091 SHC - the Sustainable Healthcare Coalition - Fiona Adshead, Keith Moore and Nathalie Preiswerk
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About this listen
- Fiona — Chair, Sustainable Healthcare Coalition (SHC)
- Keith Moore — Programme Coordinator, SHC
- Natalie — Community of Practice Moderator, SHC
- SHC origin & mission: From a UK roundtable (2011) to a global, not-for-profit platform bridging health systems and industry on sustainability.
- Why scope 3 is the big lever: Pharma and med-tech footprints, and how collaborative forums beat procurement-only dialogues.
- Three universal priorities for greener care:
- Shift care closer to the patient,
- Use digital tools to empower patients and providers,
- Double down on prevention.
- Prevention in practice: Partnering with people, designing prevention into systems (e.g., vaccination, slowing CKD progression), and supporting self-management (e.g., smart inhalers).
- Care pathways vs. clinical trials: Why trials deserve their own framework (CROs, labs, regulators, logistics) even if they mirror care pathways.
- Where trial emissions often sit: Participant travel, site/monitor travel, labs, and investigational product logistics—plus the promise (and limits) of decentralization.
- Start here: Assess your own trial portfolio and therapeutic areas—hotspots and best levers vary with the carbon intensity of the product/API and trial design.
- Hope, pragmatism & momentum: System optimization saves costs and resources and cuts CO₂e—progress doesn’t have to feel like sacrifice.
- Systems thinking wins: Cross-sector collaboration is essential; no single stakeholder can decarbonize healthcare alone.
- Measure to move: Practical calculators and worked examples help teams find hotspots and act fast.
- Prevention is premium care: The most sustainable pathway is the one where patients don’t get sick—but it requires genuine partnership with people.
- “The most sustainable patient journey is the one where the patient never gets sick.”
- “Clinical trials are like care pathways with extra moving parts—CROs, labs, ethics, regulators—so they need their own rulebook.”
- “Even if climate isn’t your prime driver, system optimization cuts waste and saves money—why wouldn’t you do it?”
- SHC COP Conference (London, 4 Nov 2025): shcoalition.org/cop-conference/
- Sustainable Healthcare Coalition (main site): shcoalition.org
- LinkedIn Group – Sustainable Clinical Trials: Community of Practice: linkedin.com/groups/13149469/
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