Green Surgery Challenge
The Green Surgery Challenge 2021 is an opportunity for the UK’s surgical community to recognise the value of sustainable healthcare for surgical conditions: to share and promote ways of practising that are less harmful to the environment and our planet and build social sustainability: to continue to transform surgery for the future. Join us at the Green Surgery Challenge Judging and Awards Ceremony to hear from the five teams that are transforming surgery for the future, making their practice more environmentally, socially & economically sustainable!
What is the problem in surgery?
Climate change is having far reaching consequences for planetary health, including within the UK, and is accepted as one of the greatest threats to the health of global populations. In addition, the integrity of our environment is threatened by air pollution, plastic overuse, chemical pollution, water scarcity, soil degradation, deforestation and loss of biodiversity.
Whilst healthcare organisations work to improve the health of populations, their day to day activities are contributing to climate change and to the impoverishment of the environment. The NHS is responsible for over one third of total public sector carbon emissions. Operating theatres contribute towards this, with energy requirements four to six times that of other hospital areas and as significant users of medical equipment and supplies.
It’s time for powerful solutions for a sustainable surgical future
The Greener NHS campaign and NHS Net Zero Report highlight the need and opportunity for healthcare to change its activities, processes and systems to address carbon-heavy interventions. The report draws upon The Centre for Sustainable Healthcare’s decade of experience in transforming healthcare for a sustainable future. Specifically, within surgical services there are opportunities for:
- Preventing and optimising conditions requiring surgical intervention, including peri-operative optimisation.
- Promoting patient empowerment and patient-centred surgical services.
- Ensuring lean surgical pathways, including identifying and avoiding unnecessary procedures or unused single-use items in surgery.
- Promoting low-carbon alternative products and processes in surgery, including reusable instruments, maintenance, repair, and recycling.
- Raising awareness and changing culture amongst the surgical community.
- Partnering with other allied healthcare professionals and supporting services to achieve these aims.
The Green Surgery 2021 Challenge Opportunity
The challenge launched on 3rd February 2021 at an online event, hosted by the Royal College of Surgeons England (RCSEng) with Ms Victoria Pegna, co-founder of the Sustainability in Surgery working group and the President of RCSEng, Professor Neil Mortensen. The event included:
- An introduction to green surgery from Professor Mahmood Bhutta & Sustainable Surgery Fellow, Chantelle Rizan, from Brighton & Sussex Medical School
- Information on how to get involved in the challenge by Dr Olivia Bush, Clinical Programme Director at the Centre for Sustainable Healthcare.
Teams applied to enter the Green Surgery Challenge by submitting an idea for what area of the surgical pathway their team decided to focus on to make it "greener" and more sustainable...and why.
Green Surgery Challenge Teams
Five teams were selected to receive mentoring from sustainable healthcare specialists at the Center for Sustainable Healthcare over a ten-week period in order to hone a specific question, design a project, implement the project, and measure the outcomes. The teams were encouraged to use sustainable quality improvement (SusQI) methodology, which was developed by the Centre for Sustainable Healthcare to create sustainable transformation:
- Peter Labib, Bryony Ford and their team: Maximising reusable surgical instrument use, including laparoscopic ports, for a sustainable appendicectomy pathway at Derriford Hospital Trust.
- Aaron Quyn, Adam Peckham-Cooper and their team: Innovative, gasless appendicectomy procedure: lean instrument trays: reducing pre-operative urinary catheterisation: for a sustainable laparoscopic appendicectomy pathway at Leeds Teaching Hospital Trust
- Alyss Robinson, Shameen Jaunoo, Mansoor Khan and their team: Reducing blood testing in the pre-operative work-up for laparoscopic cholecystectomy at University Hospitals Sussex NHS Foundation Trust.
- Preetham Kodumuri, Prash Jesudason and their team: Reducing energy use by moving out of the operating theatre: streamlining surgical sets: reducing single-use instruments: for a sustainable carpal tunnel release pathway at Wrexham Maelor and Ysbyty Gwynedd.
- Jasmine Winter Beatty, Jonathan Gan and their team: Substituting local in place of general anesthesia for inguinal hernia repair and introducing reusable surgical gowns at Imperial College Healthcare NHS Trust.
At the Judging and Awards Ceremony, the five teams will present their SusQI projects, highlighting the environmental, social, and financial impact and a panel of distinguished judges will give feedback on innovation, impact, and transferability. Delegates will have the opportunity to network with other members of the surgical community who are interested in sustainability and participate in a breakout session of their choice (there will be five sessions, each led by a Green Surgery Challenge team).
- February 3rd; launch at virtual event
- February 10th; application period opens
- March 1st; application period closes & shortlisting starts
- March 26th-30th; successful shortlisted teams contacted
- 27th-29th April; workshops & start of project period
- Midday Thursday 15th July; deadline for project write ups and data to be submitted
- 4th November 2021; judging and awards ceremony
Green Surgery Challenge Partners
The Green Surgery Challenge is an adaptation for clinical specialties of the Centre for Sustainable Healthcare’s flagship programme, the Green Ward Competition (an award-winning clinical leadership and engagement programme to improve the environmental sustainability of healthcare). The challenge has been created and delivered through collaboration between a group of support partners including:
- The Centre for Sustainable Healthcare
- NIHR MedTech Co-operative in Surgical Technologies
- Royal College of Surgeons, England
- Royal College of Surgeons, Edinburgh
- The Sustainable Healthcare Coalition
- Brighton and Sussex Medical School
- The Association for Perioperative Practice
We welcome offers of additional partnership support and funding from other organisations, which would enable the Challenge to significantly deepen its impact.
Green Surgery Challenge Funders and Sponsors
The Green Surgery Challenge is supported by Gold Funders and Sponsors NIHR MedTech Co-operative in Surgical Technologies and Elemental Healthcare, Silver Sponsors Royal College of Surgeons England and Royal College of Surgeons Edinburgh, Bronze Sponsors the AHSN Network, Vanguard Medical Remanufacturing, and Bowa Medical UK.
We welcome offers of additional sponsorship from other organisations, which would enable the Challenge to significantly deepen its impact. For more details on becoming a project sponsor, please contact: Vee Mapunde, Programme Director, NIHR Medtech Co-operative in Surgical Technologies at firstname.lastname@example.org