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Let’s Not Waste

Let’s Not Waste is a pioneering programme to support waste reduction and decarbonisation in the Welsh health and care sector.

Join the network for exclusive access to Professor Don Berwick’s masterclass on reducing waste!

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Background and context

How can we minimise waste in all its forms across the health and social care sector?

The health and social care system in Wales is facing unprecedented challenges in the wake of the Covid-19 pandemic, a cost-of-living crisis and the global climate emergency. In response, we must develop innovative ways to use all available resources more efficiently.  Reducing waste is a central aspect of the Welsh Government’s Decarbonisation Plan to achieve a net zero public sector by 2030.

 

About the ‘Let’s Not Waste’ Programme

This programme will focus upon three main aspects to help secure the necessary changes including:

  • Reduce – products and services that are not essential
  • Reuse – tools, equipment, and other resources
  • Recycle – wherever possible to reduce waste and minimise the carbon footprint

The programme will be evolutionary and iterative to ensure we are sharing existing good practices and building upon innovative ideas as they evolve. It will provide a focus and concerted effort to engage people within their workplaces and communities, in achieving demonstrable reductions in waste. It will also create a network of working groups in Wales and draw on the innovative ideas of Bevan Exemplars, to catalyse a wider movement for change across health and care systems and services.

The programme will run from September 2022 to September 2024.

Join the LNW network to reduce waste in health and care to receive support and resources!

Want to fight waste in health and care? With challenges from pandemic recovery, economic pressures, and the climate crisis, it’s crucial we use resources wisely. The Bevan Commission’s Let’s Not Waste network is your chance to make a real difference.

Why Join?
  • Gain support, resources, and networking opportunities from the Bevan Commission.
  • Share and learn best practices.
  • Collaborate on innovative solutions.
Ready to make an impact? Sign the pledge and be part of the change. 
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Reducing Waste in Health and Care Masterclass; Insights from Senior Leadership

| 2024, Bevan Commission Publications, Waste | No Comments
This report presents insights from the "Reducing Waste in Health and Care Masterclass," led by…

Measuring Waste in Healthcare: Guidelines to baselines and indicators

| 2024, Bevan Commission Publications, Waste | No Comments
This document serves as a broad summary workflow designed to assist management at all levels,…

Unpacking Waste Data in Healthcare – the Case for Wales

| 2024, Bevan Commission Publications, Waste | No Comments
This report presents an overview of the data gaps identified within the healthcare sector in…

Let’s Not Waste All-Wales Compendium Case Study

| 2024, Bevan Commission Publications, Waste | No Comments
As part of the Let’s Not Waste programme, the Bevan Commission has brought together a…

Flash Report: Don Berwick’s Waste Reduction Masterclass

| 2024, Bevan Commission Publications, Waste | No Comments
On 8th we convened with health and care leaders for a waste reduction masterclass with…

What a Waste!

| 2023, Bevan Commission Publications, Waste | No Comments
Author: The Bevan Commission Published: May 30, 2023 Executive Summary Dealing with the issue of…

Case Studies

All-Wales Case Studies

 

As part of the Let’s Not Waste programme, the Bevan Commission has brought together a range of tried and tested examples of how to reduce waste across health and care in Wales. These case studies provide a useful resource for others to learn from, adapt and apply to different local contexts. The adoption and spread of these innovative examples of practice will be critical to help ensure we reduce waste in all its forms across health and care in Wales. We must all work together to ensure we have a sustainable health and care system that is fit for the future – our future.

All-Wales Case Studies

International Case Studies

 

Below you will find a selection of case studies demonstrating successful waste reduction initiatives in health and social care across the UK.

We will soon be publishing a comprehensive compendium of waste reduction case studies from across Wales.  Sign up to our monthly bulletin to be kept up to date.

If you would like to submit a case study to this resource bank please e-mail Bevan-Lets-Not-Waste@swansea.ac.uk

Survey finds nurse managers waste hours a day on admin and bureaucracy

| International Let's Not Waste Case Studies | No Comments
NHS managers said they spend seven to eight hours a day on admin. A survey…

Sharpsmart: Business Review

| International Let's Not Waste Case Studies | No Comments
Sharpsmart is innovating clinical waste management to reduce unnecessary wastage. See the difference they have…

SusQI project report: Back to the Future: Bringing back “old practices” for a sustainable future.

