1. www.sdu.nhs.uk

2. WELCOME

3. www.sdu.nhs.uk Sir Neil McKay Lead NHS Chief Executive for Sustainable Development

4. www.sdu.nhs.uk

5. Simon Burns MP Minister of State for Health

6. www.sdu.nhs.uk David Flory CBE Deputy Chief Executive of the NHS

7. www.sdu.nhs.uk “The only infinite resource we possess is our capacity to innovate and educate ”. (James Mackenzie)

8. www.sdu.nhs.uk Sonia Roschnik Operational Director NHS Sustainable Development Unit

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

10. www.sdu.nhs.uk

11. NHS England CO 2 e footprint 1990 – 2020

12. www.sdu.nhs.uk Carbon footprint – NHS England 2007-8 ERIC data 2007 ONS data

13. www.sdu.nhs.uk Potential reductions

14. www.sdu.nhs.uk NHS MAC curve

15. www.sdu.nhs.uk

16. Purpose of Route Map Build on the Carbon Reduction Strategy Build on NHS work to date Linking 2010 with 2015 and a longer time span to 2050 Collaborative approach across the sector Components of a sustainable health system Highlight all aspects that require a shift Mechanism to agree who works on which elements in the system

17. www.sdu.nhs.uk Route Map process Desktop research Forecasting - Requirements of the system - Key milestones Core themes

18. www.sdu.nhs.uk Route Map process Backcasting - Vision - What needs to happen - Analysis and synthesis Postcards Visuals

19. www.sdu.nhs.uk

20. (John Schaar) “The future is not a result of choices among alternative paths offered by the present, but a place that is created - first in the mind and will, next in activity.”

21. www.sdu.nhs.uk Dr David Pencheon Director NHS Sustainable Development Unit

22. www.sdu.nhs.uk

24. Dr Phil Hammond Doctor, Writer, and Broadcaster

25. www.sdu.nhs.uk Each day there are 40,000 consultations and 200,000 decisions per million population

26. www.sdu.nhs.uk Nigel Edwards Acting Chief Executive NHS Confederation

27. www.sdu.nhs.uk “Sustainability isn’t about projects, but about how we do business, how we create value, how we discuss quality generally” (Pharmacy summit participant)

28. www.sdu.nhs.uk Helen McCallum Director of Policy Which? The Consumer's Association

29. www.sdu.nhs.uk “Walk a mile in my shoes” There will be no movement without an engagement with the general public, in a way which individuals can understand. This is about people, not systems or science. (Postcard from workshop participant)

30. www.sdu.nhs.uk

32. SDU postcards… Quotes Pictures from the routemap

33. www.sdu.nhs.uk Dr Phil Hammond Doctor, Writer, and Broadcaster

34. www.sdu.nhs.uk When the winds of change blow, some people build walls and others build windmills When the winds of change blow, some people build walls and others build windmills (Chinese proverb)