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WELCOME

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Sir Neil McKaySir Neil McKayLead NHS Chief Executive Lead NHS Chief Executive for Sustainable Developmentfor Sustainable Development

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Simon Burns MP Simon Burns MP

Minister of State for HealthMinister of State for Health

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David Flory CBEDavid Flory CBEDeputy Chief Executive Deputy Chief Executive of the NHSof the NHS

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““The only infinite resource we The only infinite resource we possess is our capacity to possess is our capacity to innovate and educateinnovate and educate”.”.

(James Mackenzie)

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Sonia RoschnikSonia RoschnikOperational DirectorOperational DirectorNHS Sustainable Development UnitNHS Sustainable Development Unit

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Do you think the NHS should be a public sector leader as a sustainable and low carbon organisation?

0% 10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Special health authorities

Care trusts

Ambulance trusts

Strategic health authorities

Mental health trusts

Primary care trusts

Acute trusts

All NHS Trusts

Percentage of responses (222)

A lot

A little

Not a lot

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NHS England CO2e footprint 1990 – 2020

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Carbon footprint – NHS England

2007-8 ERIC data2007 ONS data

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Potential reductions

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NHS MAC curve

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Purpose of Route MapPurpose of Route Map

• Build on the Carbon Reduction Strategy• Build on NHS work to date • Linking 2010 with 2015 and a longer time span to 2050• Collaborative approach across the sector• Components of a sustainable health system • Highlight all aspects that require a shift• Mechanism to agree who works on which elements in

the system

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Route Map processRoute Map processDesktop research

Forecasting

- Requirements of the system

- Key milestones

Core themes

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Route Map processRoute Map process

Backcasting

- Vision

- What needs to happen

- Analysis and synthesis

Postcards

Visuals

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(John Schaar)

““The future is not a result The future is not a result of choices among of choices among alternative paths offered by alternative paths offered by the present,the present,

but a place that is createdbut a place that is created- first in the mind and will, - first in the mind and will, next in activity.”next in activity.”

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Dr David PencheonDr David PencheonDirectorDirectorNHS Sustainable Development UnitNHS Sustainable Development Unit

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Dr Phil HammondDr Phil HammondDoctor, Writer, and Broadcaster Doctor, Writer, and Broadcaster

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Each day there are Each day there are 40,000 consultations 40,000 consultations and 200,000 and 200,000 decisions per million decisions per million populationpopulation

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Nigel EdwardsNigel EdwardsActing Chief ExecutiveActing Chief ExecutiveNHS ConfederationNHS Confederation

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““Sustainability isn’t about Sustainability isn’t about projects, but about how projects, but about how we do business, how we we do business, how we create value, how we create value, how we discuss quality discuss quality generally” generally”

(Pharmacy summit participant)(Pharmacy summit participant)

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Helen McCallumHelen McCallumDirector of PolicyDirector of PolicyWhich? Which? The Consumer's AssociationThe Consumer's Association

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““Walk a mile in my shoes”Walk a mile in my shoes”

There will be no movement There will be no movement without an engagement with without an engagement with the general public, in a way the general public, in a way which individuals can which individuals can understand. This is about understand. This is about people, not systems or people, not systems or science.science.

(Postcard from workshop participant)(Postcard from workshop participant)

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Dr Phil HammondDr Phil HammondDoctor, Writer, and Broadcaster Doctor, Writer, and Broadcaster

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When the winds of change When the winds of change blow, some people build walls blow, some people build walls and others build windmillsand others build windmills (Chinese proverb)