My name is Alice Seymour; I am at the University of Bristol studying medicine in third year. I have just started my clinical years on the wards, finally talking to patients, and feel that as students we are the key change in the NHS. Although I do not know much about global health and climate change at the moment I am very keen to learn and hope that I will be able to assist the Bristol NHS in taking steps towards a more sustainable future, when my peers and I will be working within the NHS.
From the training weekend I have learnt:
· About the wide range of opportunities available for us as programme directors to get involved with. I am now aware of both the managerial route of action and the clinical route and how best to put my skills and interests to use throughout this programme.
· The effectiveness of long and hard ‘grunt work’ over shouting at a problem and that sometimes for a little benefit a lot of behind the scenes action takes place. We should learn to ‘change with the system rather than shout at the system’.
· The importance of reframing issues, by putting them into context, so as to create the largest impact on your chosen audience. Bring solutions and advantages to people not problems.
· A lot more about climate change and global health in general, in particular the health co-benefits and the significant proportion of the NHS carbon footprint created by procurement.
· Lastly i have become aware of all the current organisations and groups currently acting to educate others about climate change and encourage people and industries to become sustainable and reduce carbon emissions.
Over the next 8 months i am looking forward to:
· Developing my knowledge on climate change, global health and the NHS through self directed learning and talking to other programme directors, Mustafa, David and Frances.
· Working with other programme directors and finding like-minded individuals in Bristol.
· Creating international links.
· Getting stuck in to helping the NHS become more sustainable.
Motivation
· I am interested in setting up a network, of students at the University of Bristol and the University of West of England and staff within various hospitals within the Bristol NHS trust, to make people aware of the issues and provide education on how to tackle climate change at a local level. I also hope that through the network there will be the possibility of continuing the programme after the 8 months.
· Self directed learning and education is important to me. I would like to understand climate change and global health in greater detail so I can confidently talk to; others within the field, people who wish to learn more about sustainability and cynics who do not think we can make a valuable difference. I also hope to learn how to be sustainable at home and within a hospital ward.
· I want to create a tangible case study of the whole 8 months in the hope that it can be used and adapted by other NHS trusts across the country. They will be able to see what works and what does not work at Bristol and compare this to their own trusts.
· I am interested in creating an international link with Kenya. I visited Kisumu, western Kenya in Aug 09, and saw firsthand the health services available and the problems faced in particular by orphans and vulnerable children. I would like to contact a medical student through KOP (the Kenyan Orphan Project) whom i am a volunteer for and see if anyone is interested in learning more about climate change and global health or setting up a similar programme in the future. If i am not able to find anyone in Kenya i would be interested in looking at another country for an international link.
Specific involvement
I want to get involved with the clinical pathway Dr Frances showed us. I am particularly interested in either mental health (my placement for summer term) or oncology. I would like to see if there are any similar 10:10 programmes in action and either monitor the progress, assist in the initiation or assess the outcomes of these programmes. The reason i would like to focus on mental health or oncology is that they are two areas in which i am considering specialising in the future although I am happy to focus on another speciality if needed.
I plan to look into travel or waste management auditing and the possibility to assess or create a GP carbon footprint tool (i am aware that one GP surgery in Bristol has signed up to the 10:10 pledge).
Plan so far
Within the next week I hope to contact David and Frances and see their thoughts on how I should begin my 8 months and my overall aims for the programme. Complete self directed learning and look into creating a network of students and NHS staff.
Over the next 14 days I will create a letter to send to the clinical and medical director of the Bristol NHS trust and within the next month I will attempt to create an international link and interview someone within the Bristol NHS trust. I will continue to develop my own education on climate change and global health and communicate with the other programme directors to discuss the methods which have worked and ideas which have not worked so well.
Friday, 30 April 2010
Wednesday, 28 April 2010
The first blog...of many
My name is Philippa and I'm currently a third year medical student at Sheffield University. I intercalated last year at Leeds University in an International Health Bsc.
