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We are proud to announce and delighted to celebrate that five organisations have been awarded a Greener Palliative Care Award (GPCA). The GPCA recognises excellence in environmental sustainability across palliative and end-of-life care services in both NHS and charitable organisations (such as hospices). It celebrates organisations that are reducing their environmental impact, while maintaining the highest standards of compassionate care for patients and families. The Palliative Care Sustainability Network ran a pilot scheme where teams worked through the GPCA framework towards either Bronze, Silver or Gold award. Applicants were supported to work towards achievable standards, set out for each level, and were supported with resources and examples linking the teams with national work by bodies such as Greener NHS and the Centre for Sustainable Healthcare. Teams worked on key organisational changes, such as developing and delivering on Green Plans, together with actions that all staff (and volunteers) could work on. From cutting carbon emissions and reducing waste, to adopting sustainable procurement practices and promoting greener travel, the awardees demonstrated that quality care and environmental responsibility go hand in hand. If you are interested in reducing your own team’s environmental impact, want to meet the Care Quality Commission's (CQC) standard on environmental sustainability, or you just want to improve team working and job satisfaction in your workforce, why not get started on the Bronze GPCA? Open to all palliative care organisations free of charge, the Bronze award focuses on getting together, education, raising awareness and identifying the first areas to tackle in improving environmental sustainability. Sign up to our Palliative Care Sustainability Network page or email [email protected] and join the growing movement of climate conscious healthcare workers! More information can be found here: https://apmonline.org/greener-palliative-care-award/ The Award team have been working with the support of the following organisations: The Centre for Sustainable Healthcare, Hospice UK, Sue Ryder, UK Health Alliance on Climate Change and the Association of Palliative Care Medicine.

The Green Nursing Challenge Showcase was held on 20 October 2025 celebrating the outstanding work of teams from hospital and social care settings—an award-winning leadership and engagement programme dedicated to transforming healthcare. One of the teams that competed in the Green Nursing Challenge was the Bladder, Bowel and Pelvic Health community team in Lewisham, London, with their project: ‘Trial without catheter (TWOC) using a structured approach’. The team have shared their project with the hub. The Centre for Sustainable Healthcare supported the Bladder, Bowel and Pelvic Health community team in Lewisham by undertaking a sustainable quality improvement project: a ‘Trial without catheter (TWOC) using a structured approach’. The team (consisting of the clinical lead, catheter lead nurse and a graduate management trainee) worked with the district nursing teams and urgent care service as part of the Green Nursing Challenge to improve care for patients, whilst saving money and carbon emissions. The challenge Indwelling urinary catheters are among the most used invasive medical devices in the UK, and an estimated 90,000 people in community settings require long-term catheter use. Evidence suggests that the longer a catheter remains in place, the higher the risk of infection, and around 2,100 deaths per year are directly attributed to catheter-related infections. The financial burden of catheter-associated urinary tract infections (CaUTIs) is approximately £2,000 per episode and the total annual cost of Foley catheter use estimated between £1 billion and £2.5 billion. A TWOC is conducted when a catheter, which is a tube inserted into the bladder to drain urine, is removed to determine if the patient can urinate normally without it. This procedure is essential for evaluating bladder function and ensuring that the patient can manage without ongoing catheterisation The team found that there was a lack of knowledge around standardised TWOC protocol, and a lack of clear evidence on how to manage the process. They identified problems with repeated catheter use, unnecessary district nurse visits, ambulance callouts and avoidable hospital stays. These inefficiencies not only compromise patient care, comfort and quality of life, but also generate considerable plastic waste from catheters, gloves, aprons and maintenance solutions. Removing catheters as soon as possible has many advantages, but it is vital that removals are planned and effective to prevent adverse events, unnecessary emergency call outs or attendances to the emergency department. Avoiding the cycle of failed TWOC and repeated catheter insertion is key. The Green Nursing Challenge helped the team in the successful implementation and evaluation of a project to develop a structured TWOC process, and measure the impact from a social, financial and environmental perspective. They implemented a classification system for TWOC suitability, together with corresponding TWOC strategies. The project saw the team training staff and evaluating their results across the community of Lewisham and the wider Trust. Results Monthly figures were collected before and after the project and showed clear improvements in the following: Reductions in: Catheter-related ambulance call outs by 25%, suggesting more timely community interventions. Catheter-related hospital stays (bed days) by 32%. Catheter-related hospital admissions by 12.5%, indicating fewer acute deterioration events. No catheter associated urinary tract infections were reported. Environmental sustainability The projected annual saving is 42,156.40 CO2e, equivalent to driving 124,026 miles in an average car. Economic sustainability On average, the initiative contributed to projected net annual savings of £441,708. Social sustainability The reduction in bed days meant that patients spent less time in hospital and more time at home which linked to improved emotional wellbeing. Reduction in staff pressures due to TWOC attempts and urgent visits for catheter-related complications. Increased staff confidence in catheter management contributing to a working environment that was less reactive and more focused on delivering high quality, consistent care. Improved integration, communication and patient pathways helped to ensure accurate referrals, faster and more effective communication. Next steps The team are continuing to develop their project hoping to see further improvements in emergency attendance, hospital stays, CaUTI rates, use of catheter materials and speed of catheter removals. They hope developing more comprehensive guidelines will lead to faster assessment and TWOC, or referral elsewhere, with the net result being a significant reduction in catheter usage overall. For more information please see Green Nursing Challenge Trial without catheter - a structured approach. Do you have a project you would like to share on the hub? We'd love to hear from you. Please email [email protected].

