LAUSR

In October 2020, the NHS committed to become the world's first carbon net-zero National Health Service by 2045. The aim of the study was to see what is Surgeon's role towards sustainability. To review the Sustainable NHS with target of Net zero NHS proposal and analyse the changes being implemented at national and regional level. To assess how the surgical practice needs to contribute. Operating theatres contribute 30% of hospitals carbon footprint as the NHS contributes to nearly 5% of the country's carbon emissions. Exhaled anaesthetic gases are major contributors to the greenhouse effect and account for 5% of NHS foot print. Switch to more renewable sources of energy, to LED lights will offset some of that as will local products in the Supply chains. In theatres abandoning the use of single use plastics and switching to reusable instruments, as well as water free hand washes will help. Blue-zone technologies’ that capture, reclaim and purify halogenated agents should become a standard practice. Record of daily theatre waste is not being recorded. Optimal use of video technology for remote clinics and providing diagnostics and some interventions at non hospital sites will decrease patients need to travel and their carbon footprint. There is need to accelerate awareness and encourage surgical care groups to change practice. Green sustainable theatres have to be standard in all new builds. Specialty specific, theatre waste analysis reports need to be presented in Monthly audits. 1. https://www.gov.uk/government/news/uk-health-services-make-landmark-pledge-to-achieve-net-zero