Sustainable Kidney Care Committee


We, as a kidney community of patients, healthcare professionals and industry partners recognise the environmental damage associated with the delivery of kidney care and our responsibility to future patients to leave resilient and sustainable services on a liveable planet.

The Sustainable Kidney Care committee has been set up as a partnership between the UKKA, the Sustainable Healthcare Coalition and the Centre for Sustainable Healthcare, to radically reduce this damage, with high level targets now established for both decarbonization and the reduction of other environmental impacts of UK kidney care (see figure 1).


Figure 1. High level targets

These targets are to be achieved through the work of three separate workstreams and with annualised goals.


Kidney Unit Sustainability Champions Scheme

Would you like to be your unit's sustainability champion? 

Help us to work collaboratively to meet our targets listed above, improve dissemination of best practice and be a sustainability point of contact for your renal centre. Open to all staff from any discipline.

You can find further information and sign up here: Kidney Unit Sustainability Champion Scheme | Sustainable Healthcare Networks Hub

If you're interested in networking with others involved in sustainable kidney care, please visit the Kidney Care Sustainability Network: About Kidney Care Sustainability Network | Sustainable Healthcare Networks Hub


ISN GREEN-K - Global Environmental Evolution in Nephrology and Kidney Care

GREEN-K Global Environmental Evolution in Nephrology and Kidney Care calls on the development of climate resilient kidney care systems that function through accountable, sustainable low carbon health care, and propose a pathway to achieve this goal through a global, collaborative, and inclusive multidisciplinary working group. The ‘GREEN-K’ initiative has a vision of ‘Sustainable kidney care for a healthy planet and healthy kidneys’, and mission to ‘Promote and support environmentally sustainable and resilient kidney care globally through advocacy, education, and collaboration’.

This initiative will be inclusive and global, focusing on collaborative action to develop a coordinated plan to achieve low carbon kidney services across our spectrum of care.  Suren Kanagasundaram (Clinical co-chair) and Mark Harber (Workstream lead) sit on the steering committee for this important piece of work.  More information can be found here.



12 Steps to Green a Kidney Unit - full version - June 2023 | Sustainable Healthcare Networks Hub

12 things we can do as individuals to become greener | Sustainable Healthcare Networks Hub

Sustainable Healthcare Coalition – Newcastle Hospitals in-centre haemodialysis carbon calculator


Sustainable Kidney Care webinars

18th October 2023 -  This insightful and timely webinar, hosted by Shazia Adalat and Suren Kanagasundaram, looks into the latest plans and developments across the kidney care community to help drive and promote sustainability.  Topics included incorporating sustainability into the Renal Service Transformation Plan and a multi-professional panel discussion of developments in sustainable kidney care. Please click here to watch the webinar.

2021This webinar includes presentations on IPCC and COP26: what happens now? Transitioning to a sustainable NHS and a brief history of Green Nephrology, carbon literacy and the triple bottom line.  Presenters include James Dixon, Manraj Phull, Andy Connor and Frances Mortimer. Please click here to watch the webinar.


Sustainable and plant based diets

A new presentation on Sustainable Diets in CDS, produced by the Chair of the BDA Renal Nutrition Group, Angeline Taylor, is now available here. Other resources are available on plant-based diets:

Eating a plant-based diet with a kidney transplant

Eating a plant-based diet with CKD

Eating a plant-based diet when having dialysis


Other resources

Developing a human-centred national Heat Resilience Strategy

The Lancet Countdown on Health and Climate Change - Policy Brief for the UK

The Lancet Countdown on Health and Climate Change - Data Sheet 2023

The Climate and Us - The Global Climate and Health Alliance


No-fly Nephrology pledge

We, in the Sustainable Kidney Care programme, are examining all areas of environmental impact within our practice and this includes our need to fly for conferences and other work events. Air travel to a single international conference can generate more carbon emissions in that one trip than the average person emits over the course of a whole year in dozens of countries. We are committed to exploring new models of learning and sharing that allow our specialty to develop whilst reducing the harm to our planet.
With this is in mind, a number of kidney care specialists are making personal, No Fly pledges for 2024 for academic and work reasons. You can find out who's already made this pledge through this link.

Use the UKKA's RouteZero - Travel Sustainably link to find a low carbon journey -


Suren Kanagasundaram (Clinical co-chair & Workstream 2 lead)

MPT co-chair (vacant)

  • Frances Mortimer (The Medical Director of the Centre for Sustainable Healthcare, Workstream 1 lead)

  • Rosa Montero (Consultant Nephrologist and Workstream 4 lead)

  • Keith Moore (Sustainable Healthcare Coalition)

  • Fiona Adshead (Chair, Sustainable Healthcare Coalition)

  • Ron Cullen (UK Renal Registry)

  • Chris Stait (Patient representation - including links to National Kidney Federation and Kidney Care UK)

  • Eleanor Murray (Renal Consultant)

  • Stephen Palmer (Renal technologist - link to the ART)

