Environmental sustainability in Healthcare · Data Carbon Footprint of NHS England –21.54 MtCO 2...
Transcript of Environmental sustainability in Healthcare · Data Carbon Footprint of NHS England –21.54 MtCO 2...
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Environmental sustainability in HealthcareFrances Mortimer
Maria van Hove
Anya Gopfert
November 2019
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Who thinks
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1. Man-made Climate change is a thing
2. It will be a problem in your lifetime
3. It will affect you
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13.11.2019 Environmental Sustainability and QI
How did we get into this mess?
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Contents
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Contents
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Contents
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Contents
4 Main issues
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Recent developments
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UK Policy Conext
• Net Zero 2050
• Long Term Plan
• Trusts declare Climate emergencies
• Simon Stevens NHSE
• Arms-length bodies and NGOs
(NICE, THF)
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Contents
Health Impacts of Environmental Breakdown
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This is what this looks like
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Mitigation + Adaptation
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DataCarbon Footprint of NHS England – 21.54 MtCO2e
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Supply
Chain
Community
Core
Commissioned healthcare
Core: NHS organisations
have direct control over –
energy, waste, water,
anaesthetic gases, business
travel/ fleet
Supply Chain: This has to
do with the supply of goods
and services
Community: Staff, patient
and visitor travel, MDIs
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SDU 2018. Reducing the use of natural resources in health and social care 2018 report
AnaestheticgasesInhaler
s
Waste
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How will 80% be achieved
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What if… sustainability became a mainstream part of quality improvement?
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Sustainability as a domain of quality
SustainablePatient
CentredEquitable
Efficient
Effective
Timely
Safe
Dr Donal O’Donoghue
National Clinical Director for
Kidney Care 2007-13
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Sustainable clinical practice: principles
Reduce carbon without reducing
health
Reduce activity
Prevention
Patient empowerment
Lean pathways
Reduce carbon intensity
Low carbon alternatives
Sustainable estates
Outcome needed
Secondary drivers
Primary driver
Primary driver
Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11
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Sustainable clinical practice: principles
Reduce carbon without reducing
health
Reduce activity
Prevention
Patient empowerment
Lean pathways
Reduce carbon intensity
Low carbon alternatives
Sustainable estates
Outcome needed
Secondary drivers
Primary driver
Primary driver
Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11
e.g. streamlined
pre-op
assessment
e.g. pre-
habilitation
e.g. warm, pain-
free patients
post-op
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Sustainable clinical practice: principles
Reduce carbon without reducing
health
Reduce activity
Prevention
Patient empowerment
Lean pathways
Reduce carbon intensity
Low carbon alternatives
Operational resource use
Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11
Outcome needed
Secondary drivers
Primary driver
Primary driver e.g. sevoflurane
vs desflurane
(1:20)
e.g. capture and
resupply of
volatiles
e.g. regional vs
general
anaesthesia
e.g. streamlined
pre-op
assessment
e.g. pre-
habilitation
e.g. warm, pain-
free patients
post-op
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What if… sustainability became a mainstream part of quality improvement?How?
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Mortimer F, Isherwood J, Wilkinson A, Vaux E. Sustainability in quality
improvement: redefining value. Future Healthcare Journal, 2018 Vol.5(2):88-
93
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Understanding env/soc/£ impacts: process map
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Environmental hotspotsEnv impact Hotspots
Greenhouse gas emissions
Inhalers, anaesthetic gases, medical equipment, pharmaceuticals, operating theatres
Air pollution Transport, energy
Deforestation Rubber plantations; meat
Water consumption Dialysis?