I chose to apply for this programme for a number of reasons. Firstly, I feel a social responsibility to my own and future generations to work towards a more sustainable way of living. Furthermore, as a future employee of the NHS I would like their evidence-based ideals to encompass the proven effects of climate change on health, and the need for carbon reduction and sustainable development. Another major factor that motivates me is the opportunity to greatly expand my knowledge and understanding of the ecological, political and economic aspects of climate change.
I learnt a great deal from the training weekend. I realised that our programmes are going to be hugely diverse, depending upon the trust's response as well as our own personal interests. A crucial point I will take home with me is the need to stress that carbon reduction strategies within the NHS do not mean compromising on patient care but rather aim to further improve the quality of the service. The evident enthusiasm for change, held by everyone there, was great to witness and be part of, and I am really looking forward to the future contact we have together.
As a medical student I feel that I am more fitted to working within the clinical aspects of this programme because of past practical experience within the clinical setting. Programme transformations such as the nephrology example given by Frances, have great power to motivate others, and to be used as positive examples of successful carbon reduction strategies in terms of both financial and quality of service benefits. I am also interested in engaging health professionals into the 10:10 agreements. However, I am equally aware of the importance of 'top-down' changes in policy if we are to achieve long-term and significant carbon reduction restructuring.
I am still undecided as to which particular approach will be my focus, or whether I could effectively use aspects of both policy and clinical practice approaches. Within the clinical setting I am interested in the development of a G.P. 10:10 tool and engaging G.P.s with this. For the next 7 weeks I am on a G.P. Placement and so can use this to gage their interest and current progress in the matter. If a transformation programme appears to be a viable option within Sheffield, I would be interested in its application to mental health. Regarding the managerial and policy approach, I am particularly interested to look into the food and catering aspect of the trust's procurement carbon footprint and see whether this could be, or is planned to be part of the trust's own carbon reduction strategy.
So my plan for the next 2 weeks is:
· Contact David Pencheon about the meeting he is holding with the Sheffield G.P.s in the near future and hopefully attend this. Also ask if he knows who is responsible for food procurement in Sheffield NHS.
· Contact Francis to let her know I'm interested in preparing and piloting a GP 10:10 tool
· Get in touch with other interested students in Sheffield to form a working team
I chose to apply for this programme for a number of reasons. Firstly, I feel a social responsibility to my own and future generations to work towards a more sustainable way of living. Furthermore, as a future employee of the NHS I would like their evidence-based ideals to encompass the proven effects of climate change on health, and the need for carbon reduction and sustainable development. Another major factor that motivates me is the opportunity to greatly expand my knowledge and understanding of the ecological, political and economic aspects of climate change.
I learnt a great deal from the training weekend. I realised that our programmes are going to be hugely diverse, depending upon the trust's response as well as our own personal interests. A crucial point I will take home with me is the need to stress that carbon reduction strategies within the NHS do not mean compromising on patient care but rather aim to further improve the quality of the service. The evident enthusiasm for change, held by everyone there, was great to witness and be part of, and I am really looking forward to the future contact we have together.
As a medical student I feel that I am more fitted to working within the clinical aspects of this programme because of past practical experience within the clinical setting. Programme transformations such as the nephrology example given by Frances, have great power to motivate others, and to be used as positive examples of successful carbon reduction strategies in terms of both financial and quality of service benefits. I am also interested in engaging health professionals into the 10:10 agreements. However, I am equally aware of the importance of 'top-down' changes in policy if we are to achieve long-term and significant carbon reduction restructuring.
I am still undecided as to which particular approach will be my focus, or whether I could effectively use aspects of both policy and clinical practice approaches. Within the clinical setting I am interested in the development of a G.P. 10:10 tool and engaging G.P.s with this. For the next 7 weeks I am on a G.P. Placement and so can use this to gage their interest and current progress in the matter. If a transformation programme appears to be a viable option within Sheffield, I would be interested in its application to mental health. Regarding the managerial and policy approach, I am particularly interested to look into the food and catering aspect of the trust's procurement carbon footprint and see whether this could be, or is planned to be part of the trust's own carbon reduction strategy.
