Speakers:

• Juliet Dobson, Managing Editor, BMJ Family
• Sophie Cook, Editor in Chief, The BMJ Medicine

Speaker: Chris Gormley, Interim Chief Sustainability Officer, NHS England

Chair: Dr. Josephine Sauvage, Medical Director for North Central London ICB and Sustainability Lead

• The UK Kidney Association Sustainable Kidney Care programme: a collaborative national initiative; strategy, successes and lessons
  This presentation will describe the structure and workstreams of the UK Kidney Association’s Sustainable Kidney Care programme, our partnerships and international reach, and our high level targets for net zero and circularity in kidney care. Key successes will be described as well as barriers we have encountered and how we are attempting to address these
  Speakers:
• Suren Kanagasundaram, The Newcastle upon Tyne Hospitals NHS Foundation Trust
• Frances Mortimer, Medical Director, Centre for Sustainable Healthcare

• Net Zero healthcare from the inside out: Engaging staff with the Green Impact toolkit
  Delivering high quality sustainable healthcare relies on engagement from all roles and areas. Some of the biggest negative environmental impacts we see from healthcare delivery can be addressed by healthcare teams taking action within their day-to-day operations. Many are aware of the need for change, but without structure and support find it challenging and isolating. They need simple, effective, easily-accessible information that is relevant to their role, and they want to connect with others who are embarking on the same journey. In this presentation, we will discuss how the Green Impact toolkit is supporting a movement of people to create a sustainable healthcare system, from the inside out.
  Speaker: Rachel Soper, Students Organising for Sustainability

• Green ED
  Speaker: Philip Anderson, Royal College of Emergency Medicine

Chair: Prof. Mala Rao OBE, Director, Ethnicity and Health Unit and Senior Clinical Fellow Chair, Expert Group on the Environmental Determinants of Climate Change and Health, WHO SEARO, Department of Primary Care and Public Health, Imperial College London

• Reducing carbon emissions and tackling inequalities: How data science and analytics can support the bringing together of these two important agendas
  This presentation will demonstrate the SHINE tool which analyses health inequalities and patient related carbon emissions associated with service planning decisions, and brings together these two important agendas which are often considered in isolation. Matthew Eves, Anya Gopfert and Sally Brown started this work during the Health Service Modelling Associates Course at the University of Exeter. The team were awarded a Healthier Futures Grant by Greener NHS to complete the work from October 2022 – March 2023.
  Speaker: Sally Brown, NATS

• Climate Change toolkit for public health registrars
  The UK Faculty of Public Health (FPH)’s Climate and Health Strategy vision is for the public health workforce to “lead on strategies to protect health and wellbeing for current and future generations”. However, UK public health training lacks opportunities and support for registrars to incorporate climate change and sustainability into work. Formulation of a practical toolkit, as part of the FPH’s Sustainable Development Special Interest Group’s 2023 workplan, will support registrars in developing knowledge, expertise and leadership skills around climate change and sustainability within public health.
  Speaker: Alyssa Ralph, Public Health Registrar & Academic Clinical Fellow, University of East Anglia
  

• Moving towards a wellbeing economy – The power of collaboration with Dr Helen Kingston
  In 2021 Frome Medical Practice successfully bid with Frome Town Council and the social enterprise group Edventure for National Lottery Funding Climate Action Funding for a Green and Healthy Frome. Dr Kingston will share some our story leading up to this collaboration, the results of our 2 year pilot project and our ambitions for the next 3 years and stage 2 which are being supported by a 1.7m award from the Lottery. Our presentation will highlight the power of what can be achieved when you work with your local community on a collective goal to improve everyone’s wellbeing.
  Speaker: Helen Kingston

Chair: Frances Mortimer, Medical Director, Centre for Sustainable Healthcare

• An innovative ‘Planetary Health and Sustainable Healthcare’ curriculum adaptable for all health professions
  The NHS ambition for net zero clinical care can best be achieved through a workforce that is both educated on why this is necessary, and empowered to make transformational changes in the culture of practice. We developed a concise and comprehensive curriculum to prepare health professionals to address these challenges. Education for Sustainable Healthcare – A curriculum for the UK is fully endorsed by the MSC and the GMC, and is designed to be accessible and adaptable to any health professional setting. It lays the foundation of Planetary Health, and gives structure to education for sustainable clinical care in differing specialties. Above all it acknowledges the emotional resources required and addresses professionalism, leadership and achieving structural change.
  Speaker: Emma O’Neill, Humber and North Yorkshire ICB

• The Planetary health Report Card: How students are advocating for the inclusion of climate action and sustainability within medical education
  The Planetary Health Report Card (PHRC) is an international student-led initiative that assesses different medical schools on their engagement with sustainability and their inclusion of planetary health within their curriculum. The PHRC has contributed to the development of planetary health education globally, particularly within the UK. This presentation outlines the progress that UK medical schools have made in the last three years, since being involved in the scheme, and the key areas for improvement.
  Speaker: Lauren Franklin, Keele University/Planetary Health Report Card

• Integrating environmental sustainability into quality improvement education and practice – The SusQI Education project pilot and beyond
  What is SusQI and why is it important? Introduction to the SusQI education programme Summary of SusQI Education programme evaluation (trainees/students and educators) Progress since the SusQI education project – The SusQI Academy, The SusQI Beacon site accreditation, and inclusion of SusQI in educational curricula and mandatory training Next steps
  Speaker: Catherine Richards, Centre for Sustainable Healthcare
  Speaker: Rachel McLean, Centre for Sustainable Healthcare