The pharmaceutical industry plays a vital role in protecting human life and health. Medicines, vaccines and healthcare products directly impact millions of people around the world. Because of this, pharmaceutical companies must operate ethically and responsibly and social due diligence is becoming increasingly important. Social due diligence helps pharmaceutical companies identify, assess and manage social risks related to people, communities and ethical practices. It ensures that business operations respect human rights, employee welfare, patient safety and community well-being. Understanding social due diligence Social due diligence is a structured process used to evaluate how a company’s activities affect people. It focuses on social risks such as unsafe working conditions, unfair labour practices, community health impacts, and ethical issues in clinical trials and supply chains. In the pharmaceutical industry, where trust is critical, social due diligence is essential to maintain transparency, compliance and long-term sustainability. Why social due diligence is critical in the pharmaceutical industry 1. Protecting human rights and worker safety Pharmaceutical manufacturing involves chemical handling, laboratory work and high-risk processes. Social due diligence ensures: Safe working conditions. Fair wages and working hours. Protection from workplace hazards. This helps prevent accidents and promotes employee well-being. 2. Ethical clinical trials and ersearch Clinical trials involve human participants. Social due diligence ensures: Informed consent is properly taken. Participants are treated ethically. Vulnerable groups are protected. Ethical research practices build public trust and meet international standards. 3. Responsible supply chain management Pharmaceutical companies rely on global suppliers for raw materials and active ingredients. Social due diligence helps identify risks such as: Child or forced labour. Poor working conditions. Human rights violations. Monitoring suppliers ensures ethical sourcing and compliance. 4. Community health and social impact Manufacturing plants and research facilities affect nearby communities. Social due diligence evaluates: Community health risks. Access to healthcare. Social disruptions caused by operations. This helps companies reduce negative impacts and support local development. Key elements of social due diligence in pharmaceutical companies Employee welfare assessment This includes reviewing labour policies, safety standards, training programmes and grievance mechanisms to ensure employees are treated fairly and respectfully. Stakeholder engagement Engaging with employees, patients, regulators and local communities helps identify concerns early and improves decision-making. Risk identification and mitigation Social risks can be identified through audits, assessments and surveys. Companies can then create action plans to reduce or eliminate these risks. Compliance with regulations and standards Social due diligence ensures compliance with: National labour laws. International human rights standards. Industry-specific guidelines. Benefits of social due diligence for pharmaceutical companies Builds trust with patients and regulators. Reduces legal and reputational risks. Improves employee morale and productivity. Supports sustainable and ethical growth. Enhances brand credibility in global markets. Companies that invest in social due diligence are better prepared to face regulatory challenges and social expectations. Conclusion Social due diligence in the pharmaceutical industry is not just a regulatory requirement—it is a moral responsibility. By focusing on people, ethics and transparency, pharmaceutical companies can ensure safe operations, protect human rights and contribute positively to society. In an industry where human lives are at stake, responsible practices create long-term value and sustainable success. Social due diligence helps pharmaceutical companies move forward with integrity, accountability and trust.

