{"id":27442,"date":"2013-07-01T15:20:18","date_gmt":"2013-07-01T14:20:18","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=27442"},"modified":"2014-09-15T15:48:07","modified_gmt":"2014-09-15T14:48:07","slug":"rachel-stancliffe-and-mahmood-bhutta-should-doctors-lead-on-sustainability","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2013\/07\/01\/rachel-stancliffe-and-mahmood-bhutta-should-doctors-lead-on-sustainability\/","title":{"rendered":"Rachel Stancliffe and Mahmood Bhutta: Should doctors lead on sustainability?"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/07\/01\/rachel-stancliffe-and-mahmood-bhutta-should-doctors-lead-on-sustainability\/csh_and_mfetg_logos\/\" rel=\"attachment wp-att-27481\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-27481\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2013\/07\/CSH_and_MFETG_logos.jpg\" alt=\"CSH_and_MFETG_logos\" width=\"500\" height=\"150\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><em>Welcome to <a href=\"https:\/\/blogs.bmj.com\/bmj\/category\/sustainable-healthcare-series\/\">a new series of blogs on sustainable healthcare<\/a> that will look at health, sustainability and the interplay between the two. The blog will share ideas from experts across the healthcare field, some of whom are speaking at a major European conference looking at Pathways to Sustainable Healthcare in September 2013.\u00a0 More about the conference can be seen at <a href=\"http:\/\/www.cleanmedeurope.org\/\">www.cleanmedeurope.org<\/a>.<\/em><\/p>\n<p>The GMC\u2019s Good Medical Practice states that: \u201cGood doctors make the care of their patients their first concern.\u201d This is of course a laudable principle, and good doctors strive to ensure that patients are seen in a timely manner, that they are treated by appropriately trained staff, and that systems of clinical governance are in place to enable improvement. Yet we all know that we work within constraints, with these most commonly relating to financial or logistical constraints on service provision. However the evidence now makes it clear that those constraints should also include consideration of the wider impact of healthcare provision on the global need to care for the environment and to protect labour rights. \u00a0<!--more--><\/p>\n<p>The natural reaction to such a suggestion for many doctors is to say that this is someone else\u2019s concern, or that they don\u2019t have time for this: \u201cDoctors should concentrate on saving lives and not saving the planet.\u201d However climate change is already affecting human health and a growing number of doctors realise that we need to address this in our clinical practice and make it a normal part of the way that we provide good care. As Dr Donal O\u2019Donoghue, former National Clinical Director for Kidney Care put it: \u201cSustainability is the seventh dimension of quality.\u201d<\/p>\n<p>Moreover, the NHS as an organisation sees this as a major issue. Five years ago it set up the <a href=\"http:\/\/www.sdu.nhs.uk\/\">Sustainable Development Unit<\/a> to look at ways to reduce NHS carbon emissions by 80% by 2050, which complies with the requirements of the Climate Act 2008 that the UK Government has signed up to. Meanwhile, <a href=\"http:\/\/bma.org.uk\/news-views-analysis\/in-depth-fair-medical-trade\">the BMA Medical Fair and Ethical Trade Group<\/a> has been looking at ethical issues within the supply chain to try and ensure that <a href=\"http:\/\/www.youtube.com\/watch?v=iJ_vvac2tyE&amp;feature=youtu.be\">no harm is done to those who make the products that we use in our everyday work life<\/a>.<\/p>\n<p>So how does this affect doctors? There is often such a disconnect between our day-to-day working and the global view of healthcare provision. What difference can we as individuals make? Quite a bit, we would argue, not least because we are seen as ambassadors for change. Over the coming weeks, clinicians and experts on sustainable healthcare will discuss what that might mean in practice, and how we as doctors and other healthcare professionals can engage.<\/p>\n<p>We are motivated by the understanding that there is a really crucial interplay between health, the environment, and labour conditions. If we understand this interplay, and act on our knowledge in a scientific way, we can use this to help us solve some of the greatest problems of our time: climate change, social inequality, and a healthcare system which is near breaking point for many reasons.<\/p>\n<p>We hope these blogs will inform, provoke and ultimately inspire you to understand the urgency required and benefits accrued to a system of healthcare that engages fully with its environmental and ethical aspects.<\/p>\n<p><em><strong>Rachel Stancliffe <\/strong>is the founder and director of the <a href=\"http:\/\/www.sustainablehealthcare.org.uk\">Centre for Sustainable Healthcare.<\/a> She is co-hosting the CleanMed Europe conference in Oxford from 17 to 19 September.<\/em><\/p>\n<p><em><strong>Mahmood Bhutta <\/strong>is a founding member of the BMA Medical Fair and Ethical Trade Group, a registrar in ENT Surgery, Oxford University Hospitals, and a research fellow, University of Oxford. He will be speaking at the conference on Ethical &amp; Fair Medical Procurement.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Welcome to a new series of blogs on sustainable healthcare that will look at health, sustainability and the interplay between the two. The blog will share ideas from experts [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/07\/01\/rachel-stancliffe-and-mahmood-bhutta-should-doctors-lead-on-sustainability\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-27442","post","type-post","status-publish","format-standard","hentry","category-climate-change"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rachel Stancliffe and Mahmood Bhutta: Should doctors lead on sustainability? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2013\/07\/01\/rachel-stancliffe-and-mahmood-bhutta-should-doctors-lead-on-sustainability\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rachel Stancliffe and Mahmood Bhutta: Should doctors lead on sustainability? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Welcome to a new series of blogs on sustainable healthcare that will look at health, sustainability and the interplay between the two. 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