ITEM
DESCRIPTION
PRESENTER
TIME
Guests arrive from 8:15am
Opening
1
Chair’s Welcome
Paul Klarenaar
8:30am
Adjunct Associate Professor Peter Shine
2
Acknowledgement of Country and Koomurri dancers
8:35am
Open and launch of the NSLHD Planetary Health Framework 2024-2027
Adjunct Professor Anthony Schembri AM
3
8:50am
Session 1 – Sustainable health policy and systems
Keynote – Shifting health systems to sustainability: how do we do it?
4
Associate Professor Angie Bone
8:55am
Australia’s first National Health and Climate Strategy
5
Georgia Behrens
9:15am
NSW Health’s climate risk response: what have we done and what’s next?
6
Dr Kate Charlesworth
9:25am
NSLHD Planetary Health Framework and carbon footprint
7
Nicola Groskops
9:30am
8
Paul Klarenaar
9:40am
Q&A
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Session 2 – Net Zero Leads Program
9
Dr Lyndal Tacon
10:00am
Diabetes waste: where can we start?
10
Dr Louise Hansell
10:10am
Fancy a leg massage?
11
Erin Foulsham
10:20am
Steel got it!
12
Dr Sophie Timmins
10:30am
BreathEco: greening respiratory healthcare
13
Professor Margaret Schnitzler
10:40am
Q&A
Morning tea break from 10:50am
Session 3 – Net Zero Leads Program
Dr Penny Hodges & Dr Andy Lindberg
14
11:05am
NO 2 N
2 O
Dr Carola Wittekind & Dr Mazhar Shabeena
Sustainable paediatric care: redefining MRI practices in children Pill-easing the planet: a solution for medication waste A satellite triage assessment service for patients with spinal pain - improving accessibility and reducing carbon emissions
15
11:15am
16
Deborah Barry & Sally Nicolson
11:25am
17
Trish Schlotfeldt
11:35am
18
Betty Bryan
11:45am
Q&A
Session 4 – Rapid fire presentations
Virtual Care: a green prescription for planetary health
19
Jerry Yu
11:55am
20
Jono Noyes
12:00pm
A (pro) active approach to sustainable travel
21
12:05pm
Driving towards the electric vehicle future at NSLHD James Sue
22
Anna Jamison
12:10pm
Supporting net zero – energy efficiency at NSLHD
Waste management, recycling and resource recovery at NSLHD
23
Ellen Hingston
12:15pm
24
Natasha Hendy
12:20pm
Organics… can we do more?
25
Jonathan Surjadi
12:25pm
Beyond price tags: navigating the triple bottom line
26
Paul Klarenaar
12:30pm
Close
Light lunch and networking from 12:30pm
Optional activity from 1pm
NatureFix ‘walkshop’ interactive tour at RNSH
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PRESENTER & PRESENTATION DETAILS
Chair’s Welcome
Paul Klarenaar Director Population & Planetary Health, NSLHD
In the decades prior to his current appointment, Paul has led the emergence of population health promotion approaches focusing on healthy built environments, active transport and the regulation of alcohol and tobacco. Paul’s appointments include Australian Health Promotion Association Board of Directors, Sydney University Adjunct Senior Lecturer, Menzies Centre for Health Policy, NSW Population Health Executive Council and NSW Healthy Planning Expert Advisory Committee.
Acknowledgement of Country and Koomurri dancers
Adjunct Associate Professor Peter Shine Executive Director Aboriginal & Torres Strait Islander Health & Workforce, NSLHD
Peter is a Gomeroi/Gadigal man from north-western NSW. He is currently the Executive Director of Aboriginal & Torres Strait Islander Health & Workforce at NSLHD.
First Nations cultural performers represent the east coast sunrise ceremonial people. Connecting the east coast nations, our performers are able to showcase a vast area of different songs, dances and styles, which makes us stand out from other groups.
Open and launch of the NSLHD Planetary Health Framework 2024-2027
Adjunct Professor Anthony Schembri AM Chief Executive, NSLHD
Anthony commenced in July 2023 the role of Chief Executive of NSLHD, after nearly 10 years as the CEO of the St Vincent’s Health Network Sydney. Anthony holds Board appointments to the North Foundation, Sydney Health Partners, Australian Healthcare and Hospitals Association and Kolling Institute, and adjunct professorial appointments with University of Technology Sydney, Macquarie University, Australian Catholic University and the University of Sydney.
Keynote – Shifting health systems to sustainability: how do we do it?