The Green Nursing Challenge Showcase was held on 20 October 2025 celebrating the outstanding work of six teams from hospital and social care settings—an award-winning leadership and engagement programme dedicated to transforming healthcare. The six clinical teams presented their Sustainable Quality Improvement (SusQI) projects to a judging panel, focusing on key priorities identified through carbon footprint measurements, partner collaboration and input from people with lived experience. Themes included valuing people’s time, supporting informed choices, improving access and experience for underserved groups, and addressing complex care, pelvic health and continence—all aimed at reducing environmental harm and tackling health inequalities in nursing care. Winning team Winner: Norfolk and Norwich University Hospitals NHS Foundation Trust recognised for their close collaboration between professionals across both maternity and inflammatory bowel disease (IBD) services, working together to deliver more efficient, person-centred and environmentally sustainable care. Highly commended: Oxfordshire Health NHS Foundation Trust for their joint District Nurse & Diabetic Nurse Specialist reviews, optimising care for patients in the community, reducing harms and the need for hospital admissions. Showcase outcomes and learning The Green Nursing Showcase celebrated the inspiring work of the six project teams who took part in the Green Nursing Challenge 2025. Together, these teams are helping to shape more sustainable and equitable nursing care. During the event, each clinical team presented their Sustainable Quality Improvement (SusQI) projects, focussing on priority areas identified through collaboration with challenge partners, carbon footprinting analysis, and discussions with patient and staff groups. The event’s keynote speaker was Charlotte McCardle, Global nurse consultant and former CNO for Northern Ireland and DCNO at NHS England, who spoke of nurses and midwives being the “…holders of hope, the voice of the vulnerable, and the champions of change. I believe you are very well placed to lead. Don’t undersell in any way your work… You can use what you’ve created in your projects to break down barriers for others.” The Challenge demonstrates how nurses and midwives can play a crucial role in achieving the NHS’ Net-Zero targets. By making changes in working practices, nurses can lead action to minimise the environmental harm created from healthcare services, and can help address health inequalities, improve outcomes and experiences, and contribute to a more sustainable healthcare system. To hear more about the individual projects follow the link: Green Nursing Showcase 2025 — Sustainable Healthcare

This report provides an overview of keynote speeches and panel sessions at the third annual Safety For All Conference at the Royal College of Physicians in London on Tuesday 10 December 2024 The Safety For All campaign is focused on driving improvements in and between healthcare worker safety and patient safety. It seeks to highlight how poor staff safety standards and practice impact adversely on patient safety, and vice versa. The campaign champions the need for a systematic and integrated approach to improve safety for staff and patients across health and social care. Safety For All is jointly coordinated by the Safer Healthcare and Biosafety Network and Patient Safety Learning, supported by Boston Scientific and Stryker. The event was chaired by Professor Rob Galloway, Accident and Emergency Consultant at the University Hospitals Sussex NHS Trust. It was attended by over 100 members of the healthcare community, including occupational health professionals, patient safety experts, frontline staff, patients and academics. The report includes summaries of the conference’s speeches by: Professor Nicola Ranger, Chief Executive of the Royal College of Nursing Jane Murkin, Deputy Director Safety and Improvement – Nursing Directorate at NHS England. It also provides an overview of the following panel sessions across the day: Protecting lives while protecting the planet. Navigating the many faces of violence in healthcare. Caring for caregivers and patients – Mental health and safety in healthcare. Antimicrobial Resistance – Ensuring patient safety in an era of rising resistance. Implementing the Patient Safety Incident Response Framework. Throughout the speeches and panel discussions that ran across the day, there were several recurring themes: The important role of leadership in improving staff safety and patient safety. This being cited as the key to creating safer organisational cultures, modelling safety behaviours and advocating on behalf of patients and staff. The need for healthcare workers and patients to speak up in order to create a safer healthcare system, and the challenges of empowering staff to do this and organisations to create safety cultures in a system under significant strain. Communication and engagement is key – with staff and patients, and in convening people so they can collaborate for safety. Listening was mentioned throughout as being seen as a luxury, but it is essential to providing person-centred care. The challenge of sharing and spreading patient and staff safety initiatives when healthcare workers don't have time/capacity beyond trying to do the day job.

