Implementing reusable medical textiles in NHS operating theatres: Barriers and enablers

Replacing resource-intensive single-use medical equipment such as disposable medical textiles with reusable alternatives is of paramount importance for reducing the environmental impact of healthcare. This study investigates the systemwide barriers and enablers/drivers for implementing reusable medical textiles in the UK's National Health System (NHS) operating theatres (OT). Based on insights from 21 in-depth stakeholder interviews with OT staff, procurers, suppliers, laundering services, and field experts, the study showcases the growing desire of clinicians to shift to a reusable medical textiles system. Yet, financial pressures, lack of integration with the infection control function in hospitals, legacy of customs and practices, supply chain complexities, and a lack of in-house sterilisation and laundry capabilities currently stand as main barriers in the way of adopting reusable medical textiles. Systemwide interventions in education, policy and protocols, and supply chain structures are proposed as the three major avenues to drive the adoption of reusable medical textiles in OTs.