Working across the NHS, Public Health and Social Care system Achieving sustainable development in the Higher Education sector – lessons from the health and care sector? David Pencheon NHS England and Public Health England Sustainable Development Unit London Universities Environment Group. London. 3 rd September, 2013

Working across the NHS, Public Health and Social Care system Sustainable development “...meeting the needs of the present… …without compromising the ability of others, in future (or elsewhere now) to meet their own needs” - Adapted from the Brundtland Commission

Working across the NHS, Public Health and Social Care system - Barbier, E.,1987. The Concept of Sustainable Economic Development. Environmental Conservation, 14(2): Adams, W.M. (2006). "The Future of Sustainability: Re-thinking Environment and Development in the Twenty-first Century."Report of the IUCN Renowned Thinkers Meeting, 29–31 January 2006."The Future of Sustainability: Re-thinking Environment and Development in the Twenty-first Century." Social environment Physical environment Economic environment Creating the right environments

Working across the NHS, Public Health and Social Care system Summary of progress - Carbon

Working across the NHS, Public Health and Social Care system Breakdown of NHS England 2010 emissions?

Working across the NHS, Public Health and Social Care system Procurement Breakdown

Working across the NHS, Public Health and Social Care system Acute – medical instruments and equipment Acute - building energy use (gas and electricity) Primary care and acute – business services Primary care – pharmaceuticals including GP prescriptions Goods and Services carbon footprint – carbon hotspots

Working across the NHS, Public Health and Social Care system What do we, the public, think? Source: Ipsos MORI

Working across the NHS, Public Health and Social Care system

Working across the NHS, Public Health and Social Care system Ten Entry points 1.To save money / conserve limited resources 2.To comply with regulations and law / scrutiny / governance 3.To manage risk and improve resilience 4.To manage reputation / take exemplary action 5.To reduce environmental impact harmful to health 6.To support staff to do what we all do elsewhere 7.To take account of the strength of the scientific evidence 8.To align actions with core ethics / values of the health / care system 9.To modernise models of prevention / care in line with other drivers 10.To improve outcomes: population health, and reduce health inequalities now, and in the future….

Working across the NHS, Public Health and Social Care system “What is good for addressing climate change and creating a sustainable world......is ALSO good for health (and healthcare) NOW” 1.For the public’s health – More physical activity, better diet, improved mental health, less road trauma, improved air quality, less obesity/ heart disease/cancer, more social inclusion/cohesion... 2.For the health and social care system – More prevention, care closer to home, more empowered / self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, better models of care… Health co-benefits:

Working across the NHS, Public Health and Social Care system

Working across the NHS, Public Health and Social Care system Protect and Promote Extreme Events Climate chaos Resource shortages Heatwaves Flooding Biodiversity Employment Family and friends Housing Healthy sustainable food Clean energy, clean water Integrated transport Safe shared pleasant spaces Resilient communities Moving upstream – Prevention – Resilience

Working across the NHS, Public Health and Social Care system Route map

Working across the NHS, Public Health and Social Care system

Working across the NHS, Public Health and Social Care system Use the legal and regulatory framework to improve health 1.Civil Contingencies Act Climate Change Act Public Services (Social Value Act) 2012 – (Chapter 3)...requires public authorities to have regard to economic, social and environmental well-being.

Working across the NHS, Public Health and Social Care system Keep messages simple 1.Set a profound example in one’s own practice – If not us, then who? 2.Preparing the next generation of people: improving educational outcomes for the future within resource limits (environmental and financial) – “Do more for less” 3.Best possible collaboration for implementation of net generation of evidence for a safe, sustainable and fair future… – the best minds acting together

Working across the NHS, Public Health and Social Care system See notes of this slides for some of the most important specific actions

Working across the NHS, Public Health and Social Care system Have something positive to say

Working across the NHS, Public Health and Social Care system

Working across the NHS, Public Health and Social Care system Leadership support

Working across the NHS, Public Health and Social Care system Engagement

Working across the NHS, Public Health and Social Care system …at all ages

Working across the NHS, Public Health and Social Care system Actions to improve protect/improve health 1. Cholera: 1854 Broad Street Pump 2. Smoking and tobacco: Sustainable development and climate change: 2012

Working across the NHS, Public Health and Social Care system