Today, it is widely recognised that human health is intimately connected to the health of the planet. But how has this understanding come about? Join historian Deborah Coen and nursing professor Teddie Potter (Center for Planetary Health and Environmental Justice) to explore the past, present and future of global climate change and planetary health. Register

Together with the Türkiye Health Care Quality and Accreditation Institute (TUSKA) and the Ministry of Health, Türkiye, ISQua is delighted to host their 40th International Conference in Istanbul. The theme for the 2024 conference is 'Health for People and Planet: Building Bridges to a Sustainable Future'. It will address the continued challenges of making person-centred care part of the healthcare system, as well as addressing some of the hot topics that matter most in a rapidly changing world. Issues such as environmental challenges, reducing the healthcare sector's carbon footprint, and ensuring the long-term resilience of healthcare will be addressed at the conference. It will also examine the potentials and pitfalls of AI and Digital Transformation in healthcare, and how it can revolutionise healthcare and enable better patient engagement. Further information

B Braun will be hosting a free ESSIG sustainability day. There will be a full programme of talks and discussion plus the chance to catch up with Barema/ESSIG colleagues. Sustainability impact on Industry. Sustainability impact on the NHS. Sustainability impact on the environment. Register

Climate change has been recognised as the “biggest global health threat of the 21st Century”. Healthcare is one of the most significant contributors to greenhouse gas emissions and there are steps which healthcare professionals and organisations can and should be taking to tackle this issue. In 2020, the NHS set out a bold ambition to become the world’s first carbon net zero national health system by 2045. The Safety For All campaign is hosting a webinar on the topic of sustainability where attendees will have the opportunity to hear from the Chair of the ABHI’s Sustainability Group and Chair of the Sustainable Healthcare Coalition. The webinar is free to attend and open to everyone with an interest in the importance of sustainability in healthcare. Speakers: Michelle Sullivan and Fiona Adshead. Register

ANNOUNCEMENT: Due to the upcoming junior doctors industrial action, this event was originally 14 July but has been postponed to 10 October. Meeting the NHS' net zero emission targets requires carbon reductions across patient pathways. Achieving this means delivering high quality, evidence based, low carbon care to our patients. Clinicians are a vital part of the innovation, adoption, and embedding of low carbon practices which prioritise high quality patient care. The BMJ and the UK Health Alliance on Climate Change are hosting a new one-day conference which will focus on reducing the carbon impact of services across the health and care system, and the role that every healthcare professional can play in delivering a net zero NHS. Due to popular demand the event will be both an in-person and virtual event. You can attend virtually, via a live feed, or add your name to the waiting list to attend in-person on 14 July at BMA House, London. Register

As one of the largest gatherings of perioperative professionals in the UK, the AfPP Annual Conference is essential for anyone working in the perioperative field. This year’s theme is ‘A Profession To Be Proud Of’. What better way to celebrate this incredible profession than by listening to fantastic speakers, asking exhibitors your burning questions and getting dressed up at our Gala Dinner! Join us at the University of York from 10 – 13 August. If you’re joining us for the entire conference or just for a day, there will be something for everyone. Virtual tickets are also available if you can’t make it to York. Our Annual Conference boasts a full programme of education, networking, hands-on workshops and entertainment. You’ll leave feeling informed, challenged and inspired. If you’re not proud of your profession when you arrive, you will be by the time you leave! Register

