This case study was completed as part of the Gloucestershire Hospitals NHS Foundation Trust and Gloucester Managed Services Green Team Competition from September 2022 to January 2023.
Team Members: Dr. Luke Materacki, Consultant Gastroenterologist and Lucy Breach, Endoscopy Sister
Setting/Patient Group: Trust-Wide
Issue to be Addressed:
Reducing carbon emissions and waste in endoscopy, addressing the environmental impact of a high-throughput medical procedure.
Interventions:
Pre-endoscopy:
- Offer electronic pre-procedure booklets via email to reduce paper use.
During endoscopic procedures:
- Replace single-use shorts with washable gowns.
- Target reduction in prophylactic inkopad use.
Post-procedure:
- Encourage patients to bring reusable cups or water bottles to reduce single-use cup waste.
Outcome:
Clinical: Improved procedural efficiency and perceived patient benefits.
Social: Positive staff attitudes and patient feedback regarding changes.
Environmental: Estimated annual carbon emissions savings of 6,619 kgCO2e.
Economic: Estimated annual cost savings of £9,568.
Key Learning Point:
The implementation of sustainable practices in endoscopy not only positively impacts the environment and finances but also enhances patient care, choice, and staff engagement. Establishing a green endoscopy working group and continuous efforts are vital for lasting change.
Click here for more information on the Green Team Competition (including organisation impact reports).
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