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. 2024 Apr 12;236(7):545–551. doi: 10.1038/s41415-024-7239-5

Table 1.

Functional units

Functional unit Green Impact Toolkit recommendation
1 Emailing correspondence from the practice associated with one patient

Emailing an appointment notice versus standard practice: posting an appointment notice

Emailing a referral letter versus standard practice: posting a referral letter

2 Paper use associated with one patient

Keeping and reusing scrap paper used in patient management versus standard practice: disposing of scrap paper and using new paper

Shredding confidential documents used in patient management versus standard practice: shredding all documents

Reusing old envelopes used in patient correspondence versus standard practice: buying new envelopes

Using paper-only envelopes in patient correspondence versus standard practice: using envelopes with plastic windows

Printing and photocopying on double sides of paper used in patient management versus standard practice: printing and photocopying on single sides of two separate sheets of paper

3 Water consumed in toilets in a patient visit Using dual flush versus standard practice: using regular single flush toilets
4 Water used in the practice during a single patient visit Using water from a rainwater collection tank versus standard practice: using water from the mains supply
5 Managing the waste from a toothbrush from a patient Autoclaving, shredding and recycling used toothbrushes versus standard practice: incinerating toothbrush waste
6 Air-water syringes used in a single patient visit Reusing and sterilising a metal air-water syringe versus standard practice: using a disposable air-water syringe tips at each patient visit
7 Water consumed in washing dishes in staff canteen per patient visit Using running water versus using a dishwasher versus standard practice: using a filled plugged sink to wash dishes