Associate Professor Angie Bone Monash Sustainable Development Institute, Associate Professor of Practice in Planetary Health Angie is a senior Public Health Physician originally from the UK with extensive experience in responding to
The consequences of the human epoch on natural systems and human health are increasingly plain to see. Health systems are part of the problem and part of the solution. Meeting the needs of all peoples now and in the future AND within the means of the planet requires transformative changes in mindsets, cultures, policy and practice. But just how do we shift the system?
the health effects of high impact weather, researching effective measures to reduce health risks and increase population and institutional health resilience, and promoting sustainability in all its forms. She brought this knowledge to her role as the former Deputy Chief Health Officer for Environment in Victoria. Angie is passionate about promoting optimal and equitable human health, without harming, and indeed restoring, the natural systems on which our health depends.
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Australia’s first National Health and Climate Strategy
Georgia Behrens Assistant Director National Health, Sustainability and Climate Unit, Australian Government Department of Health and Aged Care
This presentation will discuss Au stralia’s first National Health and Climate Strategy, published in December 2023. The Strategy outlines the Australian Government’s vision for healthy, climate - resilient communities and a sustainable, resilient, high quality, net zero health system.
Georgia is Assistant Director in the Australian Government’s National
Health, Sustainability and Climate Unit. She has worked in climate change and health in a variety of advocacy, research and policy roles. She trained and worked in clinical medicine, before completing an MSc Public Health at the London School of Hygiene and Tropical Medicine as a General Sir John Monash Scholar.
NSW Health’s climate risk response: what have we done and what’s next?
Dr Kate Charlesworth Medical Director Climate Risk & Net Zero Unit, NSW Health
NSW Health has a responsibility and opportunity to transition to a high quality, low carbon health service fit for the future. Kate will provide a brief overview of the key achievements and next steps for the Climate Risk & Net Zero Unit that she leads. NSLHD Planetary Health Framework and carbon footprint Building on the success of the first Planetary Health Framework 2021-2023, NSLHD are proud to launch the Planetary Health Framework 2024-2027. Nicola will provide a summary of the district’s baseline carbon footprint and pathway to net zero that has informed the new Framework, as well as extensive consultation with staff, partners and the local community. Diabetes waste: where can we start? Climate change and the global diabetes pandemic are intrinsically linked. The indirect effects of climate change contribute to the emergence of obesogenic living environments. Healthcare itself then contributes to carbon emissions and waste. In 2021, there were 1.3 million people living with diabetes in Australia, driving 11% of hospital admissions. Diabetes consumables are predominantly single-use and end up in landfill. An average person treated with insulin discards 75 plastic insulin pens per year. This project focussed on reducing pharmaceutical waste through selecting metal, reusable insulin pens rather than single-use plastic.
Kate is a public health physician with additional expertise and experience in climate change and health and decarbonising healthcare. She leads the Climate Risk & Net Zero Unit at NSW Health.
Nicola Groskops Manager Planetary Health, NSLHD
Nicola commenced as the Manager of Planetary Health, an inaugural position for NLSHD, in August 2022, having previously worked in healthy built environments for the district.
As a long-standing climate and health advocate, Nicola hopes to reduce the health impacts of climate change and support the creation of healthy and liveable carbon neutral cities and health systems.
Dr Lyndal Tacon Net Zero Lead, NSLHD Senior Staff Specialist Endocrinology, RNSH Clinical Senior Lecturer, The University of Sydney Northern Clinical School
Lyndal’s clinical practice encompasses general endocrinology. Her Net Zero Lead project has explored prescription of single-use, disposable insulin pens, under the broader goal of reducing pharmaceutical waste. Lyndal’s Ne t Zero Lead position has permitted collaboration with interstate colleagues and has led to the establishment of the Sustainability Interest Group within the Endocrine Society of Australia.
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Fancy a leg massage? Calf compressors are well reported by patients in ICU as glorified leg massagers, but have been long used to prevent venous thromboembolism. Current literature now suggests there is limited therapeutic effect associated with the use of calf compressors when used with chemical prophylaxis. There is concern that the use of calf compressors is contributing to the already high waste production associated with intensive care. Steel got it! RNSH Operating theatres currently uses 51,786 single use plastic holloware items per year. RNSH Operating Theatres is proposing a transition to reusable steel holloware to eliminate the need to procure single use plastic holloware and the associated costs with their handling and disposal. Converting to steel holloware will also reduce supply chain reliance on single use plastics. BreathEco: greening respiratory healthcare Sophie’s presentation will outline some of the key issues of providing low carbon footprint respiratory care, inhaled medications and their disposal. Sophie will discuss the three projects that she and Net Zero Respiratory Co-Leads, Mellissa Batger and Katrina Tonga, have commenced to try and tackle some of the issues locally.
