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Musgrove Park Hospital • Implementation: April 2024 • 500+ Theatre Staff
Somerset NHS Foundation Trust faced a common challenge: poor staff recognition in theatres was impacting communication and contributing to potential safety concerns. Staff surveys revealed that only 41% of team members could correctly identify colleagues' names and roles during procedures.
The trust piloted Eco Ninjas badge hats in April 2024 across their main theatre complex. Full rollout was completed within three weeks, with staff receiving brief training on badge attachment and the new laundering process.
"The impact was immediate. Within days, we noticed improved team coordination. Staff reported feeling more confident knowing exactly who they were working with."
— Theatre Manager, Musgrove Park HospitalEarly Adopter
As one of the first NHS trusts to pilot reusable theatre caps, Liverpool University Hospitals demonstrated the viability of this sustainable alternative. Their collaboration with Eco Ninjas helped refine the product and implementation process that other trusts now benefit from.
The trust's commitment to sustainability and innovation earned them the Northwest Coast Research and Innovation Sustainability Award in 2022 — validating the approach and helping to drive NHS-wide adoption.
"This project won the Sustainability award, validating our belief that reusable theatre caps represent the future of sustainable healthcare."
— Eco Ninjas Partnership TeamFirst NHS trust to win regional sustainability award for theatre cap initiative.
Provided real-world data informing NHS-wide adoption strategies.
High acceptance rates — anaesthetists noticed immediate communication improvements.
Implementation learnings shared across NHS trusts nationally.
Growing network of trusts — collective environmental and financial impact
Total Caps in Use
CO₂ Reduction (Tonnes)
Disposables Prevented
Cumulative NHS Savings
What Theatre Staff Say
It took about two weeks for removing the badge to become automatic. Now I can't imagine working any other way.
The badge system has transformed how we work. I can instantly identify everyone in the room, which is crucial during complex procedures.
As an anaesthetist, clear communication is essential. These caps have made a noticeable difference in team coordination and overall safety.
Common Questions
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