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(Lond)"],"abstract":"<jats:p>Hospital-based healthcare is the most carbon intensive component of healthcare delivery. Mitigation in the face of the climate and ecological crises is urgent and required under law in England, yet comprehensive guidance is lacking. This review summarizes\u2014by sector of emissions\u2014current evidence on strategies that hospital trust executive boards can take to deliver decarbonisation. We identify variable maturity of evidence available per hospital speciality and emissions sector, limited translation of successful case studies across the sector and a lack of comprehensive guidance or policy to drive large-scale change. Strategies for hospitals to implement change need to be accompanied by cultural shifts in approaches to environmental sustainability backed up by leadership, governance and financial commitments. Crucially, long-term financial savings offered through environmental sustainability investments ought to be a driver, not a barrier, to change.<\/jats:p>","DOI":"10.31083\/bjhm53431","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:59:52Z","timestamp":1790701192000},"source":"Crossref","is-referenced-by-count":0,"title":["How Can UK Hospitals Transform to Net Zero Carbon Emissions?"],"prefix":"10.31083","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8147-490X","authenticated-orcid":true,"given":"Jasmin","family":"Abbott","sequence":"first","affiliation":[{"name":"General Internal Medicine, Kingston and Richmond NHS Foundation Trust, KT2 7QB Kingston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7492-5110","authenticated-orcid":true,"given":"Petar","family":"Tabakov","sequence":"additional","affiliation":[{"name":"Global Health and Infection Department, Brighton and Sussex Medical School, BN1 9PX Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2674-1103","authenticated-orcid":true,"given":"Susie","family":"Vernon","sequence":"additional","affiliation":[{"name":"Environment and Sustainability, Sussex Community NHS Foundation Trust, BN2 3EW Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1190-6687","authenticated-orcid":true,"given":"Federica","family":"Pascale","sequence":"additional","affiliation":[{"name":"Faculty of Science and Engineering, Anglia Ruskin University, CM1 1SQ Chelmsford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4688-1670","authenticated-orcid":true,"given":"Mahmood F","family":"Bhutta","sequence":"additional","affiliation":[{"name":"Global Health and Infection Department, Brighton and Sussex Medical School, BN1 9PX Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Romanello M, Walawender M, Hsu SC, Moskeland A, Palmeiro-Silva Y, Scamman D, et al. 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Available at: https:\/\/www.england.nhs.uk\/long-read\/five-years-greener-nhs-progress-forward-look\/ (Accessed: 12 April 2026)."},{"key":"ref58","doi-asserted-by":"publisher","unstructured":"Rodr\u00edguez-Jim\u00e9nez L, Romero-Mart\u00edn M, Spruell T, Steley Z, G\u00f3mez-Salgado J. The carbon footprint of healthcare settings: A systematic review. Journal of Advanced Nursing. 2023; 79: 2830\u20132844.","DOI":"10.1111\/jan.15671"},{"key":"ref59","doi-asserted-by":"publisher","unstructured":"Moseley G, Spajic L, Behrens G. Hospital food environments: a human and planetary health opportunity. The Medical Journal of Australia. 2020; 212: 384\u2013384.e1.","DOI":"10.5694\/mja2.50576"},{"key":"ref60","doi-asserted-by":"publisher","unstructured":"Coley D, Howard M, Winter M. Local food, food miles and carbon emissions: A comparison of farm shop and mass distribution approaches. Food Policy. 2009; 34: 150\u2013155.","DOI":"10.1016\/J.FOODPOL.2008.11.001"},{"key":"ref61","unstructured":"NHS England. National standards for healthcare food and drink. 2022. Available at: https:\/\/www.england.nhs.uk\/long-read\/national-standards-for-healthcare-food-and-drink\/#4-improving-sustainable-procurement-and-reducing-food-waste (Accessed: 14 February 2025)."},{"key":"ref62","unstructured":"NYC Health + Hospitals. NYC Health + Hospitals Celebrates 1.2 Million Plant-Based Meals Served. 