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Aims: Aim 1 for Inguinal hernia repair (IHR) project: • To convert as many IHR…

Improving lung health and the environment at Kirkholt Medical Centre, Rochdale

| International Let's Not Waste Case Studies | No Comments
Asthma is the most common respiratory condition in the UK, and Asthma + Lung UK…

Improving health outcomes for respiratory patients while reducing carbon emissions

| International Let's Not Waste Case Studies | No Comments
Inhalers are a key treatment for respiratory conditions, with approximately 60 million dispensed in England…

Putting anaesthetic-generated emissions to bed

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Across the NHS, anaesthetic gases are commonly used as a part of everyday surgeries. These…

Green transport delivers life-saving drugs and improves patient experience

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Around 4% (9.5 billion miles) of all road travel in England relates to the NHS,…

Boosting healthy and sustainable travel in Manchester

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In 2018, one of the largest acute trusts in the UK formed when two NHS…

Zooming into a greener future: The case for a zero-emissions courier services

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From sample collections for testing to patient record transfers and transporting medicines, the NHS relies…

Pedal power for cleaner healthcare delivery

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Nationally, the NHS fleet and business travel account for around 4% of the NHS Carbon…

Harnessing solar power at Hull University Teaching Hospitals NHS Trust

| International Let's Not Waste Case Studies | No Comments
Hull University Teaching Hospitals NHS Trust set itself an ambitious target to be net zero…

Electric vehicles drive down carbon emissions in and around Greater Manchester

| International Let's Not Waste Case Studies | No Comments
Outdoor air pollution is responsible for between 28,000 and 36,000 deaths in the UK every…

Solar power sparks an electrical future for Milton Keynes University Hospital

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Milton Keynes University Hospital (MKUH) opened in 1984 and most of the estate is now…

Drone deliveries of vital chemotherapy to the Isle of Wight

| International Let's Not Waste Case Studies | No Comments
People with cancer on the Isle of Wight are dependent on mainland providers for an…

Inhaler App – Supporting the ABUHB Decarbonisation Agenda with Technology

| International Let's Not Waste Case Studies | No Comments
Using the All-Wales Asthma & COPD guidelines and key elements of the ABUHB Decarbonisation strategy,…

Your Medicines Your Health (YMYH)

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YMYH supports the Welsh population to get the maximum benefit from their medication. To ensure…

NHS organisations cut desflurane in drive for greener surgery

| International Let's Not Waste Case Studies | No Comments
Widely used in everyday surgeries, anaesthetic and medical gases are responsible for around 2% of…

University Hospitals Birmingham: A world first in carbon net zero surgery

| International Let's Not Waste Case Studies | No Comments
Operating theatres are an important focus in carbon reduction: they account for as much as…

Reducing unnecessary cannulation at Charing Cross Hospital

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The emergency departments at St Mary’s Hospital and Charing Cross Hospital, both part of Imperial…

The gloves are off campaign: reducing unnecessary non-sterile glove use

| International Let's Not Waste Case Studies | No Comments
Overuse of non-sterile gloves have been seen to increase transmission of pathogens, cross contamination, and…

Reduction of wastage of linen and consumables in the Intensive Care Unit (ICU) 2020

| International Let's Not Waste Case Studies | No Comments
This project aimed to reduce the waste of linen and consumables in the ICU.

Towards a Circular Economy in NHS Wales – Mobility Equipment Repair and Reconditioning

| International Let's Not Waste Case Studies | No Comments
Across Wales, there are approximately 60,000 individuals who are served by the Artificial Limb &…

Reducing plastic bag usage in Bronglais Hospital Pharmacy Department

| International Let's Not Waste Case Studies | No Comments
This project reviewed the method for transporting medications to patients on the wards from the…

Reducing disposable bag use within the Pharmacy Department at Gloucestershire Hospitals NHS Foundation Trust

| International Let's Not Waste Case Studies | No Comments
Aims: • To reduce the number of bags used for inpatient supplies by >80%. •…

Preventing Food Waste in the Healthcare Sector

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The real cost of food waste The total cost of food waste to the healthcare…

Introduction of reusable coffee cups and food containers at Royal Cornwall Hospital

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Aim: Introduce and promote the use of re-usable cups and take away boxes in replacement…

A greener Hub – a more sustainable vision for medical education within the undergraduate Hub

| International Let's Not Waste Case Studies | No Comments
Project Aims: 1. Reduce the impact of our self-directed practice (SDP) rooms across the triple…

Cost savings and waste reduction through sustainable procurement

| International Let's Not Waste Case Studies | No Comments
In 2018, Hywel Dda University Health Board began exploring ways to save money and resources,…

Reducing the consumption of unnecessary blood samples and idle equipment, haematology lab team

| International Let's Not Waste Case Studies | No Comments
An initiative to make blood sampling more sustainable and less wasteful.

