Net Zero progress
Supply chain and procurement A large proportion of the NHS Carbon Footprint Plus is associated with the supplies and services purchased by NHS organisations, with over 600,000 products purchased from 80,000 national and global suppliers. Supply chain emissions from ‘medical’ and
‘other’ supply chain are estimated to be 12.4 MtCO2e in 2024/25. This includes MedTech products that are encompassed in a range of categories including ‘clinical equipment’, ‘clinical consumables’ and ‘other equipment’. Improvements to the methodological
approach for calculating supply chain emissions, along with greater engagement with suppliers, mean NHS organisations now have a better understanding of supply chain emissions, categories and sources. The improvements will enable better targeting of action and development of policy. However, the methodology’s reliance on economic (spend-based) emissions’ factors currently limits the NHS’s ability to measure progress. Overall, estimates indicate that supply
chain emissions have fallen since the COVID-19 pandemic, suggesting the NHS and its suppliers are making progress, but a fuller assessment will be made in future years.
Progress TheNet Zero Supplier Roadmap, published in 2021, set out clear steps to help suppliers align with the NHS’s ambition to decarbonise its supply chain, up until 2030. The initial milestones have been implemented: l From April 2022, the NHS adopted a 10% weighting for Net Zero and social value across all new NHS procurements. From April 2023, implementation of the Cabinet Office Procurement Policy Note 006 began, requiring suppliers for all new contracts above £5 million per annum to publish a Carbon Reduction Plan (CRP). From April 2024, the NHS proportionately extended this requirement to all new procurements.
l Under the 2024 policy, almost 90% of NHS non-pay spend is in scope of CRP or Net Zero commitment requirements, with a near 100% pass rate for CRP requirements across NHS Supply Chain frameworks and NHS England medicines’ tenders.
l Over 2,000 suppliers have signed up to the Evergreen Sustainable Supplier Assessment, a tool for suppliers to engage with the NHS on their sustainability journey and demonstrate progress.
Next steps l From 2027, the NHS will implement new, proportionate requirements for suppliers to publicly report targets, emissions, and a plan to reduce them for all their relevant Scope 1, 2 and 3 global emissions
l Some suppliers already apply environmental considerations at a product level. The NHS will continue to collaborate with suppliers, regulators and international health systems to help co-produce the approach to the 2028 product carbon footprinting requirements but will not expect life cycle assessments for every product at this stage. The focus will be proportionate and prioritised on understanding high-emission areas, particularly pharmaceuticals, medical technologies, and digital where more granular carbon insights can deliver value on the NHS’s journey to Net Zero.
l NHS will work closely with suppliers and procurement staff as it develops guidance to implement the milestones and produce the next phase of the NHS Net Zero Supplier Roadmap for 2030 onwards.
Digital The shift from analogue to digital will transform the way that care is delivered in the NHS,
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