2024. Available at: https:\/\/www.nychealthandhospitals.org\/pressrelease\/nyc-health-hospitals-celebrates-1-2-million-plant-based-meals-served\/ (Accessed: 14 April 2026)."},{"key":"ref63","unstructured":"Greener NHS. Estates Net Zero Carbon Delivery Plan Technical Annex (version 1.0). 2022. Available at: https:\/\/future.nhs.uk\/Estates_and_Facilities_Hub (Accessed: 13 January 2025)."},{"key":"ref64","doi-asserted-by":"publisher","unstructured":"Bolten A, Kringos DS, Spijkerman IJB, Sperna Weiland NH. The carbon footprint of the operating room related to infection prevention measures: a scoping review. The Journal of Hospital Infection. 2022; 128: 64\u201373.","DOI":"10.1016\/j.jhin.2022.07.011"},{"key":"ref65","doi-asserted-by":"publisher","unstructured":"Roletto A, Zanardo M, Bonfitto GR, Catania D, Sardanelli F, Zanoni S. The environmental impact of energy consumption and carbon emissions in radiology departments: a systematic review. European Radiology Experimental. 2024; 8: 35.","DOI":"10.1186\/s41747-024-00424-6"},{"key":"ref66","doi-asserted-by":"publisher","unstructured":"Pascale F, Jones K. Existing hospitals\u2019 journey into a sustainable and climate-resilient future: barriers and opportunities for estates and facilities management. 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Available at: https:\/\/www.england.nhs.uk\/long-read\/outpatient-services-a-clinical-and-operational-improvement-guide\/ (Accessed: 18 November 2025)."},{"key":"ref77","doi-asserted-by":"publisher","unstructured":"Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. The Cochrane Database of Systematic Reviews. 2015; 2015: CD002098.","DOI":"10.1002\/14651858.CD002098.pub2"},{"key":"ref78","doi-asserted-by":"publisher","unstructured":"Gupta T, Bhutta MF. Outcomes of remote versus face-to-face ear, nose and throat outpatient consultation on patient pathways. Annals of the Royal College of Surgeons of England. 2023; 105: 561\u2013567.","DOI":"10.1308\/rcsann.2022.0144"},{"key":"ref79","doi-asserted-by":"publisher","unstructured":"Gupta T, Bowles P, Bhutta MF. Effectiveness, perceptions and environmental benefits of remote consultation for adults referred with recurrent tonsillitis. 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Available at: https:\/\/www.health.org.uk\/reports-and-analysis\/briefings\/policy-levers-for-a-net-zero-nhs-four-priorities-for-the-future (Accessed: 28 January 2025)."},{"key":"ref86","unstructured":"Naylor C, Wills E, Hillson R. Environmental sustainability in the NHS. 2026. Available at: https:\/\/www.kingsfund.org.uk\/insight-and-analysis\/reports\/environmental-sustainability-nhs (Accessed: 29 April 2026)."},{"key":"ref87","doi-asserted-by":"publisher","unstructured":"Mortimer F, Isherwood J, Wilkinson A, Vaux E. Sustainability in quality improvement: redefining value. Future Healthcare Journal. 2018; 5: 88\u201393.","DOI":"10.7861\/futurehosp.5-2-88"},{"key":"ref88","doi-asserted-by":"publisher","unstructured":"Mortimer F, Cameron D, Hillson R, McLean R, Bhutta MF, Llewellyn C, et al. Policy Brief: Transition to reusable medical products in NHS hospitals: Current practice and challenges. 2025. 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Available at: https:\/\/www.england.nhs.uk\/greenernhs\/whats-already-happening\/ (Accessed: 14 April 2026)."},{"key":"ref92","doi-asserted-by":"publisher","unstructured":"van der Klink M, Demirel P. Implementing reusable medical textiles in NHS operating theatres: Barriers and enablers. Journal of Cleaner Production. 2025; 491: 144852.","DOI":"10.1016\/j.jclepro.2025.144852"},{"key":"ref93","doi-asserted-by":"publisher","unstructured":"Naylor C, Appleby J. Environmentally sustainable health and social care: Scoping review and implications for the English NHS. Journal of Health Services Research & Policy. 2013; 18: 114\u2013121.","DOI":"10.1177\/1355819613485672"},{"key":"ref94","unstructured":"McGeoch L, Hardie T, Coxon C, Cameron G. Net Zero Care: What Will It Take? 2023. 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