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GHG Accounting
Approaches for
Healthcare
Products &
Pathways
17th February 2015
Tom Penny ([email protected])
The world’s leading sustainability consultancy
Coalition for Sustainable Pharmaceuticals and Medical Devices
Aim
■ To enable the transition to more sustainable healthcare products and services internationally through
promoting best practise and developing sustainability tools and guidelines related to pharmaceuticals
and medical devices.
Objectives
■ Acting as the convenor of expertise related to sustainable pharmaceuticals and medicals devices and
disseminate best practise throughout the healthcare system globally.
■ Developing tools and guidelines to support global
healthcare in achieving more sustainable healthcare
products and services through a holistic life cycle
sustainability approach.
■ Monitoring and updating existing tools and guidelines
developed by the coalition to ensure their applicability
(eg carbon footprint guidance).
Administration
■ SDU acts as secretariat
■ Meetings every six months
■ www.sduhealth.org.uk/cspm
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The world’s leading sustainability consultancy
GHG Accounting of Healthcare Products
GHG guidance document
■ Drafted GHG sector guidance for pharmaceuticals and medical devices
to allow for more simple and consistent quantification of carbon footprint
of healthcare products.
■ Modular approach to product life cycle
(eg chapters for appraising API manufacture,
packaging, distribution, etc).
■ Reviewed by WRI and ‘Built on GHG Protocol’
approved.
■ Freely available on GHG Protocol and SDU
website.
Top prescription items
■ Identify likely highest GHG intensity
prescription items to NHS carbon footprint.
■ Contact suppliers to provide GHG
information to update NHS footprint.
■ Aim to reduce footprint of NHS over time.
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The world’s leading sustainability consultancy
GHG Accounting of Healthcare Pathways
Sustainable Care Pathways Project
■ Develop freely available guidance allowing interested parties to investigate and understand the
sustainability aspects of healthcare pathways globally; and
■ Enable sustainability considerations to be more easily taken into account in a transforming global
healthcare system.
Guidance Document
■ General information on how to appraise care pathways
■ Care pathways broken into modules (expandable over time)
GP
Consultation
Patient Travel
Emergency
Department
Visit
Inpatient /
Bed Day
Surgical
Procedure
Condition
Self
Management
■ Detailed guidance on modules and provide information for combining modules into care pathway
■ Each module includes definitions, activities, flow diagram, reference unit, example data and
calculations
■ Example calculations to appraise sustainability metrics (more to be added over time)
GHGs
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Water
Waste
■ Example case study to be included (diabetes with more added over time)
The world’s leading sustainability consultancy
Example Module: GP Consultation
Description: A GP consultation is a patient attending a face to face consultation by a General Practitioner,
delivered in a General Practice.
Unit of Analysis: A patient of defined age group, with a specific condition, attending a GP consultation at a
general practice in a geographical area.
Calculation steps: How to calculate
impacts for specific scenario.
Activity Data: Generic data collected
from Trusts.
Emission Factors: Sourced from
GHG Protocol, ecoinvent, ELCD,
US LCI, Defra/DECC, ICE, etc.
Metrics: estimates of GHG, water
& waste for a generic GP consultation.
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Priority Areas: Identifying hotspots &
activities to improve sustainability.
The world’s leading sustainability consultancy
Sustainable Care Pathways Project
Mapping a Care Pathway
■ Develop flow diagram and identify modules that make up the pathway.
■ Collect and model data for significant modules using guidance.
■ Use module sustainability estimates for non-significant modules and for screening.
GP visit
x1
In
patient
x1
Surgery
x1
Hospital
bed day
x3
Out
patient
x1
Care
pathway
■ Important to note document is dynamic – further modules, metrics and case studies to be added
over time.
Progress
■ CSPM initiated project in December 2014
■ Workshops held with technical experts to define and scope modules
■ Completing first draft of guidance
■ Data collection to start imminently
■ Project completion aim for May 2015
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The world’s leading sustainability consultancy