurses, allied health professionals and many of them have to do quality improvement. Project each year is part of their professional registration requirements, and lots of them spend all of this effort doing things that never, never proved to be useful. Don't even get lucked out there just very much a check box exercise. So we thought, If we can use these groups of people who who want to do something that isn't a waste of their time, want to do some good for the planet, then if we could provide them with this resource bank and hopefully we can make a step in the right direction. Hopefully, we can all come together on those Small changes will actually add up to make a big change overall. So that's where the echocardiogram in Project Databank has come from. In terms of where it's been going over the last few months, we've had the Amazing Cause Improvement Project team. You've just been getting on with it. We've had Francis drinker Rob on Katie. Thank you. He can't be with us today, Um, who had been working tirelessly at this so thinking through the process, How do we make sure that the original authors get credited? How do we make sure that the overall progress off these projects being implemented around the country is trapped so we know the overall impact on? But we're very happy that we've been working on this behind the scenes the last few months, and it's just launched on our website. There's only a few projects on there at the moment. If any of you today wanted to say, Hey, I want to go and repeat that coffee cup project or I want to go and make an inhaler switch or try and encourage my canteen to develop more plant based diet. You can go on our website. You can download slide shows that you can go and play to your your consultants. You can deliver the resources and hopefully it will make your lives easier. And together we could actually make a tangible difference. So with that, I'm gonna have to rub who will introduce the drinker. Your Anca John Doe. He will introduce the EKG. Um, okay, fine. So you are somebody in your hospital who's done a great big change. We've heard from some today on you want to share your project with other people so they can replicate it so they can take the learnings you've done on Do not have to compare themselves. So this is our website. So the first thing you do is you come down to the section on submitting your quit. Um, so you go onto the submission form which going to click on that, and you just fill in the bare bones of roughly what your project was about. We understand that in quickly is a lot of nuance. Summer different. Some are complex. Some easy summer. Not and so we don't want this to be an exhaustive um, narrative. What you've done we want to do is put the basics down and then one of the team will get in contact with you, would email you back. We'll arrange a cool will chat about how we can best present your quit in a way that showcases what you've done and makes it easy for other people to do something similar. So once you've had that from going try, the chat will upload it onto the bank. Now, if we just go back, we can look at some the already on there. And if any of you guys at the conference have available to, there should be a link directly to Ekoko on that. So if anyone wants to check them out, I only eat. So we've got a couple up here. The men we've got, we've got the coffee cup, one which Nathan's has been telling you about. We've got a plant based Cantimol what you're gonna hear about in a minute. Um, we've got one of the theater waste going brightness dimmer on. The point of this is that you can basically look at what you think would be interesting to you. You get a quick background, you get a bit of a summary of what's happened. You get bit of information on who is running for how difficult to be. Um, and then you click get started. And once you get started, you get to the point where we ask for a little bit about you on the reason we do This is as Nathan touched. Um, we kind of want to track where the impact is happening. So the people who would do the quick they've submitted to us were advertising it for you. Who are gonna do the quick for the 3rd, 2nd, 4th, fifth, up to sort of 2030 40 times. We don't know where that's happening, so we can feed back to the original person where that works had an effect. We can tell them that that work is scaled. Um, so when you sign up to get the resources that will help you do, the quick will talk you through it. We're just gonna ask your name your emails we can keep in touch with you. Um, what you think it is a link to Google photo with resources to help. You better do the quick. So, for example, in the brightness Democrat, You get, um, a lot of information about the calculations that you can present your trust. So if you turn your screen down by 10% brightness, how much she had to just save you. If you're doing that from scratch, you have to go work it out. You get your meter out measuring the plugs, work out what that is. Pence pocket a lower Someone's done that for you was already done the math. You just plug it into a spreadsheet and you can go to trust and say, Look, when we turn all our screens down by 10% in the d we say this much here to put year, which saves a trusted this much money a year that this is a good idea. We should do this from Elastics. A nice essentially wish will stop tour off the quick bank. From the point of view off the submit her on the point of view of the people, he's gonna be doing the quit. I'm just, I suppose, summarize all of this same. Thanks very much. Obviously, Navan, for kind of instigating so much of this. The key aims of this could be summarized into three key words. So as you can kind of gather act is probably one of them. Not just you yourself during