Dr Louise Hansell Net Zero Lead, NSLHD
Senior Physiotherapist, RNSH Clinical Research Fellow and Research Officer, The University of Sydney
Louise is a Net Zero Lead and senior physiotherapist at RNSH, and also holds a clinical research fellowship and research officer role at The University of Sydney. Louise’s Net Zero Lead role has focused on projects to reduce waste associated with low-value care in intensive care, as well as reducing e- waste within the physiotherapy department.
Erin Foulsham Net Zero Lead, NSLHD Anaesthetic Clinical Nurse Educator, RNSH
Erin has been a CNE of Anaesthetics at RNSH for over 10 years. In recent years she has worked with theatres and Environmental Services to improve waste management and recycling in the theatre department. Erin is a member of the RNSH Waste Management Group and the RNSH Sustainability Committee.
Dr Sophie Timmins Net Zero Lead, NSLHD Respiratory and Sleep Physician, RNSH Sophie is a Respiratory and Sleep Physician based at RNSH. Airways disease management has always been
a key focus of Sophie’s clinical practice. Reducing the carbon footprint of her home and clinical practice has more recently become a passion.
Q&A
Professor Margaret Schnitzler Head, Northern Clinical School Deputy Head, Sydney Medical School Academic Director, Medicine/Dentistry Northern Precinct Faculty of Medicine and Health
Margaret is a colorectal surgeon who is Head of the Northern Clinical School, Deputy Head Sydney Medical School, Academic Director (Medicine/Dentistry) Northern Precinct and Academic Lead for Surgery at the Northern Clinical School. Margaret chairs the NSLHD Net Zero Clinical Group and the Sydney Medical School Professionalism committee, is one of the co-directors of the MD program for the Specialty of Surgery and is a member of the Sydney Medical School Sustainability Leadership group.
NO 2 N 2 O
Dr Penny Hodges & Dr Andy Lindberg Net Zero Leads, NSLHD VMO Anaesthetists, RNSH
Anaesthetic gases, especially nitrous oxide (N 2 O), are potent greenhouse gases. Nitrous oxide has a significant global warming potential and depletes the ozone layer.
Penny and Andy are anaesthetists who have become increasingly interested and passionate about sustainability.
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Given that anaesthesia has a relatively high carbon footprint compared to other parts of healthcare, they realise that sustainability efforts matter more at work than on the home front.
It has been demonstrated in Australian and international hospitals that a significant proportion of nitrous oxide purchased by the hospital leaks directly into the atmosphere from piped manifold systems serving no clinical purpose. “No 2 N 2 O” aims to redu ce the volume of leaks by identifying leaks and wastage and educating clinicians to reduce their clinical use of nitrous oxide. Sustainable paediatric care: redefining MRI practices in children Our initiative of reducing the use of general anaesthesia in Paediatric MRI blends patient safety with environmental sustainability, a step towards integrating eco consciousness with healthcare. This approach aims to inspire further innovations that lead healthcare into a greener, more sustainable future.
Dr Carola Wittekind Net Zero Lead, NSLHD
Senior Staff Specialist and Head Department of Paediatrics, RNSH & Dr Mazhar Shabeena Staff Specialist Paediatrics, RNSH and The Children ’ s Hospital at Westmead Carola is a member of Doctors for the Environment Australia and was Board Vice- President Children’s Healthcare Australasia (CHA) until 2023. Carola was instrumental in including ‘Advocating for a healthy sustainable future for children, families and the
planet’ as a priority in the CHA strategic plan, CHA joining the Global Green and Healthy Hospitals, and implementing the Sustainable Healthcare Series to support members sharing know-how, ideas and strategies to reduce their impact on the environment. Shabeena has a background in data analysis and visualisation including carbon footprinting and life cycle analysis.
Pill-easing the planet: a solution for medication waste Pharmaceuticals are found to contaminate our soils and waterways world-wide, leading to global health threats such as the development of anti-microbial resistance. The introduction of pharmaceutical waste bins across Hornsby Ku-ring-gai Hospital and then all of NSLHD will ensure pharmaceuticals are destroyed appropriately, preventing direct environmental contamination and providing a safer hospital setting for our patients.
Deborah Barry & Sally Nicolson Net Zero Leads, NSLHD Senior Clinical Pharmacists, Hornsby Ku-ring-gai Hospital Deborah has over 20 years’ experience in the hospital setting, where she has developed a keen belief that human and ecological health are interconnected and of equal worth. Deborah feels that “regeneration” now supersedes “sustainability” as our
primary goal for global human, ecological and planetary health.
Sally has two decades of experience in the health industry from around the globe. She believes that climate change is the great threat to the future of human health and preserving and restoring our environment is the greatest public health need. As we care for our patients, we can make small significant changes to reduce our climate impact.
