{"id":6787,"date":"2019-11-08T13:00:50","date_gmt":"2019-11-08T13:00:50","guid":{"rendered":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/?p=6787"},"modified":"2019-11-11T16:01:28","modified_gmt":"2019-11-11T16:01:28","slug":"sustainable-quality-improvement-and-the-triple-bottom-line","status":"publish","type":"post","link":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/blog\/sustainable-quality-improvement-and-the-triple-bottom-line\/","title":{"rendered":"Sustainable Quality Improvement and the triple bottom line"},"content":{"rendered":"\n

Reflections on training with the Centre for Sustainable Healthcare<\/h3>\n\n\n\n
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On 4 October, North Bristol – where I live – joined many NHS Trusts in declaring a climate emergency \u201cto show a clear and positive commitment to tackle it and its effects on the health of our population<\/em>\u201d.  Shortly after this, during two weeks of climate action by the protest group Extinction Rebellion, hundreds of health workers took part in a Health March for the Planet calling for recognition that the climate issue is a health issue.<\/p>\n\n\n\n

Climate change has been identified as the greatest threat to\nglobal health in the 21st century[1]<\/a>\nwith air pollution killing 40,000 people in the UK alone each year.  Healthcare itself emits five percent of all\ngreenhouse gases in England[2]<\/a>\nwith kidney care contributing significantly to these emissions. <\/p>\n\n\n\n

Ten years ago, the Centre for Sustainable Healthcare (CSH)\npartnered with the Renal Association, the British Renal Society, the NHS\nSustainable Development Unit and industry partners to set up the Green\nNephrology programme<\/a> to support sustainable kidney care. This ambitious\nprogramme achieved many outputs, including a comparative carbon footprint of\nhaemodialysis provided at home vs. in-centre, as well as a carbon footprint of\na local renal service and case studies of local green initiatives.  <\/p>\n\n\n\n

Watch a short video on the work of Green Nephrology here<\/a><\/p>\n\n\n\n

CSH has provided a framework and a sustainability model that\ncan be applied to any improvement work in the healthcare system. Members of the\nKidney Quality Improvement Partnership (KQuIP) team attended the centre\u2019s \u201cSustainable\nQI\u201d one day training course last month to find out more.  The course took attendees through what sustainable\nclinical practice means, the key principles of sustainable improvement and\nallowed space at the end of the day to work on current projects and discuss\nthem with the experts in the room. It was an enlightening and motivational day,\nand we strongly encourage more members of the kidney community to attend the\nfuture courses \u2013 but for those of you who cannot, I will try my best to explain\n(in brief!) the key principles\u2026<\/p>\n\n\n\n

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CSH Sustainability School, October 2019<\/figcaption><\/figure>\n\n\n\n

What is sustainable healthcare?<\/strong><\/p>\n\n\n\n

Clinical practice that has sustainable value:<\/p>\n\n\n\n