More on talking about it...

Put up a noticeboard / action board in the front lobby, a web page on the Trust website and a monthly half page section in the trust magazine with the following content:

• Trust meter readings – graph of monthly consumption
• Percentage of employees coming to hospital by what vehicle and car sharing percentages. Where staff are coming from and what time, what percentage coming less than 2 miles in car.
• Car share scheme details,  bike to work scheme details,  inter hospital bus details, public transport details
• Bike group details, with details of shower facilities and lockable bike storage
• Waste disposal figures
• Suggestion box

Start a monthly report given at lunchtime meetings on goals and progress on 10:10.

Encourage board members, nursing & medical directors and senior managers to sign up personally to 10:10 - and feature them in the Trust magazine.

Run a staff survey to find out staff views on climate change - no need to write your own, NHS Bristol have already done it for you.

More on nursing power...

Green Wards
Give your wards the 10:10 ward checklist for top tips for saving 10% on energy, travel, consumption and waste. Does your Trust use The Productive Ward? Many 10:10 actions will fit in well.

Practical help
Help your staff to take action by getting recycling bins put into clinical areas and enlisting help from Estates with temperature settings. Work with Procurement to put carbon into clinical purchasing, and get the Communications Department on board – could you introduce a green category into the hospital awards?

Carbon and health
Do staff know about the links between carbon and health – and the ways they can help patients to improve their condition while joining in with 10:10? Look up the resources on www.carbonaddict.org or circulate the 10:10 Decarbonising Care to help spread the word.

Be the change…
The Nursing Director’s example is important to building a culture of low carbon healthcare. Can you cycle or take public transport to work, cut meetings by 10% by switching to teleconferencing, or make your ward or department a plastic cup-free zone? If so, make sure you get into the hospital magazine!

More on medics...

A carbon footprint study of NHS England showed that procurement of pharmaceuticals and medical supplies causes more carbon emissions than either energy use or travel. By not opening unnecessary packets, ordering fewer tests and making sure that medication is only prescribed when needed, clinical staff can make big inroads to 10:10.

Ask clinical departments to improve the carbon efficiency of care: look out for activities which do not contribute to patient management or outcome, and think about including carbon impacts in clinical audit. Does the audit department know how to help with this? Perhaps you could arrange training.

Once low value activities are identified, can practice be changed through raising awareness or clinical guidelines?

Service planning offers an opportunity to completely redesign care around a low-carbon model. Make sure that carbon is considered from the outset in service development, and include indirect carbon – such as from patient and visitor travel. Which is better, hospital or community-based treatments? day case or inpatient? Can the Trust support a switch to telephone clinics?

Carbon and health
Do staff know about the links between carbon and health – and the ways they can help patients to improve their condition while joining in 10:10? Give a presentation on treatment of Carbon Dependence www.carbonaddict.org, bring a paper on “co-benefits” to your next Journal Club, or circulate the 10:10 “Decarbonising Care” flyer to help spread the word.

Be the change…
Doctors' examples are important to building a culture of low carbon healthcare. Use your opportunities to speak out at Grand Rounds and on the ward. Can you cycle or take public transport to work, or cut meetings by 10% by switching to teleconferencing? If so, make sure it gets into the hospital magazine!