Download Area

Please feel free to download and make use of our research, reports and guidance documents.

Published Materials

Sustainable procurement in Healthcare

It has been shown that supply chains contribute a significant proportion of the overall impact of our healthcare systems on the environment and to our society and is a focus of effort for healthcare systems globally. But there is a perception that supply chain management isn't achieving as much as it could do on sustainability objectives and targets, which in turn means that potential opportunities for savings and efficiencies are being missed.

In response, the Sustainable Healthcare Coalition commissioned Action Sustainability to explore current procurement practice for pharmaceuticals and medical devices and the study has identified many areas where interventions can be made to improve the sustainability and cost outcomes for healthcare providers.

Download Files

Sustainable procurement in Healthcare summary

Pharmaceutical and Medical Device Carbon Footprinting Standard

The founding project of the coalition was to develop a greenhouse gas (GHG) accounting guidance document for the pharmaceutical and medical device sector. This research was initiated from the GHG appraisal of the NHS that identified pharmaceuticals and medical devices contributing over 25% to the total NHS carbon footprint. The purpose of this guidance is to enable more consistent and practical carbon footprint assessments of healthcare products to be undertaken.
The guidance and summary document can be found here.

Download Files

Pharmaceutical Product and Medical Device GHG Accounting - Nov 2012

Pharmaceutical Product and Medical Device GHG Accounting - Nov 2012

Prioritising High Greenhouse Gas Intensive Pharmaceuticals

Members of the coalition contributed to the investigation to identify the high GHG intensive pharmaceuticals prescribed within the NHS in England.  Prescription data including volume and expenditure was combined with estimates of pharmaceutical GHG intensity to identify a list of 20 priority pharmaceuticals for further research.  This list is being used to guide discussions with manufacturers to improve sustainability data and reduce the environmental impact of listed pharmaceuticals. 

The full report can be found on the SDU website, here.

Sustainable Care Pathways Guidance

The coalition has created guidance to understand the environmental impacts of different aspects of healthcare treatment pathways (eg patient stay in hospital, surgery, emergency department visits, etc).  The purpose of this research is to allow users to include sustainability considerations when designing new or redesigning existing models of care.  The guidance defines what should be include/excluded when appraising the sustainability of care pathways and estimates key environmental impacts (GHG emissions, water and waste) of care pathway activities.

Download Files

GP Consultation Module - Oct 2015

Patient Travel Module - Oct 2015

Emergency Department Visit Module - Oct 2015

Inpatient Bed Day Module - Oct 2015

Surgical Procedure Module - Oct 2015

Self Management Module - Oct 2015

Diabetes Management Example - Oct 2015

Main Document - Oct 2015

Summary - Oct 2015

Joint Statement to the UN Climate Summit

Some of the members of the Sustainable Healthcare Coalition (then called the Coalition for Sustainable Pharmaceuticals and Medical Devices (CSPM)) submitted a Joint Statement to the UN Climate Summit held in New York on 23 September 2014; a pivotal meeting on the road to the world agreeing the Paris Agreement to control global man-made climate change. The submission was made by AstraZeneca, Baxter, Covidien, GSK, Johnson and Johnson and Novo Nordisk and included a series of specific commitments out to 2020.

At the time, the UNDP commented that “The statement will be a valuable contribution to the Climate and Health process; it is particularly encouraging to see clear commitments being made, and that the group is open for like-minded and committed parties to join!”.

The original Joint Statement and a new report, summarising progress made since the commitments were made and highlighting what more we are doing, are available here.

Download Files

CSPM Statement for UN Sun

UN NY Brief

Case Studies

Environmental impacts of poor control and improved control of paediatric asthma by use of intelligent digitally-connected Dry Powdered Inhalers (DPI)

The use of digital technology in asthma treatment is relatively new and is still evolving. It promises to revolutionise the management of the disease. The Sustainable Healthcare Coalition has worked with member company AstraZeneca to produce a study that demonstrates that good asthma treatments, effectively delivered and adhered to, result in reduced environmental impacts.

Sustainability of Type 2 Diabetes Management

Novo Nordisk applied the sustainable care pathways guidance to develop a case study on the management of type 2 diabetes.  Combining health economics data with environmental impact data available in the guidance it was possible to compare two diabetes management scenarios and assess the environmental trade-off between the increased use of pharmaceuticals to manage the condition and decrease in complications.

The case study can be found here.

Download Files

Sustainable Care Pathways - Diabetes Management Example - Oct 2015

Continuous Renal Replacement Therapy with Prismaflex

Baxter International Inc has worked with the SHC to assess the environmental profile of its innovative Prismaflex system. Prismaflex is a novel system for use in intensive care blood and fluid replacement and purification therapies, supporting the recovery of critically ill patients with acute kidney injury. The system is flexible and, unlike intermittent haemodialysis or slow low efficiency dialysis, Prismaflex is designed to deliver continuous renal replacement therapy (CRRT) for a 24-hour period.

Baxter applied the Coalition’s guidance for calculating product greenhouse gases to the Prismaflex system and found that the key hotspot in its life cycle is in the production of fluid-filled bags for use during the treatment. Based on these results, Baxter Healthcare is working on initiatives to reduce manufacturing and distribution impacts.

Download Files

Environmental Impact of the CWP Purification System

The CWP 800 system is a central water purification unit used in clinics to purify mains tap water for use in renal dialysis. This case study, produced by Baxter International Inc in association with the SHC, has shown the majority of the life cycle greenhouse gas emissions associated with the system occur during its use phase, as a result of energy and water consumption. As a result, Baxter has been working to optimise the energy and water usage of the system and providing support to clinics to ensure the product is sized, installed and operated for greater in-use efficiency.

Download Files

Environmental Impact and Benefits of Care4Today Total Knee Replacement Care Pathway

This new case study from Johnson & Johnson demonstrates the value of assessing care pathways with an environmental impact lens. It reinforces value-based healthcare, in that improved health outcomes following knee replacement surgery using Care4Today®, a digital care pathway programme, correlate with a reduced cost in environmental terms.

The case study uses research by Nottingham University Hospital demonstrating that there are substantial improvements for the environment when Care4Today® is used with Total Knee Replacement (TKR) procedures. Care4Today® integrates health and multi-media features with clinical Enhanced Recovery After Surgery protocols and technology. In this study, the data showed that Care4Today® improved outcomes for patients and delivered substantial reductions in length of hospital stay needed, thus leading to substantial reductions in cost at both the patient and environmental levels. Greenhouse gas savings were estimated to be 50 kg CO2e per patient.

The case study uses research by Nottingham University Hospital demonstrating that there are substantial improvements for the environment when Care4Today® is used with Total Knee Replacement (TKR) procedures. Care4Today® integrates health and multi-media features with clinical Enhanced Recovery After Surgery protocols and technology. In this study, the data showed that Care4Today® improved outcomes for patients and delivered substantial reductions in length of hospital stay needed, thus leading to substantial reductions in cost at both the patient and environmental levels. Greenhouse gas savings were estimated to be 50 kg CO2e per patient.

Download Files

Get in touch

We only work through open-minded collaboration across public and private healthcare sectors.

For more information or to start a conversation, please contact us

Say Hello

We are always open to conversations and engagement with like-minded people we can collaborate with on common agendas.

Sustainable Healthcare Coaltion © 2019 All Rights Reserved