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Imogen Tennison, Sonia Roschnik, Ben Ashby, Richard F. Boyd, Ian Hamilton, Tadj Oreszczyn, Anne Owen, Marina B Romanello, Paul A Ruyssevelt, Jodi D. Sherman and 4 more
BACKGROUND: Climate change threatens to undermine the past 50 years of gains in public health. In response, the National Health Service (NHS) in England has been working since 2008 to quantify and reduce its carbon footprint. This Article presents the latest update to its greenhouse gas accounting, identifying interventions for mitigation efforts and describing an approach applicable to other health systems across the world. METHODS: A hybrid model was used to quantify emissions within Scopes 1, 2, and 3 of the Greenhouse Gas Protocol, as well as patient and visitor travel emissions, from 1990 to 2019. This approach complements the broad coverage of top-down economic modelling with the high accuracy of bottom-up data wherever available. Available data were backcasted or forecasted to cover all years. To enable the identification of measures to reduce carbon emissions, results were disaggregated by organisation type. FINDINGS: In 2019, the health service's emissions totalled 25 megatonnes of carbon dioxide equivalent, a reduction of 26% since 1990, and a decrease of 64% in the emissions per inpatient finished admission episode. Of the 2019 footprint, 62% came from the supply chain, 24% from the direct delivery of care, 10% from staff commute and patient and visitor travel, and 4% from private health and care services commissioned by the NHS. INTERPRETATION: This work represents the longest and most comprehensive accounting of national health-care emissions globally, and underscores the importance of incorporating bottom-up data to improve the accuracy of top-down modelling and enabling detailed monitoring of progress as health systems act to reduce emissions. FUNDING: Wellcome Trust.
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Tennison, I., Roschnik, S., Ashby, B., Boyd, R. F., Hamilton, I., Oreszczyn, T., Owen, A., Romanello, M. B., Ruyssevelt, P. A., Sherman, J. D., Smith, A., Steele, K., Watts, N., & Eckelman, M. J. (2021). Health care's response to climate change: a carbon footprint assessment of the NHS in England. The Lancet Planetary Health, 5(2), e84–e92. https://doi.org/10.1016/s2542-5196(20)30271-0
Tennison, Imogen, et al. "Health care's response to climate change: a carbon footprint assessment of the NHS in England." The Lancet Planetary Health, vol. 5, no. 2, 2021, pp. e84–e92, https://doi.org/10.1016/s2542-5196(20)30271-0.
Tennison, Imogen, Sonia Roschnik, Ben Ashby, Richard F. Boyd, Ian Hamilton, Tadj Oreszczyn, Anne Owen, et al. "Health care's response to climate change: a carbon footprint assessment of the NHS in England." The Lancet Planetary Health 5, no. 2 (2021): e84–e92. https://doi.org/10.1016/s2542-5196(20)30271-0.
Tennison I., Roschnik S., Ashby B. [и др.] Health care's response to climate change: a carbon footprint assessment of the NHS in England // The Lancet Planetary Health. — 2021. — Vol. 5, № 2. — P. e84–e92. — URL: https://doi.org/10.1016/s2542-5196(20)30271-0
@article{tennison2021health,
title = {{Health care's response to climate change: a carbon footprint assessment of the NHS in England}},
author = {Imogen Tennison and Sonia Roschnik and Ben Ashby and Richard F. Boyd and Ian Hamilton and Tadj Oreszczyn and Anne Owen and Marina B Romanello and Paul A Ruyssevelt and Jodi D. Sherman and Andrew Smith and Kristian Steele and Nicholas Watts and Matthew J. Eckelman},
journal = {The Lancet Planetary Health},
year = {2021},
volume = {5},
number = {2},
pages = {e84--e92},
doi = {10.1016/s2542-5196(20)30271-0},
url = {https://doi.org/10.1016/s2542-5196(20)30271-0}
}TY - JOUR AU - Tennison, Imogen AU - Roschnik, Sonia AU - Ashby, Ben AU - Boyd, Richard F. AU - Hamilton, Ian AU - Oreszczyn, Tadj AU - Owen, Anne AU - Romanello, Marina B AU - Ruyssevelt, Paul A AU - Sherman, Jodi D. AU - Smith, Andrew AU - Steele, Kristian AU - Watts, Nicholas AU - Eckelman, Matthew J. TI - Health care's response to climate change: a carbon footprint assessment of the NHS in England JO - The Lancet Planetary Health VL - 5 IS - 2 SP - e84 EP - e92 PY - 2021 DA - 2021/02/01 DO - 10.1016/s2542-5196(20)30271-0 UR - https://doi.org/10.1016/s2542-5196(20)30271-0 ER -
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