Transcript GREEN NEPHROLOGY 2010 SURVEY RESULTS

GREEN NEPHROLOGY 2010
SURVEY RESULTS
Green Nephrology
Survey 2010
RESULTS SUMMARY
81.2% hub units questioned
63.8% response rate = response from 52% UK units
New representatives
Half offered new representatives = 41 additional people = 59% increase overall
Support locally and raising awareness
Over 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 Nephrology
Survey 2010
Use of resources
86.4% used CGH website – 70% in last 3 months
70.5% used renal 10:10 checklist – 38.6% used poster
Some used home made labels and flyers
Would value downloadable ‘ready to use’ resources
Green Nephrology
Survey 2010
Activity
14-30% had tried to replicate case studies – 1/3rd still running
27-54% would like to have a go
2/3rd have made changes ‘however small’ in the last year
11% have assisted others
Types of project
Paper – electronic patient letters, double sided results, no local printing
Videoconferencing – review patients, MDTs, staff education
E-consultation
Tele-OP – HD, CKD, Tx
Water - central water treatment, reject salvage, central priming
Central acid delivery
Waste – baler, recycling, reducing consumables
IT – auto shutdown
Food – reduce waste in HD units
Green Nephrology
Survey 2010
Green Stars
15.9% submitted case study
20.5% planning to
Only 1 submitted green action plan (now 2)
Only 1 have patient representative
Spreading out from renal services
Fife – waste management in theatres, medical + surgical wards
Cornwall – SAP Trust wide
Bradford – e-consultation adopted by other services
Glasgow – waste management in neuro theatres
Green Nephrology
Survey 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?