1. www.greendialysis.org A roadmap to a greener more sustainable renal service Anthony Perkins, CNS Professor John W.M Agar, Nephrologist Barwon Health Renal Unit, Geelong, Victoria, Australia.

2. An unintended consequence  In 2001 the Barwon health renal unit started its nocturnal home HD program.

3. An unintended consequence  In 2001 the Barwon health renal unit started its nocturnal home HD program.  In 2006 we discovered that though our patients were feeling better, we inadvertently increased financial burden through greater power and water consumption.

4. An unintended consequence  In 2001 the Barwon health renal unit started its nocturnal home HD program.  In 2006 we discovered that though our patients were feeling better, we inadvertently increased financial burden through greater power and water consumption.  While investigating ways in improve these financial burdens we found that we could also improve the environmental impacts of home HD.

5. Project Log  Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.

6. Project Log  Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.  Solar power project – augmenting our Home HD Training facility through solar power.

7. Project Log  Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.  Solar power project – augmenting our Home HD Training facility through solar power.  Investigate ways to improve waste disposal and recycling This led us to thinking if we can why not other units?

8. Project Log  Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.  Solar power project – augmenting our Home HD Training facility through solar power.  Investigate ways to improve waste disposal and recycling  Consider new ways of being more efficient with purpose built dialysis facilities.

9. Project Log  Water Conservation – recycling and reuse of Reject Water for home and in-centre facilities.  Solar power project – augmenting our Home HD Training facility through solar power.  Investigate ways to improve waste disposal and recycling  Consider new ways of being more efficient with purpose built dialysis facilities.  This led us to thinking, if we can, why not other units?

10. The Survey..  Financial support by the Victorian Dept. of Health.

11. The Survey..  Financial support by the Victorian Dept. of Health.  We then adapted the survey from the UK Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.

12. The Survey..  Financial support by the Victorian Dept. of Health.  We then adapted the survey from the UK Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.  The survey was sent to the 10 Major renal hubs and 3 of their satellite/rural units.

13. The Survey..  Financial support by the Victorian Dept. of Health.  We then adapted the survey from the UK Green Nephrology program reported by Connor et al (2009) and applied it to Victorian Renal Services.  The survey was sent to the 10 Major renal hubs and 3 of their satellite/rural units.  We received a 48% response rate, which equated to 295/620 dialysis chairs.

14. The Report  The results indicated while there were some small projects already in place, there was a lot more work to be done, in terms of water conservation, alternative power sources, waste disposal and dialysis infrastructure.  We were encouraged to devise a plan.  We designed ………………….

15. www.greendialysis.org