Contents
THE CLINICAL SERVICES JOURNAL Inside this issue
5 Editor’s Comment Progress achieved on sustainability
6 Cover Story: Less inhaled anaesthetics, less greenhouse gas emission
Getinge is driving sustainability in operating theatres and is calling on NHS hospitals to prioritise anaesthetic gas reduction and recycling, through innovative approaches.
9 News 15 The State of Care report: CQC issues warning
The health and social care system remains fragmented and under severe strain as it prepares for a major shift from hospital to community care, the Care Quality Commission (CQC) has warned in its State of Care report
21 Innovation: the role of clinical engineering
In an increasingly complex healthcare landscape, what role can clinical engineers have in supporting ‘development through innovation’? Experts at the National Performance Advisory Clinical Engineering Conference came together to discuss the challenges and opportunities in equipping hospitals with disruptive technologies.
27 Advancing excellence in ultrasound
The 56th BMUS Annual Scientific Meeting 2025 in Harrogate promises to be yet another landmark event for the UK ultrasound community, combining cutting-edge education, practical workshops, and a vibrant social programme. The event takes place 9-11 December 2025, at the Harrogate Convention Centre. CSJ provides an overview of some of the key highlights.
32 Calls for improved identification of GORD
Professor Anthony Hobson says it’s time to rethink how we identify Gastro Oesophageal Reflux Disease (GORD), given the risk of developing oesophageal cancer. He warns that we are missing the opportunity to prevent serious complications.
37 Five years of a greener NHS: the progress so far
NHS England has published its first report on progress on achieving a greener NHS. CSJ provides a summary of the key findings.
44 Achieving NHS Carbon Footprint PLUS
Elliott Dixon highlights the NHS’s ‘untapped goldmine’ for achieving Net Zero and improving quality of care.
www.clinicalservicesjournal.com Volume 24 I Issue 11 I December 2025 THE CLINICAL SERVICES JOURNAL
Sustainability special focus
Innovation: the role of clinical engineering
Advancing excellence in ultrasound
Special Sustainability Focus
This issue features dedicated articles on sustainable healthcare, as part of a special focus, to support the health sector meet its sustainability goals and provides an insight into how healthcare and industry can strive together for Net Zero.
48 Why sustainable ultrasound matters
Ultrasound generates significant environmental impacts, when consumables and equipment life cycles are taken into consideration. Chris Taylor, UK & Ireland Sustainability Lead, at Philips Healthcare, provides an insight into the actions that ultrasound teams can take to help drive improvement.
52 Examining the environmental toll of PPE
Shareeta Senthithasan considers: can Personal Protective Equipment (PPE) protect both workers and the environment? She shares some expert insights and discusses some of the key considerations.
56 Driving sustainability in the operating theatre
The role of perioperative practitioners in driving sustainability in operating theatres is key to reducing the impact of healthcare on the environment. The AfPP Oxford Regional Conference recently explored both the scale of the problem, and the practical solutions perioperative practitioners can adopt.
59 Circular economy in the operating theatre
Sophie Spencer and Beth Greenhough discuss how transitioning to reusable surgical instruments, through a managed equipment service, can dramatically reduce theatres’ environmental impact. They consider how hospitals can embrace ‘Design for Life’ principles and circular economy thinking.
63 ‘Dysfunctional NHS admin’ impacts patient care 65 The importance of filtration in theatres
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December 2025 I
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Volume 24 I Issue 11 I December 2025
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