So my plan for the next 2 weeks is:
· Contact David Pencheon about the meeting he is holding with the Sheffield G.P.s in the near future and hopefully attend this. Also ask if he knows who is responsible for food procurement in Sheffield NHS.
· Contact Francis to let her know I'm interested in preparing and piloting a GP 10:10 tool
· Get in touch with other interested students in Sheffield to form a working team
Monday, 26 April 2010
Climate Change plans in Brighton
Hi I'm Elly - a 4th year student, studying Medicine at Brighton and Sussex Medical School, but currently taking a few years out to do a BSc in Pharmacology at the University of Brighton and work with Medsin-UK and Healthy Planet.
I have always had a desire to get involved with projects that allow me to play a small part in fighting injustice, which brought me to getting involved with the local student StopAIDS campaign. It was through working with StopAIDS I discovered Medsin, and was on the first local Medsin committee in Brighton. This lead to me being on the National Committee, and although I have enjoyed being on a governing body of a student Global Health network, and learnt so much, I have a real desire to be on the front lines now.
I understand the need for the layers in leadership, and bureaucracy, but while working within these areas it is easy to lose touch about why you are doing it.
I applied for this programme because selfishly I have a desire to learn more about Global Health, but I also want to be active in combating the inequalities.
As “climate change is the biggest threat to health in the 21st century”, it seems the most logical area to work in. As I am training to be a healthcare professional, it would be inefficient to be learning about disease pathology, if it is CC that will be the greatest cause of ill health. I know that as a clinician it is impossible to combat everything that ill affects health, but it would be immoral to not even consider combating climate change as our duty.
I have an active interest in Climate Change, and how we are going to combat, and prevent it. In particular I am interested in how the international arena has reacted to the notion of Climate Change; the economics, the politics and the policies.
I have wanted to be involved with a project that would allow me to really get involved with making an impact on the UK’s carbon output.
My personal interests lie within campaigning and policy, so it will be very interesting to use a different approach. In particular I wish to investigate the method of a top down approach; by working with management to establish methods of change, and implementing them. I believe that yes it is necessary to educate our peers, but that real change can only happen if it is implemented first by management.
Taking into account the co-benefits that sustainable development will have on the NHS, it is logical that management implement such changes, and with the government putting pressure on the trusts and mandating them to create SD plans, it appears that a top down approach would be most effective.
I am also interested in the clinical side as well, but because of my degree in pharmacology and my job in a local GP’s clinic, I felt that it made sense to work in these areas. As I work in the surgery a couple of days a week, and I understand the structure of the surgery well, I would like to create a 10 point plan to reduce the carbon footprint of the surgery. Similar to the one designed for Nephrology. I hope to create it early on in the programme, and then use it at the surgery, creating a case study that I may then be able to present to the RCGP’s conference. And if successful be used as an example for the all GP surgeries.
So my plan for the next few weeks:
I have always had a desire to get involved with projects that allow me to play a small part in fighting injustice, which brought me to getting involved with the local student StopAIDS campaign. It was through working with StopAIDS I discovered Medsin, and was on the first local Medsin committee in Brighton. This lead to me being on the National Committee, and although I have enjoyed being on a governing body of a student Global Health network, and learnt so much, I have a real desire to be on the front lines now.
I understand the need for the layers in leadership, and bureaucracy, but while working within these areas it is easy to lose touch about why you are doing it.
I applied for this programme because selfishly I have a desire to learn more about Global Health, but I also want to be active in combating the inequalities.
As “climate change is the biggest threat to health in the 21st century”, it seems the most logical area to work in. As I am training to be a healthcare professional, it would be inefficient to be learning about disease pathology, if it is CC that will be the greatest cause of ill health. I know that as a clinician it is impossible to combat everything that ill affects health, but it would be immoral to not even consider combating climate change as our duty.
I have an active interest in Climate Change, and how we are going to combat, and prevent it. In particular I am interested in how the international arena has reacted to the notion of Climate Change; the economics, the politics and the policies.
I have wanted to be involved with a project that would allow me to really get involved with making an impact on the UK’s carbon output.
