1. GREEN NEPHROLOGY 2010 SURVEY RESULTS

2. 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 2/3 rd felt they had support from within their unit ‘in practice’ 2/3 rd 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

3. 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

4. Green Nephrology Survey 2010 Activity 14-30% had tried to replicate case studies – 1/3 rd still running 27-54% would like to have a go 2/3 rd 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

5. 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

6. 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

7. 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?