a project submitting a project but also calling to action as part of that. Because so much of this is about generating interest in multiple different areas of the country, effectively creating a community doing all of this stuff on, then transferring all of the information effectively nationwide with a bunch of shared resource is that in turn minimizes the amount of effort that you guys have to in it, put in to kind of get things started to do all the research on. So it actually adds it empowers because you've missed out all of these steps. You conjunct straight to the nitty gritty of the project work, and then you can use the results of that work you've gotten in good time to educate, not just you know, your fellow staff members, your clinical professionals in there with you, but also management stuff, the states and facility sustainability, procurement. All of these other stakeholders who would be able to help things along, move things in the right direction. That's what really what we're aiming for with this. ICO quit bank to kind of get these things done in short order to make sure that there is just a general resource for everyone to access easily on. If you are actually submitting a project to maintain, you know, something you credit for that is Wells to make sure that, um yeah, essentially, just to keep the credit for that for three idea of that project. So I think that's probably the best summary we can give you for the EKG. A quick project. So for everyone online, that's ekhomu medics dot co dot UK forward slash ico Quit, please. By all means. Just take a look at these. If you have a project idea if you if you've already, um, if you have already kind of presented something, Please, please consider submitting to our bank later on today. When you have a moment, it would honestly be such an invaluable resource and do a great deal of respect. Although hard work you've already put in. Thank you very much. I hope you guys find the resource useful on uh, yeah, I think the last thing we could do is invite Shawnee come to stage. She's done a wonderful quipped, which is in the bank on encouraging hospitals to use more plant based and Stendhal food. We're just going to talk me through the methodology relevant to the bank. Thank you. It just like to say, a huge thank you to the medics team for organizing such a brilliant day. It's so well organized in such fantastic speakers on, but it's just really inspiring. Imagine if we start getting through these projects in our hospital on D Think that's going to be such a brilliant idea on do This Day is really, really motivating, So I'd like to speak to you about a project that I feel really, really passionate about. On that has been about year and a half now of me trying to get my hospital canteen on the catering services on the procurement team on board, with more plant based options that made stone in tumblers Wells Hospital. I think I probably started about last January or February, so it was a little bit difficult during the pandemic because obviously people weren't in officers. It was quite difficult to find the right people to speak. Thio and I was passed around department to department for about 345 months before I actually got to the right person on, but it was a little bit challenging at first. But I'm really glad that I persevered with it because now we have so many brilliant options in the county and all for free in the stuff canteen. And I'm working on getting the same options for patients. A swell. So essentially, What I did was stop by finding the relevant people to talk to in the catering, procurement and estates teams. Um, again, that took months and months until I was directed to the right person and I was phoning constantly, emailing constantly, not getting through to the right people until I literally started turning up and knocking on the estates. Department office is constantly until I could arrange face to face meetings with the relevant people. And I think once they realized the importance in the popularity of apart based diet, they were really excited about which was nice to see. I don't think it was something that they had really, really thought about before. It wasn't particularly relevant thing during the pandemic, you know, there was so many other things to be thinking about during that time that I don't think it was anything that they considered and had particular pressure on them until about this time last year when we head together and came up with some suitable menu ideas, which I got from Amazing Network called Vegan Hospitals, Food Network, Plant based Health The Nationals has been an amazing inspiration as well. They've given me some fantastic ideas about how to get the ball rolling on. We finally got one or 23 different vegan based vegetarian options in the stuff Canton for breakfast. Lunch is on dinners, which is really, really exciting because actually, they taste good, too, which is nice. They're not just, you know, just under a big potato and salad anymore. There's loads and loads of really nice options. So last week I had of big analysand your with vegan cheese as well, which really surprised me. I got really emotional when I saw her. I couldn't believe it on. Everybody was curing for it as well. I think one of the clever things that they've done is not market things. There's weaken or plant based, and they just got a list of dietary requirements on when food is free. People really ignore the vegan and vegetarian label on it. On, there was a big Q and all of a gun, and veggie options go really, really quickly. So essentially what I did was approached the procurement services with sample menus from different hospitals, because our options will really, really poor this time about a year ago. So I gave