Academy of Medicine Royal Colleges. Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care. AMRC, Nov 2014
“The Academy’s report into how the NHS can achieve better value in care and cost through ensuring that resources in clinical care are used appropriately and unnecessary interventions which do not add value for patients are avoided.”
- Doctors should embrace the values of resource stewardship in their clinical practice and use the waste reduction toolkit provided in this report to maximise the value of every intervention.
- Medical Royal Colleges and specialist societies should establish mechanisms to identify the areas of waste within their specialty and provide leadership in tackling them using tools such as: a. The NICE ‘do not do’ recommendation database b. A ‘Choosing Wisely’ list of low-value interventions for their specialty
- Local Education and Training Boards, deaneries and medical schools should support the development of clinical and leadership skills for high value care, see Box on page 17.
- NHS organisations across the UK should provide doctors with the appropriate time and support to review their clinical practice to find areas where they can reduce wasted resource.
- Health Commissioners should encourage the reduction of waste in clinical processes.
- Public health authorities across the UK should create and support initiatives that reduce wasted resource in clinical settings.
- All those working in health should take steps to increase their understanding of the carbon costs of health care activities.” (page 8)
Royal College of Physicians. Less waste, more health: a health professional's guide to reducing waste. RCP, April 2018.
From the website:
The Less waste, more health report explains how health professionals can positively influence societal health and wellbeing by making simple changes to the procurement and disposal of medical supplies.
In England, there are 165 hospital trusts with a combined expenditure of over £4.6 billion per annum on medical supplies and other consumables. What we use and how we dispose of it has an impact not only on the finances of the NHS but the environment and population health.
Less waste, more health features a range of case studies and 12 recommendations setting out how everyone from individual to trust level can:
- positively influence the health of patients
- aid financial savings
- shape the impact of the NHS on the environment.