My personal interests lie within campaigning and policy, so it will be very interesting to use a different approach. In particular I wish to investigate the method of a top down approach; by working with management to establish methods of change, and implementing them. I believe that yes it is necessary to educate our peers, but that real change can only happen if it is implemented first by management.
Taking into account the co-benefits that sustainable development will have on the NHS, it is logical that management implement such changes, and with the government putting pressure on the trusts and mandating them to create SD plans, it appears that a top down approach would be most effective.
I am also interested in the clinical side as well, but because of my degree in pharmacology and my job in a local GP’s clinic, I felt that it made sense to work in these areas. As I work in the surgery a couple of days a week, and I understand the structure of the surgery well, I would like to create a 10 point plan to reduce the carbon footprint of the surgery. Similar to the one designed for Nephrology. I hope to create it early on in the programme, and then use it at the surgery, creating a case study that I may then be able to present to the RCGP’s conference. And if successful be used as an example for the all GP surgeries.
So my plan for the next few weeks:
- Contact local environmental groups, including our local Healthy Planet.
- Form a local group that I can work with
- Establish any work that has been done so far.
I am also really keen on education and PHEMS, and so have contacted my med school on how to set up an SSC and am looking into developing a proposal for that.
Well this is my first blog, so hopefully they will become a little bit more action packed as time goes on!!
Elly
Sunday, 25 April 2010
Hannah: Blog number one
My name is Hannah and I am in my third year studying medicine at Newcastle University. I spent last year at Leeds University studying for the intercalated BSc in International Health.
My main motivation for attending the BCMCCP was to learn how to help the NHS within my region reduce its carbon emissions. I saw the programme as an opportunity assist in making tangible change, whilst gaining knowledge and meeting like-minded people. In short, I did not want to complain about a situation that I was doing nothing to improve.
I learnt a lot at the training weekend in London and really enjoyed meeting others on the programme.
The main points I took from the weekend were:
My main motivation for attending the BCMCCP was to learn how to help the NHS within my region reduce its carbon emissions. I saw the programme as an opportunity assist in making tangible change, whilst gaining knowledge and meeting like-minded people. In short, I did not want to complain about a situation that I was doing nothing to improve.
I learnt a lot at the training weekend in London and really enjoyed meeting others on the programme.
The main points I took from the weekend were:
- A better idea of the programme, including its conception, purpose and my role
- An understanding of the range of areas in which I could get involved
- An insight into how best to approach different actors within the NHS- I am particularly thinking about David’s talk which included: reframing, storytelling, letter writing and the power of league tables.
- Frances’ talk highlighted quite how complex it is to make the NHS more sustainable. There are so many actors, variables and vested interests, which also means there are many opportunities…
I am really excited about getting stuck-in. I anticipate that the next 8 months will be busy and at times frustrating. But I am sure that the programme will be rewarding and I am looking forward to working closely with everyone else in the team.
Areas I am keen to get involved in:
- I am most interested in health policy and effecting change from the top down. This is because I (possibly naively) believe that policy change is likely to have a wider impact. I would be happy to look at the clinical side later on, but would prefer to focus on one area in the beginning. I anticipate that my area of focus is likely to depend heavily on individual actors and the responses I receive.
- I want to increase my knowledge about how the NHS functions and read local and national policies and documents on sustainability
- I hope to join and/or create a network of people working on sustainability within the Newcastle trust. I will find working as part of a team more enjoyable and know it will be more effective than acting alone.
Thursday, 22 April 2010
Welcome to the BCMCCP Director Blog!
Hello everybody!
So here is our wonderful blog, I hope it works. I'm sure it will.
This blog is the very best way we can have a group-wide awareness of what's going on. I'll be posting interesting things every so often, but this is really for you all to use.
So! Let's get the blogs up every two weeks.
Over and out!
Mustafa
So here is our wonderful blog, I hope it works. I'm sure it will.
This blog is the very best way we can have a group-wide awareness of what's going on. I'll be posting interesting things every so often, but this is really for you all to use.
So! Let's get the blogs up every two weeks.
Over and out!
Mustafa
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