Rachel StancliffeCentre for Sustainable Healthcare

17th February 2015

Carbon Modelling in Dentistry

overview of the day

and intro to sustainable healthcare

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Aims of the day:

To explore the feasibility of carbon mapping common dental procedures – exploration and collaboration

Within this:

1. dentistry/sustainability exchange - understand each others’ worlds;

2. mapping/modelling – which models do what;

3. What can we do in dentistry – how can we collaborate

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Agenda

09:30 – 10:00 Tea, coffee and networking 10:00 – 10:20 Introduction: Centre for Sustainable Healthcare and PH Dentistry 10:20 – 10:40 Background on carbon counting (importance, current models, legislation) 10:40 – 11:25 3 presentations from solutions providers and discussion * Using Footprint Reporter - the approach to in-surgery carbon data collection used by the Royal College of General Practitioners

Craig Simmons, Best Foot Forward * GHG accounting approaches for healthcare products and pathways

Tom Penny, ERM * Green Impact in dental practices - Kim Croasdale, Green Impact Team, NUS

11:25 – 11:45 Tea Break11:45 – 12:15 Dental informatics (English & Scottish data) – Brett Duane, consultant in dental PH,

sustainability lead PHE and Samit Shah, working with PHE, NHSE, HEKSS12:15 – 12:45 Overview of carbon modelling: how to combine approaches – Mike Berners-Lee, director and principal consultant, Small World Consulting12:45 – 13:30 Lunch13:30 – 14:30 Interactive session to consider ways we can collaborate14:30 – 14:45 Gather our thoughts and agree any actions

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The expertise in the room…

• Name

• Job

• Where did your interest in sustainability start?

Sustainable healthcare:

What is it, why does it matter?

Great innovations of the first and second

healthcare revolutions

• MRI and CT scanning• Anti psychotics• Antibiotics• Genetics• Hip and knee

replacement• Chemotherapy• Antidepressants• Randomised controlled

trials• Systematic reviews

Gower Street - Doll & Hill

1854 Broad Street - John Snow

The First (19thC) – public health. The Second (20thC) – healthcare

slide by permission from Sir Muir Gray6

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BUT in 2015, health services still face major

problems:

QUALITY• Safety• Inequalities• Patient experience

COST• Rising demand• Financial crisis• Waste

CARBON• Climate change• Carbon reduction

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Climate Change Act (2008)

• 80% by 2050• 34% by 2020at least

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Climate change and health

• Direct effects: heatwaves, floods, storms, altered disease vectors

• Indirect effects: drought, crop failure, malnutrition, migration, conflict

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Summary of progress

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Carbon footprint – NHS England

Supply chain (pharmaceuticals, equipment, everything else)

Transport

Energy use

Transport?Energy use?Supply chain?

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Environmental

Social Economic

Bearable

Sustainable

Viable

Equitable

BIOSPHERE

BIOSPHERE

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Sustainable healthcare

The use of resources to deliver healthcare today without compromising the health

of current and future generations.

Technical vs. value based

Sustainable clinical practice

Mortimer-F. The Sustainable Physician Clinical Medicine 2010, Vol 10, No 2: 110–11

Sustainable clinical practice

Outcome needed

Secondary drivers

Primary driver

Primary driver

Infrastructure & processCENTRE for

SUSTAINABLEHEALTHCARE

Carbon information

available

Carbon information

available

Carbon information

available

Carbon information

available

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Savings

Potential savings from moderate replication of Green Nephrology case studies in UK renal units are estimated at £7 million, 11,000 tonnes CO2e and 470 million litres water…… per year.

BMJ 2013;346:f588 doi: 10.1136/bmj.f588 (Published 28 January 2013) Mortimer F, Connor A, Stott A. Cumulative savings from green nephrology innovations [abstract presented as poster at joint Renal Association and British Transplantation Society 2013 annual congress].