Climate change has been recognised as the “biggest global health threat of the 21st Century”. Healthcare is one of the most significant contributors to greenhouse gas emissions and there are steps which healthcare professionals and organisations can and should be taking to tackle this issue. In 2020, the NHS set out a bold ambition to become the world’s first carbon net zero national health system by 2045. The Safety For All campaign is hosting a webinar on the topic of sustainability where attendees will have the opportunity to hear from a frontline health worker leading the sustainability charge within her NHS trust and the ABHI’s Sustainability Executive who will speak about the steps industry can take to improve sustainability. The webinar is open to everyone with an interest in the importance of sustainability in healthcare. The programme: 13:00 - Welcome by Charlie Bohan-Hurst, Safer Healthcare & Biosafety Network 13:05 - Presentation by Angela Hayes, CNS Palliative & Supportive Care, Clinical Sustainability at The Christie Foundation Trust 13:25 - Presentation by Addie MacGregor, Sustainability Executive at the Association of British HealthTech Industries (ABHI) 13:45 - Q&A session 13:55 - Conclusions and wrap up of webinar. Register for free

The SHARE conference (Sustainable Healthcare Academic Research and Enterprise) is an annual event co-hosted by the University of Brighton, Brighton and Sussex Medical School and Centre for Sustainable Healthcare. The SHARE 2023 conference is a free online event, on 12 May 2023. It is an opportunity to share your research, quality improvement, education or any other type of project related to improving the sustainability of healthcare. Register

The Institute for Healthcare Improvement (IHI) and BMJ bring you one of the largest international conferences focused on improving outcomes for patients and communities through quality improvement. Themed Adapting to a changing world: equity, sustainability and wellbeing for all, the conference programme will focus on how the improvement movement can help healthcare systems adapt and thrive in a rapidly changing world. Key topics we will address include equity, sustainability, wellbeing and learning from adverse events. Further information and registration

Interested in sustainability and a Greener NHS? Join the Nursing and Midwifery Sustainability Network and help improve health now and for future generations. Nurses, midwives and care staff have a unique role to play in supporting the NHS’ net zero goal. They are already making tangible changes to tackle climate change while improving care. And together, we can achieve even more. That’s why NHS England is launching a Nursing and Midwifery Sustainability Network. The network will create a space and opportunity to share ideas, successes, and innovative practices and it will help us to address barriers and discuss challenges in order for our professions to make a real impact. Nurse, midwives and care staff prove every day that that they are adept at identifying issues and creating solutions – skills that are immensely valuable in reducing the NHS carbon footprint and delivering the NHS’ net zero goal. Come along to the online launch event and first network meeting to find out more about the network and how you can get involved. Open to all nurses and midwives working within the NHS in England, please sign up using your NHS email. Further information

The new Royal Pharmaceutical Society (RPS) Greener Pharmacy Toolkit is easy to use and provides prompts to introduce more sustainable practices to reduce emissions, improve patient care, prevent ill health, tackle medicines waste and achieve efficiency savings. The Greener Pharmacy Toolkit is a pioneering digital self-assessment tool designed to help community and hospital pharmacy teams take practical action to reduce the environmental impact of pharmacy services, pharmaceutical care and medicines, while supporting patient care. The toolkit outlines three levels of accreditation—bronze, silver, and gold—based on various actions that pharmacy staff can voluntarily take to make their pharmacies more sustainable. Achieving the target accreditation triggers a certificate, which can be displayed to demonstrate the pharmacy’s commitment to environmental sustainability. Commissioned by NHS England and supported by Greener NHS, the toolkit is free and open access, available for use by hospital and community pharmacy teams throughout Great Britain. The digital toolkit and accompanying guidance aligns closely with RPS’ work on sustainability which recognises the impact of climate change on health.

