Sustainable Development
Lead Analyst:
Health improvement is central in sustainable development both to improve the efficient use of resources and to encourage healthy behaviours which are often less carbon intensive.
The NHS in England have produced the Route Map for Sustainable Health in a collaborative effort providing a description of a more sustainable health system. Every organisation can identify their own actions in a Sustainable Development Management Plan. With board approval and buy in through the whole organisation, developing and reviewing progress on sustainable development is key in monitoring performance. The NHS Good Corporate Citizen assessment test can be used to support action and provides a set of process measures for action on sustainable development.
A standardised approach to measuring and monitoring sustainability will minimise the use of resources across the health system. Many measures for sustainable development are available to use now.
Understanding the scale and impact of action is not possible without measurement, and this holds true for sustainable development. Metrics can support organisations by indicating areas for action and quantifying of the cost of inaction.
We now know that the NHS in England produces 21 million tonnes of 
a year and reducing these emissions forms an integral part of sustainable development. Reporting and understanding the greenhouse gas (GHG) emissions for each NHS organisation is an important step in reducing carbon emissions.
ERPHO is the Association of Public Health Observatories national lead observatory for sustainable development. We will be working closely with the Sustainable Development Unit of the NHS to review how information on carbon emissions can be included in decision making across the NHS.
The NHS SDU bulletins gives the latest news on sustainable development in the NHS. If you would like to receive emails with the latest bulletin please register on the SDU website.
This page brings together both regional and national reports and resources.
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Latest additions, news and events
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Measuring Sustainable Development Technical Briefing
Understanding the scale and impact of action is not possible without measurement, and this holds true for sustainable development. This briefing provides a framework for identifying the measures that already exist and the opportunities to include more aspects of sustainability.
By adopting standard measures for sustainable development, duplication can be reduced and the scale of potential change can be quantified. Metrics can also support organisations by indicating areas for action and quantifying the cost of inaction.
Maps of sustainable development indicators - building energy, waste and water
NHS organisations report use of energy (fossil fuels and electricity) in buildings, volumes of waste produced and volume of water in the Estates Returns Information Collection (ERIC). Erpho have combined ERIC information with Defra conversion factors for building energy, waste and water and the change from 2007/08 to 2009/10 has been mapped for each region.
Increasing reliance on electricity has caused an increase in emissions (up 5% since 2007) although there is still a large variation in performance between organisations. More detail is available on the calculations and analysis.
Maps of sustainable development indicators - Sustainable Development Management Plans (SDMPs)
Having a Board Approved Sustainable Development Management Plan (SDMP) is one of the cornerstones of the NHS Carbon Reduction Strategy and once again underpins the fundamental overlap between Social, Economic and Environmental factors that is core to the NHS.
The proportion of organisations, within each SHA, who have a board approved SDMP is mapped to show the performance in each region. On average, as of as of May 2011, 74% of Trusts across England had an SDMP, up 15% on November 2010. Some Regions have considerably more SDMPs and many more are in the process of being approved by the Trust boards.
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Background and Methodology
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| Date |
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Format |
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| 2 Feb 2010 |
Carbon Valuation guidance - DECC |
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| 31 Jan 2011 |
Measuring Sustainable Development Technical Briefing |
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| 1 Feb 2011 |
Route Map for Sustainable Health - NHS SDU |
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| 9 Nov 2009 |
Environmental Reporting guidelines - Defra |
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| 28 Oct 2009 |
Measuring Sustainable Development in Organisations - NHS SDU |
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| 9 Nov 2009 |
Conversion factors - Defra |
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| 14 Apr 2009 |
Footprinting carbon emissions and monitoring 10% - NHS SDU |
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| 14 Apr 2009 |
Footprinting carbon emissions at national, local and organisation level - NHS SDU |
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| 30 Jan 2009 |
NHS England Carbon Emissions: Carbon Footprint modelling to 2020 |
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| 30 Sep 2008 |
NHS England Carbon Emissions: Carbon Footprinting Report 2008 |
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Data and analysis
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| Date |
Title |
Format |
View |
| 9 Apr 2010 |
Sustainable Development metrics project - Indicative carbon emissions per unit of healthcare activity |
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| 31 Jan 2011 |
Sustainable Development metrics project - Energy, Waste and Water maps (from ERIC) |
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| 16 Apr 2012 |
Sustainable Development metrics project - Travel carbon intensity by distance category |
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| 15 Jun 2011 |
Sustainable Development metrics project - SD Management Plan map of regions |
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| 9 May 2012 |
Sustainable Development metrics project - Calculating the carbon footprint of inpatient travel |
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| 23 Nov 2011 |
Carbon Indicator energy, waste and water (from ERIC) - full spreadsheet |
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| 22 Nov 2011 |
Carbon Indicator Energy, Waste and Water (from ERIC) |
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| 23 Oct 2009 |
NHSScotland Carbon Footprinting report |
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| 1 Jan 2011 |
Display Energy Certificates (DECs) data source |
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| 9 Jan 2010 |
Carbon Indicator Energy (from ERIC) - Department of Health |
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| 9 Jan 2010 |
Carbon Indicator Energy, Waste and Water methodology |
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| 17 Nov 2009 |
Commisioning Investment Asset Management Strategy (CIAMS) |
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| 17 Nov 2009 |
Estates Return Information Collection (ERIC) analysis (EFM) - Information Centre |
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| 9 Nov 2009 |
Estates Return Information Collection (ERIC) - Department of Health |
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| 30 Jan 2009 |
NHS England Carbon Emissions: Carbon Footprint modelling to 2020 |
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| 30 Sep 2008 |
NHS England Carbon Emissions: Carbon Footprinting Report 2008 |
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| Date |
Title |
Format |
View |
| 12 Nov 2009 |
Good Corporate Citizen |
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| 25 Mar 2011 |
Carbon Tool for travel for local areas |
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| 25 Mar 2011 |
Adaption UK Climate Impact Programme tools |
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| 7 Jan 2010 |
Good Corporate Citizen assessment - downloadable version 2009 |
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Links
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For more information on what the NHS is doing visit the Sustainable Development Unit
Get your organisation involved go to NHS Good Corporate Citizen
Further resources for action
| Date |
Title |
Format |
View |
| 20 Sep 2002 |
Securing Our Future Health: Taking a Long-Term View. The Health Service in 2022 |
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| 13 Nov 2009 |
Quality breakout session: Sustainability as a core part of quality healthcare |
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| 11 Mar 2010 |
Space for Health – helping you plan, design and manage healthcare premises |
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| 17 Nov 2009 |
Towards a Low Carbon Economy - BIS |
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| 18 Jan 2011 |
Sustainability KPIs advice |
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| 1 Mar 2011 |
Defra resources on sustainable development |
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| 8 Aug 2011 |
Buying Solutions - Procurement Quick Wins |
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| 13 Nov 2009 |
Defra sustainability KPIs |
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| 19 Dec 2009 |
Lancet - Public health benefits of strategies to reduce greenhouse-gas emissions: overview and implications for policy makers |
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| 25 Mar 2011 |
Healthy Futures - Sustainable development and health inequalities (SDC) |
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| 9 Oct 2007 |
Towards a Sustainable Transport System -Supporting Economic Growth in a Low Carbon World |
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