Scarce resources Conflict minerals in medical instruments
Plastic pollution Single use (133,000 tonnes plastic/year)
Eco-toxicity (PBT) Antibiotics, OCP, antidepressants, propofol
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Scanning for social impactsPatients Carers Community Supply
chain
Staff
Housing
Poverty
Health
Education
Employment
Safety/security
Satisfaction
Participation
Social gradient
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Case study: measuring environmental costsA primary care team noticed that some patients who were referred for hip and knee replacements were being referred back to the GP surgery after pre-operative assessment at the local hospital. This was because parameters, such as blood pressure, were either outside the target range or were not communicated properly in the referral information. An audit revealed that 1 in 6 patients looped through the system – 10/ year.
Activity Financial cost
(£)
Environmental
cost (CO2e)
Extra GP consult £451 18 kg2
Extra Hospital consult £1121 23 kg2
Total savings (for 10 loops) £1570 410 kg
1. Unit Costs of Health and Care, PSSRU, December 2015. Available at: http://www.pssru.ac.uk/project-pages/unit-
costs/2015/index.php
2. Carbon Hotspots update for the health and care sector in England 2015, Sustainable Development Unit, January 2016.
Dr. Charlie Kenward, Severn GP ST3 Sustainability Scholar 2014-15
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Social Impacts – identifying outcome measures
Group affected Impact area Outcome measure
e.g. carers employment % in employment / time off work
e.g. staff health sickness / absence
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Thinking sustainably within a QI project
1. Apply sustainability approach at the different stages of ANY
project
2. Choose a project area that relates closely to sustainability,
e.g.
a. Prevention, patient empowerment, etc.
b. Reducing pharmaceutical waste
c. Reducing over-investigation / over-treatment
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SusQI open access learning resources
http://networks.sustainablehealthcare.org.uk/sus-qi-
resources
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In practice…
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Example project: emergency departmentWhat to focus on?
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SDU 2018. Reducing the use of natural resources in health and social care 2018 report
Medical equipment
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Example project: emergency departmentProblem identified
ED staff team thought that large number of patients cannulated but
many cannulae not used
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Example project: emergency departmentProblem identified
ED staff team thought that large number of patients cannulated but
many cannulae not used
Measures
Number of cannulae inserted per week
Number of cannulae used in ED
Intervention tested
Campaign in ED to engage staff THINK before you cannulate!
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Example project: emergency departmentChange achieved
59% drop in total number of cannulae inserted from 178 to 73 / week
66% reduction in number of cannulae not used
Impact on patient outcomes (not measured)
potential for reduction in infections
Social impact (not measured)
•reduced pain and discomfort for no therapeutic benefit
•reduced physical restriction
•encouraging use of the oral route for fluids and medications
•staff time released - improved work flow/satisfaction
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Example project: emergency departmentEnvironmental and financial impact
•105 fewer cannulae used per week (Cost: £1.80, weight: 0.061kg)
•98 fewer bionectors used per week (Cost: £3.51, weight: 0.01kg)
GHG emissions factors used:
Medical/surgical equipment: 0.3 kgCO2e/£
Waste incineration: 220 kgCO2e/tonne
(105* 1.80*0.3) + (105*0.061/1,000*220) = 58.11 kgCO2e
(98*3.51*0.3) + (98*0.01/1,000*220) = 103.41 kgCO2e
= 161.52 kgCO2e and £533 saved per week
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What staff say:“The project has brought about real cultural and
behavioural changes in the department. Now that we have
participated … many clinicians are approaching me with
ideas for other sustainability projects. We have a long
list!”
Dr Cassie Worth, Emergency Medicine Consultant, Royal
Devon & Exeter hospital
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What does this mean to you?
1. How can you incorporate environmental thinking into your
work?
2. Can you use SusQI?
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Get involved
SIG
SusQI
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Stay in touch
• Q: www.health.org.uk/Q and [email protected]
• Frances Mortimer / Centre for Sustainable Healthcare
@FrancesMortimer #susQI
• Maria van Hove @Mc_vanhove
• Anya Gopfert / Q SIG: [email protected] @AnyaGopfert
• https://q.health.org.uk/community/groups/sustainable-healthcare/
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About Q
A connected community working
together to improve health and care
quality across the UK
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Thank you