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Found 45 results
  1. Content Article
    Few interventions that succeed in improving healthcare locally end up becoming spread and sustained more widely. This indicates that we need to think differently about spreading improvements in practice. Drawing on a focused review of academic and grey literature, the authors outline how spread, scale-up, and sustainability have been defined and operationalised, highlighting areas of ambiguity and contention. Following an overview of relevant frameworks and models, they focus on three specific approaches and unpack their theoretical assumptions and practical implications: the Dynamic Sustainability Framework, the 3S (structure, strategy, supports) infrastructure approach for scale-up, and the NASSS (non-adoption, abandonment, and challenges to scale-up, spread, and sustainability) framework. Key points are illustrated through empirical case narratives and the Element concludes with actionable learning for those engaged in improvement activities and for researchers.
  2. Content Article
    In 2017-18, the Department of Health & Social Care (DHSC) implemented a new operating model and delivery body for NHS procurement known as NHS Supply Chain (to replace the previous, fully outsourced model which was also called NHS Supply Chain). The new body was responsible for procuring products, warehousing, and delivering goods on behalf of the NHS. NHS Supply Chain (Supply Chain) estimates that the NHS collectively spends approximately £8 billion annually on buying medical equipment and consumables, from gloves and paper to stents and prosthetic hips.
  3. Event
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    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
  4. Content Article
    In the UK, surgical care is responsible for the equivalent of about 5.7 million tonnes of carbon dioxide emissions each year – equivalent to that from heat, electricity, transport and waste of 700,000 UK homes. Reducing the emissions produced during surgery would be a significant step towards the NHS achieving its aim to be net zero by 2045. The report shows that solutions are available and in many cases could result in better options for patients while at the same time costing the NHS less. Reducing and reusing products used in surgery, shutdown checklists for operating rooms to save energy when they are not in use, switching to less harmful anaesthetics, and surgeons and patients working together to optimise their treatment are all highlighted as ways in which carbon emissions could be reduced. This landmark report highlights a number of successful initiatives that have already been implemented. For example, a team at Imperial College Healthcare NHS Trust successfully reduced both carbon dioxide emissions and cost by switching from general to local anaesthesia for some procedures, and from disposable to reusable surgical gowns. The report, which involved collaboration across multiple organisations involved in different aspects of surgical care, was produced by the UK Health Alliance on Climate Change, Brighton and Sussex Medical School and the Centre for Sustainable Healthcare.
  5. Content Article
    The second annual Safety For All conference was held at the Royal College of Physicians in London on Tuesday 5th December 2023. Over 100 members of the healthcare community attended this event, including occupational health professionals, patient safety experts, frontline staff, patients and academics. The conference was hosted by the Safer Healthcare and Biosafety Network and Patient Safety Learning as part of the Safety For All campaign, supported by B. Braun, BD, Boston Scientific and Stryker. Attendees had the opportunity to hear from two keynote speakers: Lynn Woolsey, UK Deputy Chief Nurse at the Royal College of Nursing and Dr Henrietta Hughes, Patient Safety Commissioner for England. The conference was chaired and facilitated by Dr Rob Galloway, A&E Consultant at Brighton and Sussex Hospital NHS Trust, with a welcome introduction from Dr Ian Bullock, CEO of the Royal College of Physicians. There were a number of panel sessions and presentations throughout the day which are summarised in the attachment below, including on sustainability, antimicrobial resistance and antibiotic underdosing, violence at work, clinical communications, human factors, implementing the Patient Safety Incident Response Framework (PSIRF), and women's health and the menopause.
  6. Content Article
    The latest Lancet Countdown report underscores the imperative for a health-centred response in a world facing irreversible harms.  Climate inaction is costing lives and livelihoods today, with new global projections revealing the grave and mounting threat to health of further delayed action on climate change. But bold climate action could offer a lifeline for health. This year’s report launches just weeks before the COP28 which has a health focus for the first time. The findings underscore the opportunity of a lifetime that COP could help deliver – through commitments and action to accelerate a just transition. Without profound and swift mitigation to tackle the root causes of climate change and to support adaptation efforts, the health of humanity is at grave risk.  Our 2023 Report tracks the relationship between health and climate change across five key domains and 47 indicators, providing the most up-to-date assessment of the links between health and climate change.
  7. Content Article
    The climate and ecological crises are both driven by human activities. They each have catastrophic implications for human health and their strong interconnection creates a vicious circle where each is reinforced by the other. A stable natural environment is critical for limiting global warming and achieving the UN’s Sustainable Development Goals (SDGs). Conversely, the loss of biodiversity is a major threat to human, animal, and environmental health. In order to mitigate harm and maximise the co-benefits of action, it is important that policies tackle both climate change and biodiversity loss together. This policy report by the UK Health Alliance on Climate Change, describes the impacts of biodiversity loss on land and oceans for human health and puts forward recommendations to reduce biodiversity loss, restore nature, and achieve climate goals for the benefit of health.
  8. Event
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    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
  9. Event
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    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
  10. Content Article
    A series of podcasts from Molnlycke UK, with host Steve Feast, discussing topics such as sustainability, patient safety and more.
