CENTRE for SUSTAINABLE HEALTHCARE SUSTAINABLE OCCUPATIONAL THERAPY PRACTICE Ben Whittaker (Occupational Therapy Programme Lead)

CENTRE for SUSTAINABLE HEALTHCARE 150 years100 years 50 years NOW First Oil Well 4142 cars, 10 miles concrete road in US 240,000,000 home PCs 650,000,000 cars 4,800,000,000 passenger flights 4,000,000,000 bulbs pa EU+USA alone (that’s 126 a second) First commercial jet ticket First home PC Domestic light bulb

CENTRE for SUSTAINABLE HEALTHCARE 196,442 kg of coal….. 103,881,279 litres of gas…. 150,179 litres of oil….. …….. A SECOND

CENTRE for SUSTAINABLE HEALTHCARE FLOWS OF EMISSIONS OF CO 2 FROM BURNING FOSSIL-FUELS HAVE RISEN RAPIDLY SINCE 1950 Billions of tonnes of CO 2

CENTRE for SUSTAINABLE HEALTHCARE “…every year climate change leaves over 300,000 people dead, 325 million people seriously affected, and economic losses of US$125 billion. Four billion people are vulnerable, and 500 million people are at extreme risk.” (GHF 2009, p1)

CENTRE for SUSTAINABLE HEALTHCARE CARBON FOOTPRINT NHS ENGLAND

CENTRE for SUSTAINABLE HEALTHCARE ACTIVITY Turn to one of the people next to you. Spend 5 minutes discussing what links there are between your work and sustainable development. Society EconomyEnvironment Sustainable development

CENTRE for SUSTAINABLE HEALTHCARE Incorporate each individual’s interdependency with the global ecosystem Addressing global wellbeing through sustainable development can improve individual, community and social wellbeing

CENTRE for SUSTAINABLE HEALTHCARE Canadian Model of Occupational Performance and Engagement (CMOP-E) (Polatajko, Townsend & Craik, 2007)

CENTRE for SUSTAINABLE HEALTHCARE PROMOTE LEADERSHIP ON SUSTAINABLE PRACTICE Principles of Sustainable Clinical Practice 1.Preventative healthcare 2.Patient empowerment and self-care 3.Lean and efficient service 4.Lower carbon treatment options (Mortimer 2010)

CENTRE for SUSTAINABLE HEALTHCARE DEVELOP NEW COMMUNITY OPPORTUNITIES OT process could enable sustainable living for people outside the health service Recovery Model Hope Empowerment Engagement in meaningful activity

Green Lifestyle Redesign® Camille Dieterle OTD, OTR/L A Wellness Program for Environmental Sustainability

CENTRE for SUSTAINABLE HEALTHCARE “Health is a collective value. One person’s health should not, and ultimately cannot, be maintained at the expense of another’s, nor through the excessive use of natural resources” (Stott 2000, p14)

CENTRE for SUSTAINABLE HEALTHCARE Joel Pett/Lexington Herald-Leader. Reprinted with permission.

CENTRE for SUSTAINABLE HEALTHCARE Diagnostics Pulling together evidence for sustainable interventions (SHEBA) Designing and providing resources Supporting clinicians Showcasing effective practice Facilitating networks, campaigns, study days and workshops 10:10 Health Sustainable Action Planning CENTRE FOR SUSTAINABLE HEALTHCARE

CENTRE for SUSTAINABLE HEALTHCARE

CENTRE for SUSTAINABLE HEALTHCARE

CENTRE for SUSTAINABLE HEALTHCARE SUSTAINABLE HEALTHCARE EDUCATION

HOPE

CENTRE for SUSTAINABLE HEALTHCARE REFERENCES Dieterle C (2013) Creating a Sustainable Lifestyle. Available at: practice-network-ot-susnet/blog/2013/02/creating-sustainable-lifest Accessed on: Global Humanitarian Forum (2009) Human Impact Report: Climate Change – The Anatomy of a Silent Crisis. Geneva: GHF Montgomery H (2009) The Time for Action is Now. Available at: Accessed on: Mortimer F (2010) The sustainable physician. Clinical Medicine, 10(2), NHS Sustainable Development Unit (2009) Saving Carbon, Improving Health: NHS Carbon Reduction Strategy for England. Cambridge: NHS Sustainable Development Unit NHS Sustainable Development Unit (2011). Route Map for Sustainable Health. Cambridge: NHS Sustainable Development Unit NHS Sustainable Development Unit (2012). NHS England Carbon Footprint. Cambridge: NHS Sustainable Development Unit Pett J (2010) “What if it’s a big hoax and we create a better world…?” editorial cartoon. USA Today, , A.8

CENTRE for SUSTAINABLE HEALTHCARE Polatajko HJ, Townsend EA & Craik J (2007) Canadian Model of Occupational Performance and Engagement (CMOP-E). In: Townsend EA & Polatajko HJ (2007). Enabling Occupation II: Advancing an Occupational Therapy Vision for Health, Well-being & Justice through Occupation. Ottawa, ON: CAOT ACE Rayment T (2009) Greening OT. Presentation at: Scottish OT Student Conference - Contemporary Issues in Occupational Therapy, Stott R (2000) The Ecology of Health. Dartington: Green Books. UCL Lancet Commission (2009) Managing the health effects of climate change. The Lancet, 373(9676), UK National Ecosystem Assessment (2011) The UK National Ecosystem Assessment: Synthesis of the Key Findings. UNEP-WCMC, Cambridge Watts (2009) The Health Benefits of Tackling Climate Change: An Executive Summary for The Lancet Series. Available at: change.pdf Accessed on: WCED (1987) Our Common Future: Brundtland Report. Oxford: Oxford University Press. Available at: worldinbalance.net/pdf/1987-brundtland.pdf Accessed on: WHO (2008) Protecting Health from Climate Change – World Health Day Geneva, Switzerland: World Health Organization World Federation of Occupational Therapists (2012) Position statement on environmental sustainability: sustainable practice within occupational therapy. Forrestfield: WFOT.

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