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.
We are aiming to have 90% of hub units signed up by the end of October 2023. 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.
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.
2021 - This 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:
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.
Use the UKKA's RouteZero - Travel Sustainably link to find a low carbon journey - https://routezero.world/ukka
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)
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 (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)
Ben Whittaker (Sustainable Healthcare Delivery Lead/AHP Lead)
Oliver Thomas (Renal SpR rep)
Rona Grieve - (Scottish 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 (sustainablehealthcare.org.uk)
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 Frances.email@example.com
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
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. Our partnership with the Sustainable Healthcare Coalition, ECOQUIP+ and the Association of Renal Industries aims to harness the power of collaborative procurement to drive sustainable innovation. Our first target is the high impact pathway of in-centre haemodialysis for which we will develop a procurement toolkit. Our industry liaison group will provide the forum for regular conversations between the renal community and industry.
Suren Kanagasundaram Consultant Nephrologist, Newcastle Hospitals
Fiona Adshead Chair, Sustainable Healthcare Coalition
Nicole Fletcher Sustainable Procurement Lead, NHS England
Steph Holmes-Fletcher Senior Category Tower Manager, Supply Chain Coordination Limited
Gill Manning Chair, Association of Renal Industries
Keith Moore Programme coordinator, Sustainable Healthcare Coalition
Chris Stait Patient representative
Gaynor Whyles Director, Jera Consulting, Ltd
Vacant MHRA representative
Hannah Gibson AHSN representative
Eleanor Murray Clinical Research Fellow
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 Adaptation
Workstream lead: Rosa Montero