Healthcare sustainability and climate change

The RCP is campaigning to make sure UK climate and sustainability policy protects population health.

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'We will make the case for ambitious government action to tackle climate change, recognising that it is the biggest long-term threat to health in the UK and globally. We will use our insight and expertise to support the NHS to deliver its net zero commitments. We will promote behaviour change – for example in terms of travel and fuels burnt at home – which reduces greenhouse gas emissions and improves public health, and will continue to campaign for better air quality across the UK. We will improve the knowledge of healthcare professionals about the health impacts of climate change.'

Agreed at RCP Council, 2022

Climate change represents the biggest long-term threat to human health

The Intergovernmental Panel on Climate Change projects an excess of 250,000 deaths per year by 2050 attributable to climate change due to heat, undernutrition, malaria and diarrheal disease, with more than half of this excess mortality projected for Africa

The record temperatures experienced throughout 2023 are a reminder that while the impacts of climate change are not felt equally, they are happening now around the world.

The NHS aims to become the world’s first net zero health service and has set targets to achieve this, including reaching net zero in the emissions it controls directly by 2040.

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What is the RCP doing?

In 2022, following consultation with our members, the RCP formally adopted sustainability and climate change as one of its four policy and campaigns priorities for the first time.

An RCP advisory group on sustainable healthcare and climate change was established in 2023 to look at what more can be done in the health service – and by medicine in particular – to improve healthcare sustainability.
 
The RCP has also appointed a special adviser and deputy special adviser on sustainability who will look to support RCP – wide efforts to make medicine more sustainable, serving as its spokesperson on the issue, advising on the design and delivery of our sustainability work and supporting the sustainability in healthcare and climate change advisory group.

The RCP is committed to minimising the environmental impacts of its operations. The RCP is signed up to the UK Health Alliance on Climate Change (UKHACC) Commitments, a set of guiding principles designed by UKHACC to help health organisations take steps to mitigate and adapt to climate change.

What is the RCP calling for?

The RCP launched a report on healthcare sustainability and climate change in March 2023 which

  • Called on the government to:
    • Prioritise a just transition from fossil fuels, redirecting all funding and subsidies to renewable energy sources and technologies and implement complementary policy initiatives to ensure this process does not exacerbate health inequalities.  
    • Put prevention at the heart of health and wider government policy, recognising that reducing avoidable ill health and demand for healthcare will require cross-government action and has environmental, health and economic benefits.

  • Called on the NHS to:
    • Prioritise initiatives to reduce the environmental impact of healthcare delivery within the NHS must be appropriately funded, including capital investment where necessary.
    • Recognise the link between climate change mitigation and improved health outcomes, and for this to be leveraged by NHS bodies and systems in national, regional and local health inequalities work.
    • Update the NHS constitution to include the net zero targets.

Green physician toolkit

In July 2024, the RCP launched the Green physician toolkit that brings together the evidence on health and climate change, and suggests actions that physicians can take in their day-to-day practice.

We’d welcome suggestions for additional actions to be included, or to hear about the barriers you may face in implementing actions from the toolkit – please send your feedback to policy@rcp.ac.uk.

Download the toolkit
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Read our case studies

Learn more about our work to improve sustainability in healthcare.

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Sustainability of acute care in the north-west

Staff at Whiston Hospital are working to reduce the environmental impact of their acute medical unit.

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“Bright” ideas from medical students on clinical placements

Medical students in Wales deliver a quality improvement project to make carbon and financial savings.

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Key outputs

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RCP welcomes launch of Greener Palliative Care Award

The RCP has welcomed the new Greener Palliative Care Award, launched by the Palliative Care Sustainability Network.

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RCP responds to new coal mining licence ban

The Royal College of Physicians has responded to the news that the government is to ban new coal mining licences.

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Royal College of Physicians responds to Government’s 2035 emissions target announcement

The Royal College of Physicians (RCP) welcomes the UK Government's new commitment to reduce emissions by 81% by 2035.

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RCP responds to DHSC strategy to reduce NHS waste

The RCP has responded to the Department for Health and Social Care’s (DHSC’s) new strategy – the Design for Life Roadmap – which aims to cut the number of single-use medical devices in the health services.

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The impact of climate change on infectious diseases: an expert discussion with Dr Mark Harber and Dr Christina Petridou

In a video for the RCP, Dr Mark Harber, the RCP’s special adviser on healthcare sustainability and climate change, sits down with Dr Christina Petridou, consultant in infectious diseases and microbiology at the Rare and Imported Pathogens Laboratory, to explore the growing link between climate change and infectious diseases.

Pollution

Royal College of Physicians responds to Royal College of Paediatrics and Child Health statement on Air Pollution

The RCP has responded to an updated position statement by the Royal College of Paediatrics and Child Health (RCPCH) on the threat that air pollution poses to children’s health in the UK.

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RCP responds to UK Health Alliance on Climate Change report on fossil fuels

The RCP has responded to a new report by the UK Health Alliance on Climate Change (UKHACC) outlining the devastating health consequences of the UK’s dependency on fossil fuels.

Dr Mrinalini Dey

Winner: RCP Teale essay prize for trainees 2024

This year’s Teale essay prize for trainees winner is rheumatology registrar and clinical PhD fellow Dr Mrinalini Dey. In this piece she talks about her winning contribution - '"Consider the seasons": the climate crisis, its impact on healthcare, and the role of the physician.’

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RCP responds to articles on the Green Physician Toolkit

The RCP has responded to news articles about the publication of its Green Physician Toolkit.

UK Health Alliance on Climate Change

As a founding member of the UK Health Alliance on Climate Change, the RCP has been vocal about the health impacts of climate change. UKHACC seeks to empower the health profession to advocate for better responses to climate change, to engage decision makers to strengthen relevant policies and to raise awareness of the links between health and climate change.

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