• The integration of the sustainable quality improvement (SusQI) framework into the nursing and allied health care curricula
  Speaker: Dr Maureen Jersby, Assistant Professor, Northumbria University
  Speaker: Angela Ridley, Senior Lecturer, Head of Subject (Nursing), Northumbria University

Chair: Malti Varshney, Director of Strategic Change and Population Health, Kent and Medway ICB

Surgical Patient Story: Maria Koijck

• Reducing the Carbon Footprint in NHS Surgical Procedures: A Study of Day-Case vs. In-Patient Laparoscopic Cholecystectomies
  This study investigates reducing the carbon footprint of surgical procedures in the NHS in England to align with the target of achieving net zero carbon emissions by 2040. Researchers analyze day-case laparoscopic cholecystectomy procedures performed in 2022. Out of 48,393 procedures, 66.6% were day-case surgeries. Day-case rates varied across the 42 Integrated Care Boards (ICBs), with the top trusts achieving a minimum rate of 71.8%. If all ICBs had performed equally well, potential carbon savings of 189,437.5 KgCO2e could have been achieved, equivalent to powering 172 homes for a year. The study concludes that optimizing day-case surgical pathways presents significant potential for NHS carbon savings. Reducing variation in care and promoting day-case surgeries where appropriate can further reduce carbon emissions, cut costs, improve patient throughput, and enhance overall healthcare efficiency.
  Speaker: Faraz Ayyaz, Manchester University Foundation Trust

• Clinical pathway transformation for environmental, social and financial savings – a model for NHS outpatient services to reduce lower value activity
  Our clinical pathway transformation project demonstrates significant impact across the triple bottom line of sustainable value. By eliminating routine habitual low value appointments from our existing HIV monitoring pathway we anticipate annual savings in excess of £44,900 on consumables and 25,958 kgCO2e (equivalent to driving 74,763 miles – 108.3 return journeys from Northampton to Glasgow). We anticipate circa 350 saved hours of Band 6 nurse time per annum which can be used for higher value work. The project was initiated using a powerful patient voice. Our model is transferable across multiple specialty outpatient services within the NHS
  Speaker: Lynn Riddell, Northamptonshire Healthcare NHS Foundation Trust

• Patient representative

Chair: Peter Morgan, Medicines Net Zero Assistant Director at NHS England

• A District General Hospital Experience of Decommissioning the Nitrous Oxide Cylinder Manifold: From Conception to Completion
  Speaker: Abigail Mann, Clinical Anaesthetic Fellow, Royal United Hospital Bath NHS Foundation Trust

• Sustainable respiratory care: An audit tool to assess factors affecting inhaler use and patient preferences and disposal practices
  Speaker: Maria van Hove, Public Health Registrar, University of Exeter

• “Show me your meds please?”
  Using a simple behaviour change can identify large scale waste of medication not previously identified. This provides positive outcomes for people, the NHS and the environment.
  Speaker: Deborah Gompertz, Clinical Lead, Complex Care South Somerset

Chair: Linda Hindle, OBE, Deputy Chief Allied Health Professional for England

• Building a network: celebrating success with Greener Practice
  Speaker: Tamsin Ellis, GP, Director and Co-chair, Greener Practice
  Speaker: Dr Mike Tomson, Director, Greener Practice

• Connecting for change: an academic-NHS collaboration to accelerate net zero healthcare
  This talk will summarise the Connecting for Change project. This was an academic – NHS collaboration to accelerative net zero healthcare. This presentation will summarise the sandpit process and key insights gathered throughout the process about how we can start to better understand how relationships between NHS staff and academics can be built to develop research proposals which support the goal of achieving net zero healthcare.
  Speaker: Anya Gopfert, Senior Public Health Registrar, South West Deanery

• Good Contagious Change – The Cornwall Way
  We are currently asking people to do the right thing from within the wrong system. The Cornwall Climate Resilience Programme is activating primary care to move through three stages of engagement and action: mitigation, adaptation and advocacy. The shift required is a cultural, social and behavioural one. We draw from technological disruption social science research, working with the innovators and early adopters to engage the early majority and late majority. The remainder (16% ) will shift behavioural modes when the system they are in is changed enough for it to become easier to engage than not. Social science on institutional inertia, behavioural change and cultural shift is well established; the combined innovators and early adopters – the pioneers – (approx. 16%) influence the next 68%. So our task is to build a network, find the pioneers, and catalyse change – and we’re starting in Cornwall. Our guiding principles, therefore, are: find and support the positive deviants and creative disruptors; give them the moral support, connections, and tools they need; foster a tribe of system-thinkers who can join the dots between human and planetary health; practice and community; individual and collection action; and create change which is exciting, accessible, visible and delivers multiple co-benefits, and crucially, is gorgeously contagious
  Speaker: Manda Brookman, Climiate and Ecological Lead, Volunteer Cornwall
  Katherine Brown, Clinical Lead, Greener Practice Cornwall

• What does a net zero health system look like?
  Speaker: Nicky Philpott, Head of Sustainability, South West Region
  Speaker: Claire Igoe, Net Zero Climate Director, NHS Greater Manchester Integrated Care