  11. News Article
    Scotland has become the first country in the world to stop its hospitals using the anaesthetic desflurane because of the threat it poses to the environment. NHS data suggests the gas, used to keep people unconscious during surgery, has a global warming potential 2,500 times greater than carbon dioxide. Banning it in Scotland - from its peak use in 2017 - would cut emissions equal to powering 1,700 homes a year. In the last few years, more than 40 hospital trusts in England and a number of hospitals in Wales have stopped using it. Dr Kenneth Barker, anaesthetist and clinical lead for Scotland's national green theatres programme, said he was shocked to find the anaesthetic drug he had used for more than a decade for many major and routine operations was so harmful to the environment. "I realised in 2017 that the amount of desflurane we used in a typical day's work as an anaesthetist resulted in emissions equivalent to me driving 670 miles that day," he said. "I decided to stop using it straight away and many fellow anaesthetists have got on board. "When you are faced with something as obvious as this and with the significance it has to the environment - I am very glad we have got to this stage." Read full story Source: BBC News, 3 March 2023
  12. News Article
    The number of overheating incidents in clinical areas reported by NHS trusts has almost doubled over the last five years, with directors saying ageing estates make them vulnerable to extreme weather events. Providers reported that temperatures went above 26°C – the threshold for a risk assessment – more than 5,500 times in 2021-22, according to official data. Overheating looks set to become an increasingly significant issue for NHS estates, HSJ was told, as climate change makes extreme weather events more frequent and more intense. Janet Smith, head of sustainability at Royal Wolverhampton and Walsall Healthcare Trusts, said: “We’re feeling it now. And it’s not going to change unless we do something about it. We need a climate resilient estate to actually deliver sustainable care.” An overheating incident is when the temperature surpasses 26°C in an occupied ward or clinical space in a day, with each area counting as a separate incident. When this happens, trusts should carry out a risk assessment and take action to ensure the safety of vulnerable patients. Read full story (paywalled) Source: HSJ, 16 February 2023
  13. News Article
    Around half of the largest trusts are not buying all their electricity from renewable sources despite a national requirement to do so, as prices of this type of energy rocket. NHS England previously committed to the service purchasing only renewable energy from April 2021, as part of efforts to meet its target to be net zero for emissions it can control–including electricity–by 2040. However, NHSE information seen by HSJ shows that nine of the largest 20 trusts have not been buying 100 per cent renewable electricity this financial year, amid soaring costs. Several trusts told HSJ they had abandoned previous decisions to only use electricity which was “guaranteed” to be renewable. Read full story (paywalled) Source: HSJ, 15 February 2023
  14. Content Article
    Surgical site infections (SSIs) can have a significant impact on patients, their families and healthcare providers. With shortening inpatient periods, the post-discharge element of surveillance is becoming increasingly important. Proactive surveillance, including digital wound images using patient smartphones, may be an efficient alternative to traditional methods for collecting post-discharge surveillance (PDS). The aim of this study was to determine success in patient enrolment and engagement including reasons for non-response, the time for clinicians to respond to patients, SSI rates, and carbon emissions when conducting PDS using patient smartphones.
  15. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Angela and Caroline spoke to us about how they are helping healthcare organisations consider sustainability a core part of their work. They reflect on the responsibility of both patients and healthcare professionals to ensure patient safety for future generations.
  16. Content Article
    The BMJ, in partnership with the Choosing Wisely international collaboration, led by the Choosing Wisely Canada campaign, has introduced a “Change” series in the Education section. Articles in the series highlight evidence based strategies and tools to help change practice and reduce unnecessary tests, treatments, and procedures. The articles indicate why and how practice needs to change, usually focusing on one aspect of care, and are aligned with recommendations made by national Choosing Wisely campaigns.
  17. Content Article
    In this episode of the NICE talks podcast, Consultant Respiratory Physician Dr Hitasha Rupani, Medicines Consultant Clinical Adviser at the National Institute for Health and Care Excellence (NICE) Jonathan Underhill and asthma patient Sheba Joseph discuss NICE’s recently published patient decision aid on asthma inhalers and climate change. The tool supports people with asthma to consider whether they might be able to use inhalers which have a smaller carbon footprint as part of their treatment plan. View the NICE patient decision aid on asthma inhalers and climate change
  18. Content Article
    This case study describes the project that won the 'Future-proofing Healthcare 2022' category in the Healthcare Quality Improvement Partnership's (HQIP's) Clinical Audit Heroes Awards. The Sustainable Respiratory Care Audit team at Newcastle Hospitals NHS Foundation Trust was recognised for its work improving care for individual patients while also reducing the environmental impacts of healthcare. Their nomination detailed how the project provided a structure for the audit of patients’ techniques, preferences and knowledge about inhalers, and the need for a clinical review—interventions that can reduce the carbon footprint of healthcare while improving the quality of care.
  19. Content Article
    Maria Koijck's goal for this film was to create a movement within the pharmaceutical industry considering the waste it produces. In this film you see Maria lay in the middle of an incredible amount of waste from just one surgery, her surgery. In August 2019 Maria was diagnosed with breast cancer. Surgeons had to remove her entire left breast. After a successful recovery, she went to to have a deep lap surgery where they gave her an entire new breast of her own bodily materials. During this process she discovered that 60% of the surgery materials used for this operation is disposable. For example: the stainless steal scissors that are flown in from Japan, are used for one cut before they end up in the bin. Maria asked the doctors to collect all of the surgery materials used for her operation, to get a clear idea of how much it really was. She was shocked to see six bags full of plastic waste.
  20. Event
    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
  21. Event
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    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
  22. Event
    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
  23. Event
    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
  24. Event
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    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
  25. Event
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    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
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