The 7th Global Ministerial Summit for Patient Safety, organised by the Department of Health of the Republic of the Philippines and co-sponsored by the World Health Organization (WHO), takes place on 3-4 April 2025 in Manila. This event focuses on advancing international efforts to improve healthcare quality and safeguard patients worldwide. It brings together global leaders, experts and stakeholders to discuss and shape the future of patient safety.  Global Ministerial Summits on Patient Safety aim to drive forward the global patient safety movement. Beginning in 2016, they have helped to keep patient safety high on policy makers’ agendas and helped the build the momentum needed to create the first World Health Organization (WHO) Global Patient Safety Action Plan, published in August 2021. This year’s Summit in Manilla seeks to support the implementation of the Global Patient Safety Action Plan, embracing the theme "Weaving Strengths for the Future of Patient Safety Throughout the Healthcare Continuum." The event highlights the current implementation progress, showcasing diverse approaches and strategic plans adopted by countries. The Summit will include discussions around: The role of patient engagement in bridging patient safety gaps. Diagnostic safety. Leveraging artificial intelligence (AI) and technology for patient safety. Creating psychologically safe and healthy workplaces. Investing in patient safety for sustainable healthcare. There will be sessions across the two days looking at each of these issues, within the broader context of integrating patient safety in all aspects of healthcare delivery and at all levels of care as a foundation of resilient and sustainable healthcare systems. To support the Global Ministerial Summit, Patient Safety Learning has pulled together some key resources from the hub around these key themes being discussed at the Summit. Patient engagement 1 WHO: Patient safety rights charter The Patient safety rights charter is a key resource intended to support the implementation of the Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care. The Charter aims to outline patients’ rights in the context of safety and promotes the upholding of these rights, as established by international human rights standards, for everyone, everywhere, at all times. 2 Championing the patient voice: a recent discussion with the Patient Safety Commissioner at the Patient Safety Partners Network The role of Patient Safety Commissioner for England was created by the UK Government after a recommendation from the Independent Medicines and Medical Devices Safety Review, chaired by Baroness Julia Cumberlege. The Patient Safety Commissioner acts as a champion for patients, leading a drive to improve the safety of medicines and medical devices. This blog provides an overview of a Patient Safety Partners Network meeting where members were joined by Professor Henrietta Hughes, Patient Safety Commissioner for England. 3 Providing patient-safe care begins with asking and listening... really listening! Dan Cohen is an international consultant in patient safety and clinical risk management, and a Trustee for Patient Safety Learning. In this blog, Dan talks about how patient-safe care is all about collaborating and listening to your patients to find out what really matters to them. He illustrates this in a case study of his own personal experience whilst working as a clinician in the USA. Diagnostic safety 4 The economics of diagnostic safety Diagnosis is complex and iterative, therefore liable to error in accurately and timely identifying underlying health problems, and communicating these to patients. Up to 15% of diagnoses are estimated to be inaccurate, delayed or wrong. Diagnostic errors negatively impact patient outcomes and increase use of healthcare resources. This Health Working Paper from the Organisation for Economic Co-operation and Development (OECD) defines the scope of diagnostic error and illustrates the burden of diagnostic error in commonly diagnosed conditions. It also estimates the direct costs of diagnostic error and provides policy options to improve diagnostic safety. 5 Improving diagnostic safety in surgery: A blog by Anna Paisley Good outcomes for surgical patients require accurate, timely and well-communicated diagnoses. In this blog, Anna Paisley, a Consultant Upper GI Surgeon, talks about the challenges to safe surgical diagnosis and shares some of the strategies available to mitigate these challenges and aid safer, more timely diagnosis. 6 How early diagnosis saves lives: case study on aortic dissection In this blog, The Aortic Dissection Charitable Trust explains why timely and accurate diagnosis of aortic dissection is critical for saving lives. By sharing Martin’s recovery story, they illustrate the positive impact of prompt testing and treatment. The blog highlights the need to improve patient safety relating to aortic dissection, calling for increased education and awareness among healthcare professionals; improved clinical guidelines and protocols; and heightened vigilance in recognising and responding to the symptoms of aortic dissection. Artificial intelligence (AI) and technology 7 Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery (IHI Lucian Leape Institute) In January 2024, the Institute for Healthcare Improvement (IHI) Lucian Leape Institute convened an expert panel to explore the promise and potential risks for patient safety from generative artificial intelligence (genAI). The report that followed summarises three user cases that highlight areas where genAI could significantly impact patient safety: in documentation support, clinical decision support and patient-facing chatbots. 