How does the National Joint Registry's work benefit me? How can I become a part of the NJR's Regional Support network? Who are the working groups the NJR works with? We aim to answer all your questions whether it be in person at a conference, in our Annual Report and weekly reports or here on out website


NJR statement on our commitment to sustainable working

We strive to be ethical and environmentally conscious in all our choices:

  • We share our information online and seldom print any NJR publications.
  • We deliver on work with a ‘paperless’ approach and think first of the re-uses of any materials before we print.
  • We conduct most of our internal and external meetings online, in order to reduce our travel expenses and carbon footprint.
  • We try to ensure suppliers that we engage with for NJR services are ethical and environmentally conscious in their own processes and practices.
  • We are aware that the hospital procedures associated with joint replacement produce excess waste materials and we fully support all initiatives to review and reduce this.

NJR/BOA Sustainability Fellows

Alongside the British Orthopaedic Association we are mentoring two research fellows who have been focussing on the challenges of climate change and on what can be done in the orthopaedic sector to recognise the impact surgery has had on the accumulation of waste.

Their work summary papers, presented here and in this year’s NJR Annual Report, offer some suggestions for action towards greater sustainability.

Our sustainability fellows:

Hammad Parwaiz

Rohan Prakash

Rohan Prakash

The environmental impact of total hip and knee

Hammad Parwaiz and Rohan Prakash, NJR sustainability fellows, published a paper on the environmental impact of total hip and knees.

This paper is also available on our Annual Report.

Sustainability considerations for the orthopaedic sector

Rohan Prakash, NJR Sustainability Fellow, also talks about this subject on the 2023 NJR Session at the BOA Annual Congress.

Launch of Green Surgery Report at the Future of Surgery conference

Report by the UK Health Alliance on Climate Change, Brighton and Sussex Medical School and the Centre for Sustainable Healthcare – work funded by the Health Foundation

At the Future of Surgery conference on 14 November 2023 a new landmark report, believed to be the world’s first on how to reduce the environmental impact of surgical care while maintaining high quality patient care, was launched that sets the groundwork for reducing the carbon footprint of surgical care.

Reducing and reusing products used in surgery, shutdown checklists for operating rooms to save energy when they are not in use, switching to less harmful anaesthetics, as well as surgeons and patients working together to optimise their treatment are all highlighted as ways in which carbon emissions could be reduced.

You can download the full report and see key recommendations on a dedicated website here here and a short introductory video can be viewed here.

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