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Healthcare needs to be more sustainable, but organizations disagree on how

NOS / Jeroen van Eijndhoven

They already know in health care langer: healthcare must be more sustainable. But that process is slow, because organizations can’t agree on mandatory agreements. A sustainability plan was supposed to be published today but has been postponed.

“Given the need, all care organizations need to participate,” says Cathy van Beek, former quartermaster of sustainable care for the Ministry of Health, Welfare and Sports (VWS). “That is why more obligations are inevitable. We will not get there alone with the precursors.”

Healthcare is responsible 7 percent of total Dutch CO2 emissions. The sector also produces every year 328 million kilograms of waste. And energy costs for hospitals will rise this year 187 million euros is expected, which further strengthens the demand for sustainability.

“We wish it were different”

“Almost everything in our warehouse is used once and then thrown away,” says Illyes Machkor, sustainability expert at Dijklander Hospital. “For example, we process a million kilos of waste every year. We would like to change it. That’s why we would like to see the materials from suppliers become more sustainable.”

In this video, health workers show how many things and medicines they throw away:

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All this goes to waste in healthcare

Doctors also want to do more. “But there are strict rules,” says GP Evelyn Brakema. “Once the medicines leave the pharmacy, they cannot be collected and reissued, even if the box is still unused and sealed.”

Green Deal 3.0

Sustainability can be accelerated with mandatory agreements. Many care organizations are in favor of including this in Green Deal Sustainable Care 3.0. That sustainability plan was supposed to be released today but has been postponed.

From the Assessment The previous Green Deal shows that too few concrete objectives have been achieved. Commitments should now solve this problem. GP Brakema sits on behalf of the Green Care Alliance at the negotiating table of the Green Deal 3.0. She is clear to her: “Obligations are a desperate need. Otherwise we will not be able to achieve the objectives.”

Furthermore, the evaluation found that knowledge of sustainability was not sufficiently shared. “For example, sustainability should be integrated into vocational training,” says a spokesperson for Groene Hart Hospital. “How is it possible that nurses sometimes don’t know exactly what to do with liquid drug residues? They think, ‘It is not allowed to rinse the sink, then with the residual waste.'”

Fight with other priorities

Some parties are now hesitating to sign the Green Deal. They have their own concerns: how should obligations be monitored and what are the consequences of a missed target?

“We support the intentions of the Green Deal, but as an association we cannot fulfill our current obligations,” said a spokesperson for the National Association of GPs (LHV). “GPs are independent entrepreneurs who must first assess for themselves what is possible in the field of sustainability. The LHV, however, will support its members in making them more sustainable.”

Health insurers plan to sign Green Deal 3.0 together, but are still cautious in implementing the agreements. “We will definitely investigate how we can reward sustainable leaders and increase laggards more,” says health insurer VGZ. “But the fact that, for example, we will purchase assistance from one service provider if we feel that the other is not pursuing a sufficiently sustainable policy is not a problem in the agreements at the moment.”

To facilitate sustainability, the Ministry of Health, Welfare and Sport is studying at national and European level whether it is possible to make changes to laws and regulations on sustainability, environmental impact and reuse of materials.

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