  • Keith Channing (Renal technology - link to the ART)

  • Mark Harber (Consultant nephrologist, Workstream 1 lead)

  • Mark Wright (Consultant Nephrologist & Workstream 3 lead)

  • Manraj Phull (Greener NHS representation)

  • Emily Horwill (Renal pharmacist - link to the Renal Pharmacy group)

  • Shazia Adalat (Paediatric nephrologist - link to BAPN)  

  • Jo Pywell (UK Kidney Research Consortium)

  • Angeline Taylor (Renal dietitian  - link to Renal Nutrition Specialist Group)

  • Daisy Wasilwa (Renal dietitian - link to Renal Nutrition Specialist Group)

  • Lucy Brown (Sustainable Healthcare Delivery Lead/AHP Lead)

  • Oliver Thomas (Renal SpR rep)

  • Rona Grieve - (Scottish nursing rep)

  • Fiona McFadyen - (Scottish nursing rep)

  • Claire McGuire - (English nursing rep)



Workstream 1 - Action, Learning and Education

The aim of the Action Learning and Education work stream is to inspire and empower members of the kidney care community to take action for sustainability. Building on previous successes we will apply a two-pronged approach:

  • creating a community of practice and support via the Sustainable Kidney Care Network Sustainable Kidney Care | CSH Networks (

  • equipping staff through education and training to improve sustainability of their services through signposting/developing training for different staff groups and integrating into existing curricula and training

The multidisciplinary group includes members from a wide range of kidney care professions spanning teams from South East England through to Scotland and Wales. Anyone interested in joining please contact Dr Frances Mortimer, Medical Director, Centre for Sustainable Healthcare  

Workstream leads:

Frances Mortimer              The Medical Director of the Centre for Sustainable Healthcare

Mark Harber                      Consultant Nephrologist, Royal Free


Stephen Palmer                Renal technologist, York Hospital

Eleanor Murray                 Clinical Research Fellow, Glasgow

Emily Horwill                     Renal pharmacist, Sandwell & West Birmingham

Nina Brown                       Consultant Nephrologist and Honorary Senior Lecturer, Salford Royal Foundation Trust

Rosa Montero                   Consultant Nephrologist, St George's University Hospital NHS Foundation Trust

John Stoves                       Consultant in Nephrology and General Medicine and Renal Clinical Lead
                                           Bradford Teaching Hospitals NHS Foundation Trust

Rona Hutton                     Renal Practice Development Nurse, Scotland

Jessica Notzing                 Intensive Care and Renal Trainee, Wales

Ali Lawrence                      Patient Ambassador

Gloria Munoz-Figueroa  Programme Manager, Renal Development Programme, St George's, Epsom and St Helier


Workstream 2 - Procurement, Infrastructure and Innovation

This workstream is the key interface with the wider supply chain, where the bulk of kidney care carbon emissions, reside, and has now been subsumed into the global GREEN-K initiative’s procurement workstream (co-led by Dr Suren Kanagasundaram). Find out more about GREEN-K through the link, above.


Workstream 3 - Sustainable Care Pathways, standards and metrics

This workstream looks at reshaping pathways for a more sustainable future. Our membership includes representatives from the renal technologist community, kidney patients, nursing, pharmacy, dietetic and medical backgrounds, as well as Greener NHS.

Our first focus is to look at haemodialysis given that it has high consumption of power & water and generates a lot of waste. We are developing a national reporting system that will allow us to benchmark the environmental impacts of UK kidney care in a way that has not been done before. This will help us understand what best practice looks like and help us in our discussions with industry and the supply chain.

Workstream lead: Mark Wright

Members: Shazia Adalat, Andrew Connor, Manraj Phull, Stephen Palmer, Mark Lambie, Chris Stait


Workstream 4 - Climate Resilience

This workstream aims to embed climate resilience into UK kidney care services and facilities, and in the supply chains we rely on, and will become increasingly important as the climate crisis worsens. The UKKA SKC programme is a member of the LIFE-RESYSTAL scaling network that seeks to build climate resilience across European health systems and share best practice (further information can be found, here: )

Workstream lead: Rosa Montero


Terms of Reference

Committee Meeting 9 November 2023

Committee Meeting 7 September 2023

Committee Meeting 29 June 2023

Committee Meeting 11 May 2023

Committee Meeting 8 March 2023

Committee Meeting 17 January 2023

Committee Meeting 20 September 2022

Committee Meeting 13 July 2022

Committee Meeting 13 April 2022

Committee Meeting 16 February 2022

Committee Meeting 23 November 2021

Committee Meeting 20 October 2021

Committee Meeting 21 July 2021

Committee Workshop 23 June 2021

Committee Meeting 19 May 2021

Committee Meeting 29 March 2021


NICE accredited clinical practice guidelines 

Available here

25th Annual Report

Analyses about the care provided to patients at UK renal centres.

Read the report

2022 UKRR AKI Report

A report on the nationwide collection of AKI warning test scores. 

Read the report