1. www.sdu.nhs.uk Saving Carbon, Improving Health NHS Carbon Reduction Strategy

2. www.sdu.nhs.uk Do you think the NHS should be a public sector leader as a sustainable and low carbon organisation? www.sdu.nhs.uk

3. “…it’s a very important strategy for the NHS: it is really good for the environment, it's good for our society, it's good for our staff and for us most importantly it's good for our patients” David Nicholson, CEO NHS England

4. www.sdu.nhs.uk NHS Carbon Reduction Strategy - CEO NHS - Permanent Secretary DH - RCP - Academy of Med RC - BMA - Carbon Trust - Environment Agency - FPH - HPA - Monitor - RCM - RCN - Sustainable Development Commission - UNISON - NHS Confederation

5. www.sdu.nhs.uk NHS England CO 2 e footprint 1990 – 2020 with Climate Change Act targets

6. www.sdu.nhs.uk Carbon footprint – NHS England – published Jan 2010 2007-8 ERIC data 2007 ONS data

7. www.sdu.nhs.uk What do we need to do?

8. www.sdu.nhs.uk

11. Partnerships and networks  Local Area Agreements, Local Strategic Partnerships and Comprehensive Area Assessments  NHS regional networks for sustainable development to ensure: –a broad consistent approach –an action plan across each region to tackle this agenda

12. www.sdu.nhs.uk Governance  Board approved sustainable development management plan  Healthcare regulators should consider sustainability and the environmental impact of services as an integral part of quality standards

13. www.sdu.nhs.uk  Role of Strategic Health Authorities and Regional Government Offices: –The NHS delivers carbon reduction through its commissioning frameworks –The NHS delivers on its sustainability commitments within Local Area Agreements –Sustainable development regional networks in the NHS are developed further to deliver on this agenda Governance

14. www.sdu.nhs.uk Looking ahead: Preparing for the future  Metrics to measure and monitor direct and indirect carbon footprints across the NHS are required  Societal and NHS scenarios in a low carbon world and their impact on models of care, and how to develop and promote low carbon pathways

15. www.sdu.nhs.uk

16. Let’s get started! -Board Approved Sustainable Development Management Plan -Good Corporate Citizenship Assessment Model -Monitor, Review and Report on Carbon -Raise carbon awareness at every level