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A satellite triage assessment service for patients with spinal pain – improving accessibility and reducing carbon emissions Offering a triage clinic for the 30% of patients that reside in the Central Coast Local Health District one day per month for a year demonstrated a saving of 700kgCO2e (67%) in transport related emissions and 172 hours (59%) in time saved if compared to these patients travelling to RNSH for the appointment.
Trish Schlotfeldt Net Zero Lead, NSLHD Spinal Pain Pathway Triage Physiotherapist, RNSH
Trish is the Spinal Pain Pathway Triage Physiotherapist at RNSH. She has worked as a clinician and educator in the public and private hospital sector both in Australia and South Africa.
Q&A
Elizabeth (Betty) Bryan Manager Service Improvement, RNSH
Betty is the RNSH Service Improvement Manager and works with clinical, administrative and executive staff from across the service to put evidence-based care into practice. Betty has experience in developing and executing state-wide, district and facility level improvement and implementation strategies, and is an accredited Accelerated Implementation Methodology (AIM) trainer.
Virtual Care: a green prescription for planetary health Explore how Virtual Care revolutionises healthcare, reducing environmental impact while enhancing patient access and outcomes, embodying a sustainable future for global health.
Chenyao (Jerry) Yu General Manager Virtual Care and Hospital in the Home Services, NSLHD
Jerry leads NSLHD’s Virtual Care and Hospital in the Home Services, excelling in innovation and strategic development for sustainable, meaningful healthcare improvements, guided by data and stakeholder engagement, and enhancing connected care through technology.
A (pro) active approach to sustainable travel A brief overview of current carbon emissions associated with NSLHD staff commutes, as well as current and potential future active and sustainable travel initiatives available to NSLHD staff.
Jono Noyes Manager Healthy Built Environments, NSLHD Commencing his career in local government, Jono shifted to Population Health Promotion 10 years ago where he has worked across various program
areas including school years, alcohol & tobacco, and social wellbeing. Jono currently manages the Healthy Built Environments program, which aims to ensure that the built environment has net-positive impact on the health of our population.
Driving towards the electric vehicle future at NSLHD An update on the whole of government strategy for electric vehicles, what this means for NSLHD, what has been achieved so far as well as some insight into the next steps.
James Sue Director Asset Management, NSLHD
James has over 14 years’ experience working within NSW Health as well as a Master of Public Health. James works with a range of teams in providing District-wide services, including Asset
and Capital Management, Clinical Technology Services, Fleet, and Environmental and Waste Support Services.
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Supporting net zero – energy efficiency at NSLHD NSLHD is harnessing clean, renewable power at a number of our sites, with an aim to improve energy efficiencies and to reduce the district’s overall carbon footprint. Explore NSLHD’s current energy efficiency projects, past achievements, and future plans for a greener, and more resilient future.
Anna Jamison Sustainability Projects Manager, NSLHD Anna commenced in her position in July 2023 with a passion for environmental sustainability and a Master of Health Service Management. Anna is
supporting environmental and financial sustainability initiatives across the district, with a focus on energy efficiency, fleet, waste and asset management.
Waste management, recycling and resource recovery at NSLHD Overview of the waste streams at NSLHD, with a particular focus on recycling and resource recovery; what kind of services are available and how to access them.
Ellen Hingston Environmental Services Support Manager, NSLHD Ellen has over 30 years’ experience in the health sector, a Master of Health Service Management and a certificate in Environmental Management and
Sustainability. Ellen and her team provide support to the site Environmental Services teams, and amongst other things, manage the Waste Management contract.
Organics… can we do more? RNSH has initiated organic waste segregation within our two kitchens. Our partners HealthShare and Zouki together with Veolia have enabled this seamless transition. Organic food waste is now going to off site to be made into fuel instead of landfill!
Natasha Hendy Corporate Services Manager SOFT FM, RNSH
Natasha has worked in Health for almost 20 years in many different roles. Currently she works for Corporate Services and is the RNSH Executive lead on Sustainability. Natasha enjoys challenging the reason why we do things and seeking better solutions. Waste initiatives are her focus across the site.
Beyond price tags: navigating the triple bottom line For every purchasing decision made, no matter how large or small, there is an impact other than the upfront financial outlay. Sustainable procurement involves balancing the different and sometimes competing priorities that occur across the three dimensions of people, planet and price.
Jonathan Surjadi A/Manager Contracts, Commercial and Procurement, NSLHD Jonathan is the Procurement, Contracts and Commercial Manager at NSLHD. Jonathan’s career interests are social and sustainable procurement as he
believes that the government’s purchasing power can become a unique driver for bringing about positive change in society.
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