Carbon Modelling in Dentistry
overview of the day
and intro to sustainable healthcare
Rachel Stancliffe
Centre for Sustainable Healthcare
17th February 2015
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
10:00 – 10:20
10:20 – 10:40
10:40 – 11:25
Tea, coffee and networking
Introduction: Centre for Sustainable Healthcare and PH Dentistry
Background on carbon counting (importance, current models, legislation)
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 Break
11:45 – 12:15 Dental informatics (English & Scottish data) – Brett Duane, consultant in dental PH,
sustainability lead PHE and Samit Shah, working with PHE, NHSE, HEKSS
12:15 – 12:45 Overview of carbon modelling: how to combine approaches – Mike Berners-Lee,
director and principal consultant, Small World Consulting
12:45 – 13:30 Lunch
13:30 – 14:30 Interactive session to consider ways we can collaborate
14:30 – 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?
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Sustainable
healthcare:
What is it, why does it matter?
Great innovations of the first and second
healthcare revolutions
The First (19thC) – public health.
1854 Broad Street - John Snow
The Second (20thC) – healthcare
•
•
•
•
•
•
•
•
•
MRI and CT scanning
Anti psychotics
Antibiotics
Genetics
Hip and knee
replacement
Chemotherapy
Antidepressants
Randomised controlled
trials
Systematic reviews
Gower Street - Doll & Hill
slide by permission from Sir Muir Gray6
BUT in 2015, health services still face major
problems:
COST
• Rising demand
• Financial crisis
• Waste
QUALITY
• Safety
• Inequalities
• Patient experience
CARBON
• Climate change
• Carbon reduction
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Climate Change Act (2008)
• 80% by 2050
• 34% by 2020
at 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
Transport
16%
19%
Clinical
65%
Transport?
Energy use?
Supply chain?
Buildings and
energy
Energy
use
Supply chain (pharmaceuticals,
equipment, everything else)
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BIOSPHERE
Environmental
Bearable
Viable
Sustainable
Social
Equitable
BIOSPHERE
Economic
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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
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Sustainable clinical practice
Secondary drivers
Prevention
Primary driver
Reduce activity
Self care
Outcome
needed
Reduce carbon
without reducing
health
Lean pathways
Primary driver
Reduce carbon
intensity
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Sustainable
clinical
practice
Low carbon
alternatives
Carbon
information
available
Sustainable
estates
Infrastructure
information
& process
available
Carbon
Mortimer-F. The Sustainable Physician
Clinical Medicine 2010, Vol 10, No 2: 110–11
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].
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