Innovative leadership will deliver net zero in surgery

Greenwashing is a major barrier to progress and exists in all industries from fashion to healthcare. Although Taylor’s article correctly describes how circularity has been applied to single use surgical equipment,1 it does not adequately explore how net zero can be delivered from a management perspective—notably, the importance of accountability, education, and leadership.Making everyone in the multidisciplinary team accountable for emissions will incentivise micro-efficiencies and optimise care emissions throughout the surgical value chain. Accurate sustainability reporting and carbon accounting can identify the services that have a high environmental footprint and incentivise carbon reduction targets. Surgical carbon data, for example, show theatre energy costs of 14 kg CO2 equivalents an hour and inpatient bed costs of 37.9 kg CO2e a day, which has already led to reduced downtime in theatres and time to discharge.2 Increasing carbon accountability has inspired greener service delivery and will continue to do so.But these improvements can…
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