Greener Operations: a James Lind Alliance Priority Setting Partnership on environmentally sustainable peri-operative practice

Objectives To agree the ‘top 10’ research priorities for environmentally sustainable peri-operative practice. Design surveys and literature review; final consensus workshop using a nominal group technique. Setting: UK-based. Participants healthcare professionals, patients, carers, and the public. Outcome measures initial survey- suggested research questions; interim survey- shortlist of ‘indicative’ questions (the 20 most frequently nominated by patients, carers and the public, and healthcare professionals); final workshop- ranked research priorities. Results initial survey- 1,926 suggestions by 296 respondents, refined into 60 indicative questions. Interim survey- 325 respondents. Final workshop- 21 participants agreed the ‘top 10’: Conclusions a broad range of ‘end-users’ have identified research priorities for sustainable peri-operative care. Strengths and Limitations of this Study Original Protocol of the Study See ### Competing Interest Statement CS is a co-opted member of the Association of Anaesthetists Environment and Sustainability Committee. He has received travel expenses from the Association of Anaesthetists, the Centre for Sustainable Healthcare and Health Education England to attend professional meetings to speak on sustainable healthcare. He is a member of the SBRI Healthcare Delivering a Net Zero NHS competition funding panel. YH is a co-founder of Green Health Wales. CL is a member of the Health Education England North East and North Cumbria Faculty of Sustainable Healthcare and the Intensive Care Society Sustainability Group. DM has accepted consulting fees from Bausch and Lomb and Nuffield Health, and honoraria for education provided to Wilderness Medical Training. SMK is the chairperson of the Association of Anaesthetists Environment and Sustainability Committee. VP is vice chairperson of the Royal College of Surgeons of England Sustainability in Surgery Group. TR is an independent participant in the OneTogether programme. DJ is the budget holder for account managed within MFT Charity used to fund Greener Operations. The other authors have no competing interests to declare. ### Clinical Protocols ### Funding Statement This work was supported by a grant from the Manchester Foundation Trust (MFT) Charity ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: This (UK based) James Lind Alliance priority setting partnership did not require ethics approval as it is a form of public involvement in research. Please see the James Lind Alliance guidebook for further details: https://www.jla.nihr.ac.uk/jla-guidebook/chapter-5/consent-and-ethics.htm I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable. Yes All data produced in the present study are available upon reasonable request to the authors