1. Summit 2013 ARI Association of Renal Industries

2. “ Health and social care services must be planned, financed and delivered in ways that allow them to meet the needs both of today’s population and of future generations.” Naylor & Appleby. Environmentally sustainable health and social care: Scoping review. NIHR (2012)

3. CENTRE for SUSTAINABLE HEALTHCARE Green Nephrology Fellows Dr Andy Connor (2009-10) Dr Tara Collidge (2010-11) Dr Andy Connor & Dr Tara Collidge Green Nephrology – leading the way!

4. Research Action learning 1. Network of champions 2. Knowledge & tools Fellow Sustainable Specialties CENTRE for SUSTAINABLE HEALTHCARE culture policy incentives

5. NHS England CO 2 e footprint 1990-2020 with Climate Change Act targets

6. value = outcomes costs economic social environmental How?

7. CENTRE for SUSTAINABLE HEALTHCARE Carbon footprint – NHS England Supply chain (pharmaceuticals, equipment, everything else) Transport Energy use

8. Sustainable clinical practice Reduce carbon without reducing health Reduce activityPreventionSelf careLean pathways Reduce carbon intensity Low carbon alternatives Sustainable estates Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11 Outcome needed Secondary drivers Primary driver CENTRE for SUSTAINABLE HEALTHCARE

9. Sustainable clinical practice Reduce carbon without reducing health Reduce activityPreventionSelf careLean pathways Reduce carbon intensity Low carbon alternatives Sustainable estates Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11 Outcome needed Secondary drivers Primary driver CENTRE for SUSTAINABLE HEALTHCARE

10. Sustainable clinical practice Reduce carbon without reducing health Reduce activityPreventionSelf careLean pathways Reduce carbon intensity Low carbon alternatives Sustainable estates Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11 Sustainable clinical practice Outcome needed Secondary drivers Primary driver Infrastructure & process CENTRE for SUSTAINABLE HEALTHCARE

12. NEWS NHS could save £1bn by adopting green strategies used in kidney units BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f588 (Published 28 January 2013)

13. CENTRE for SUSTAINABLE HEALTHCARE Wider context: NHS & social care Learning from Best Practice: Lean pathways, new models of care, reducing waste Green Nephrology Awards 2013 Increasing our impact: Gaining senior support, linking to trustwide activities, harnessing patient power Today!

14. sustainablehealthcare.org.uk/green-nephrology