8 AI in healthcare translation: balancing risk with opportunity In an increasingly global healthcare environment, with patients and professionals from many different cultural and linguistic backgrounds, precision in medical document translation is key. In this blog, Melanie Cole, Translations Coordinator at EIDO Systems International, talks about the challenges, risks and opportunities for using AI in healthcare translation. 9 Integrated human-centred AI in clinical practice: A guide for health and social care professionals This is a guide for designers, developers and users of AI in healthcare. It outlines general principles health and social care professionals should consider, a case study drawn from clinical practice and a directory of resources to find out more. It includes key questions that clinicians and AI developers need to answer together to ensure the best possible outcomes. It follows on from the CIEHF's White Paper, Human Factors in Healthcare AI, which sets out a human factors perspective on the use of AI applications in healthcare. Psychological safety 10 Speak up for Safety: A new workshop for healthcare staff about the importance of Just Culture The culture of a healthcare organisation can determine how safe its staff members feel to raise concerns about patient safety. Bella Knaapen, Surgical Support Governance & Risk Management Facilitator and Sarah Leeks, Senior Health & Wellbeing Practitioner at Norfolk and Norwich University Hospitals NHS Foundation Trust, have developed ‘Speak Up For Safety’, a Just Culture training workshop that aims to help staff, at all levels, understand the importance of creating an environment that encourages people to share concerns and feedback. 11 Balancing care: The psychological impact of ensuring patient safety In this blog, Leah Bowden, a patient safety specialist, reflects on the impact her job has on her mental health and family life. She discusses why there needs to be specialised clinical supervision for staff involved in reviewing patient safety incidents and how organisations need to come together to identify ways we can support our patient safety teams. 12 Amy Edmonson: The importance of psychological safety As a leader how can you foster a work environment where people feel safe to speak up, share new ideas and work in innovative ways? In this video from the Kings Fund, Amy Edmondson, Novartis Professor of Leadership and Management at the Harvard Business School, talks about the importance of psychological safety in health and care and what leaders can do to create it. Sustainability 13 The Royal College of Surgeons of Edinburgh: Green Theatre Checklist Healthcare services globally have a large carbon footprint, accounting for 4-5% of total carbon emissions. Surgery is particularly carbon intensive, with a typical single operation estimated to generate between 150-170kgCO2e, equivalent to driving 450 miles in an average petrol car. The UK and Ireland surgical colleges have recognised that it is imperative for us to act collectively and urgently to address this issue. The Royal College of Surgeons of Edinburgh have collated a compendium of peer-reviewed evidence, guidelines and policies that inform the interventions included in the Intercollegiate Green Theatre Checklist. This compendium should support members of the surgical team to introduce changes in their own operating departments. 14 Communicating on climate change and health: Toolkit for health professionals Communicating the health risks of climate change and the health benefits of climate solutions is both necessary and helpful. Health professionals are well-placed to play a unique role in helping their communities understand climate change, protect themselves, and realize the health benefits of climate solutions. This toolkit from WHO aims to help health professionals effectively communicate about climate change and health. 15 Climate change: why it needs to be on every Trust's agenda The NHS has declared climate change a health emergency, but are trust leaders and healthcare staff talking and acting on this? Angela Hayes, Clinical Lead Sustainability at the Christie Foundation Trust and a hub Topic leader, discusses climate change and the impact it has on all of our lives and health. She believes healthcare professionals have a moral duty to act, to protect and improve public health, and should demand stronger action in tackling climate change. If you would like to write a blog or have a resource to share on any of the themes highlighted in this blog, please get in touch. Contact the hub team at [email protected] to discuss further.