them from retention sample menus. Um, just gave them menu ideas, lists of things that I cook on, photos of delicious foods that they couldn't really say no to and just gave all of the reasons that we should be striving to have more veggie, vegan and plant based options, whether that's for religious reasons or environmental reasons or ethical reasons. On diet. Also approached my patients on my colleagues on, asked them Teo, just contact the procurement catering services and gave him the list of email address is I. I had approach, so I probably had about 10 different staff members approaching to say, Look, we've been finding this really, really difficult. We've not had many options, you know, we come Teo, we come to do night shifts, and there's no options there on. That's really difficult when you don't have time to make demand of the night before and you haven't bought meal eso I asked them all to span the procurement services, so they probably had 15 or 20 e mails constantly that they couldn't ignore in the end. So I think one really important thing is just to be really, really stubborn with it and just persevere, really, Because I could have been ignored so many times. And I was ignored so many times until I just got so many different staff members saying, Look, this is what we need This is the healthy option and this is the sustainable option. More and more people reading a plant based diet Now, you know the numbers just keep doubling and doubling, and I think it's just going to become more popular. So eventually they couldn't ignore it on. They did have meetings with me face to face on. They eventually got desserts, you know, solid loads, a lot of different options. We've had past debate, we've had veggie burgers. We've had a vegetable temple over with sweet and sour sores s so many different amazing options, which has been really, really nice to see Onda. I asked them actually, whether they think that these things, they're as popular on, they said, because it's free people just you know, people are really, really going for and people really, really enjoy it. And they've had to order more and more plant based options, which has been really nice to say so. I put together a template of how I approach the situation on do the challenges that I found and then also the things that I found were really easy on the way that I approached it, because I think it could be really easy to be shot down, especially if it's a new idea for people. So I put together a template which you can find on the ICO. Quit Bank on Ben. I put together loads of sample menus, which I found on vehicle Big Hospital Food Network. I've also helped out different people in different hospitals with who to approach and who to email and where to go on. We'd obviously be more than happy to help people out, because I know that we're so busy and we don't always have time to do these things. So just finding the right email address is on the right phone numbers, and just finding the offices of the people that we need to talk to is really, really helpful. And just to be really persistent weather, I think, is the most important thing. So I think in terms of next steps that I would like to do is get the ball rolling for patient men used as well on. That's going to be a completely different matter because I think I need to involve the dieticians, the nutrition team. So I think that's gonna be the next step of this project. But in terms of the staff options we've done. Amazing job. Maidstone, Tunbridge Wells. I've always I have sent emails Teo Princess Royal in kings as well. I worked in Croydon, so I spoken to the hospital team. There was well, so I think, just, you know, start by emailing. People start by arranging face to face meetings. Onda, I think following up the environmental impact of this is going to be really, really interesting to see in terms of what they've ordered it for alternatives. What the cost saving is what the carbon saving is, what the energy saving is because I think that the impact on the benefits of a plant based and more sustainable diet is going to be undeniable, and it's just going to get more and more popular. So I hope to see more and more amazing food options. And if anybody needs any help with it and obviously we would love to help our so thank you so much shiny. I mean, it goes to show you how much effort it can take to do some of these things. A year and a half, you know, that's so impressive on amazing that you're sharing all of your resources to make other people. It's lives easier. He want to repeat the same same project elsewhere. Thank you for putting it together for making me see here with my emails and thanks out of interest. How many people? The animals there. Hands up. How many people are going to think twice next time they can animal or drink? It's milk. Yeah, Okay. Still some hands up. That's really good, because if I told all of you, just put your hands up Allegra and become vegan, you probably wouldn't Let's be honest. But if I said that only half of you need to do it, then the other half. You like grapes, not me. But if I said you'll actually only need to eat animal products half a softener as you do now, that feels kind of manageable, right? If you're eating meat maybe five times a week, you don't get down to two or three times a week. It's extra. That's the exact same outcome as half of you going be done. And so that's why we need to think together in all of this. We need to act collectively, and hopefully this Project bank will make some steps in the right direction towards that it doesn't need. Everyone has a great quite I saw the other day. The climate crisis doesn't need everyone doing zero ways to plant based perfectly. It needs millions of people doing imperfectly. Okay, so