CARBON REDUCTION AND NET ZERO
healthcare activity – ideally through increased focus on prevention, and empowering people to take a greater role in managing their own health, maintaining awareness of their capabilities, and the barriers they may face to making healthy choices’. Dr Pinto said: “Lean pathways mean stripping out activities that are not only low value, but potentially harmful, such as over-investigation and overprescribing. For the activities we need to continue, we must consider how we do so with the least environmental impact.” Prevention was, she said, ‘the first principle’ – because it had the greatest potential. She added: “Focusing on prevention forces us to break out of our silos; to use the trusted health voice and our status as anchor institutions to work across our communities, advocating for those policy and planning decisions that not only help tackle the climate and nature crisis, but also have enormous potential benefits for population health.”
Chronic diseases causing widespread suffering She next showed a graphic, on the right of which were chronic diseases causing widespread suffering and increasing demands on healthcare, adding that more and more patients were presenting today with multiple conditions to pathways designed to treat single conditions.
The Sustainability in Quality Improvement (SusQI) approach.
Dr Pinto said: “This list covers the six groups of conditions identified in the Government’s Major Conditions Strategy that account for over 60% of mortality and morbidity in England. On the left, you’ll see the things we need to do to tackle climate change.” She pointed out that by rapidly transitioning from burning fossil fuels to renewable energy sources, and reducing our car dependency, we would improve air quality. She said: “We saw the immediate benefits of this with respiratory conditions like asthma during lockdown. Air pollution can exacerbate or cause almost any
condition – including many mental health disorders, particularly dementia. By transitioning to active and public transport we also increase physical activity, which is strongly linked to physical and mental health. Currently, half of children and around a third of adults are not active enough for good health. By reducing car- related infrastructure, we free up urban space for nature, and improve access to green space – which has wide-ranging physical and mental health benefits, while reducing flood risk and temperatures during heatwaves.”
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Courtesy of the Centre for Sustainable Healthcare
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