Sustainable Healthcare in Newcastle

1. James Dixon FIEMA CEnv
Head of Sustainability and Compliance
27th September 2018
4AllofUs Sustainability Roadshow, Newcastle

2. Newcastle Hospitals
“…Providing patient-centred healthcare to
communities in the North East of England and
beyond for over 250 years. We’re one of the largest
NHS trusts in the UK, offering a wider range of
specialist services than any other.”
• 2 million patient contacts a year
• Serve a population of over 3 million
• Over 14,000 staff and 1,800 beds
• £1 billion turnover
• Five main sites, plus many community sites
• Major Trauma Centre with helipad at RVI
• Long history of clinical excellence:
- First child heart transplant in Europe (‘87)
- First single (‘87) & double lung (‘91)
transplant in Europe
• CQC “Outstanding” 2016 (only Shelford Trust)

3. @SustainableNUTH

4. 2011 2012 2013 2014 2015 2016 2017 2018
Our Sustainability Journey so far…

7. Sustainable Resource Use

8. Sustainable/Active Travel

9. Sustainable Procurement

10. Sustainable Models of Care
Oncology Homecare
– Patients assessed via telephone and receive treatment at
home instead of in hospital
– Patient waiting time reduced significantly
– Patient satisfaction increased
– Reduction in clinic and day unit congestion, freeing up
more time for care
– Winner of HSJ Award 2013

11. Outpatient & Home Parenteral Antibiotic Therapy (OHPAT)
• Clinical
– Almost 300 emergency admissions avoided
– Over 4,000 bed days saved
– Reduced risk of cross infection
– No adverse outcomes (i.e. MRSA/C.Diff/readmissions/line infections/deaths)
• Environmental
– Over 420 tonnes of CO2e/yr saved through inpatient admission avoidance
– Over 12,000 travel miles eliminated annually (almost 4 tonnes of CO2e/yr)
• Social
– Patient satisfaction: 100%
• Financial
– Over £150,000 saved (in avoided outpatient
tariff cost)
– Reduced cost of patient-related travel
Sustainable Models of Care
Highly Commended in
HSJ Awards 2014

12. Sustainable Models of Care
Haematology Extracorporeal Photopheresis
• Ward 33 (FH) and Bright Red bought two ECP machines for
bone marrow transplant patients at Freeman.
• This has saved c.20 immunocompromised patients a year
from travelling out of the region (250 mile round trip).
• Improved patient outcomes, patient satisfaction, reduced
patient travel cost and associated
carbon emissions.

13. Engaging People

14. Green Champions
“Our network of over 200 keen individuals,
from all wards and departments, helping to deliver the
key aims of our sustainable healthcare strategy”

15. Success so far…

17. James Dixon
0191 2821503
james.dixon@nuth.nhs.uk
@ecoboyatheart