Intended for healthcare professionals

Letters Increasing sustainability of “single use” surgical items

Innovative leadership will deliver net zero in surgery

BMJ 2023; 383 doi: (Published 06 November 2023) Cite this as: BMJ 2023;383:p2557
  1. Tarush Gupta, foundation year 1 doctor
  1. Stockport NHS Foundation Trust, Manchester, UK
  1. tarush.gupta3{at}

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 …

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