Reducing the carbon footprint of the rehabilitation engineering unit workshop

| International Let's Not Waste Case Studies | No Comments
An initiative in Wales to identify more sustainable material usage in a rehabilitation engineering unit…

Glucose testing SUSQI project report

| International Let's Not Waste Case Studies | No Comments
A project reducing the carbon footprint of blood tests.

Assessing piped nitrous oxide clinical use, wastage and environmental impact

| International Let's Not Waste Case Studies | No Comments
A project reducing unnecessary waste in Nitrous Oxide usage.

Changing from single use plastic to reusable metal specula

| International Let's Not Waste Case Studies | No Comments
An initiative reducing resource waste by swapping disposable specula for reusable ones.

Food Waste Recycling

| International Let's Not Waste Case Studies | No Comments
A Gloucestershire-based initiative to identify and reduce inappropriate food waste in hospital settings.

Diverting nappy/incontinence waste from deep landfill

| International Let's Not Waste Case Studies | No Comments
A project in Hywel Dda University Health Board that redirected nappy waste away from landfills…

Greener PPE: How we reduced PPE successfully!

| International Let's Not Waste Case Studies | No Comments
A project significantly reducing PPE in Northampton General Hospital.

Eliminate Duplicate Letters Sent To GP Surgeries – Endoscopy Team, 2019

| International Let's Not Waste Case Studies | No Comments
A project that stopped sending paper copies of endoscopy reports to GP surgeries in Tower…

Collaborative report of paper lite and contrast recycling projects, Endoscopy team

| International Let's Not Waste Case Studies | No Comments
A team project at Swansea Bay University Health Board in which endoscopy units significantly reduced…

Reducing paper usage in the Research and Innovation Team

| International Let's Not Waste Case Studies | No Comments
A project which significantly reduced printing in the Research and Development team of Northampton General…

VR and AI technologies enable patients to shape their own cancer treatment

| Bevan Exemplar Cohort 3 Projects, International Let's Not Waste Case Studies | No Comments
Case Study Velindre Cancer Centre Velindre Cancer Centre’s Bevan Exemplar project is pioneering new ways…

Improving the counselling and delivery of postnatal contraception

| Bevan Exemplar Cohort 6 Projects, International Let's Not Waste Case Studies | No Comments
Anu Ajakaiye, Noreen Haque, Maria Kaloudi and Ruth Roberts Betsi Cadwaladr University Health Board Background:…

WIIN: WAST Improvement and Innovation Network Portal

| Bevan Exemplar Cohort 5 Projects, International Let's Not Waste Case Studies | No Comments
Jacqui Jones, Andeep Chohan and Jonathan Turnbull Ross Welsh Ambulance Services NHS Trust Background: Following…

Patient education: Consent for blood transfusion

| Bevan Exemplar Cohort 5 Projects, International Let's Not Waste Case Studies | No Comments
Joanne Gregory and Stephanie Ditcham Velindre University NHS Trust with WeAreQR and Vale People First This Bevan…

Triage with Tele (TWT): early brief intervention for children’s physiotherapy

| Bevan Exemplar Cohort 5 Projects, International Let's Not Waste Case Studies | No Comments
Sarah Roberts Aneurin Bevan University Health Board Background: Variations in gait (walking pattern), foot posture…

Using Health Psychology to Improve Adherence with Medicines

| Bevan Exemplar Cohort 1 Projects, International Let's Not Waste Case Studies | No Comments
Martin Davies (CTUHB), Emma Williams (CTUHB) and Anne Hinchliffe (PHW) Cwm Taf University Health Board…

Launch Webinar

 

On 19 April 2023, we were delighted to be joined by 220 health and care professionals from across Wales to launch this programme. We were joined by some fantastic speakers including Health Minister Eluned Morgan, Professor Sir Don Berwick, Professor Sir Andy Haines and Richard Smith. Please see these speakers’ presentations below.

Watch the launch webinar