Dr Ian Stott Assistant Clinical Director (Medical Specialties) Doncaster & Bassetlaw Hospitals.

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Presentation transcript:

Dr Ian Stott Assistant Clinical Director (Medical Specialties) Doncaster & Bassetlaw Hospitals

 Centre for Sustainable Healthcare  The Renal Association  British Renal Society  NHS Kidney Care  NHS Sustainable Development Unit  National Kidney Federation  Association of Renal Industries

 Process innovations: Use less, waste less, reduce waste costs  Infrastructure innovations: Energy and water efficiency  Model of care innovations: Care close to home, reduce transport costs

Improved waste management in the Dialysis Unit Queen Margaret Hospital, Dunfermline  Remove unnecessary consumables  Waste segregation: Separate domestic waste from clinical waste  Recycling: Separate out all recyclables  Annual savings: £35718 (approx £96000 for an average unit)

Central Delivery of Acid for Haemodialysis (Bradford)  Reduced wastage of acid  Reduced packaging waste  Reduced use of storage space and staff time  Capital cost: £43900  Annual savings: £19,372 per year from reduced acid wastage; £3,700 from reduced waste disposal. Total: £23,072 per year.

Pilot Study of a Kidney Patient Results Monitoring Service: Cornwall  Telephone review of patients with CKD 3/4  95 clinic visits avoided  Cost to commissioners: £10000  Savings (OP tariff): £12160 (plus transport costs, 2 coming by helicopter!)

 Existing projects have reported annual savings totalling £243,000  Scaled up across UK units (assuming 60% uptake for process, 30% for infrastructure) this equates to £7million per year, or £100,000 for an average sized unit.

NEWS NHS could save £1bn by adopting green strategies used in kidney units BMJ 2013; 346 doi: (Published 28 January 2013)

 Support your green nephrology rep  Look at the green nephrology case studies - nephrology  Use resources within your Trust (estates, sustainability officers)  Consider investing some staff time in developing green projects – it is likely to pay for itself many times over