The Planetary Health Emergency

Are you a healthcare professional concerned about the planetary health emergency? Do you want to find out what you can do and what support there is? We've given some ideas here of actions you can take with a few links to further reading.

Over the last 12 months the work of Extinction Rebellion, Greta Thunberg and many other concerned individuals and organisations have highlighted that, despite the rhetoric and multiple international climate summits, since 1980 global emissions have doubled and we have removed about half the wild birds, mammals, fish, invertebrates and insects on our planet.  These activists are reminding our leaders that they have a a duty of care to protect the public beyond their legal responsibilities. 

We at the Centre for Sustainable Healthcare fully support the work of these groups and the calls for declarations of climate emergency. We support moving the net zero target for emissions to 2030 and the Global Climate Strike on 20th September 2019.

The science tells us this truly is a climate and global health emergency (The Climate Situation) and the Health Implications of this are clear and terrifying. As individuals and communities we are not doing enough. Our leaders are failing us. They are neither recognising the urgency of the situation nor implementing policies to tackle it.  As Healthcare Professionals we should not stand on the sidelines. We have a duty of care to our patients and communities and a responsibility to act.

What you can do as a Healthcare Professional

Healthcare professionals are widely respected in our society. Use your voice to call for political and institutional action on climate breakdown.  Consider supporting the work of Extinction Rebellion, the calls for declarations of climate emergency and joining the Global Climate Strike on September 20th (Useful information from Medact here).

Not everyone will feel able to participate in rallies or strikes and there are many important ways to make a difference.

Support our climate action on 20th September - become an NHS Forest Champion

On the 20th September, millions will join the Global Climate Strike – demanding climate justice and an end to the age of fossil fuels. We’re asking NHS staff to show their support for the protest with practical action to plant more trees on NHS land. Trees absorb carbon, improve air quality and provide vital shade. The UK Committee on Climate Change has said that we need to plant 30,000 hectares of woodland a year. In meeting this huge challenge, planting more trees in urban areas will be vital, and will also make our towns and cities healthier places to live. For the last decade we’ve been planting trees on NHS land, for the benefit of patients, staff and communities. Help us plant more!

To become an NHS Forest Champion sponsor a tree for the NHS Forest 

Arrange to plant some trees at your health site. Start by identifying space where new trees could flourish, provide welcome shade and lock up carbon. Get in touch with your Estates and Facilities staff to talk about what could be done and where. Once you have planting plans agreed, contact us for saplings.

Join our social media campaign – post a picture of yourself standing in a spot at your health site where you would like to see more trees planted. Be inventive! Download our electronic picture frame here, PDF iconnhs_forest_twitter_banner-1.pdf! Tweet @nhsforest using the hashtag #nhsforestclimateaction.

Ongoing actions you can take

Practice sustainable healthcare

Since 2008 the Centre has been exploring methodologies and metrics that can help to transform models of care.  We work with key partners to engage healthcare professionals, patients and the wider community in understanding the connections between health and environment, and to reduce healthcare’s resource footprint.  We have developed key principles of sustainable healthcare and toolkits for embedding sustainability in quality improvement that you can use.  Work with us to help your organisation become truly sustainable.

To support your efforts and to engage colleagues and provide a framework for change programmes are available. The leading programs are the CSH Green Ward Competition and the RCGP Green Impact for Health scheme (which is available for  primary care).

Support change within your hospital or workplace

  • Identify the sustainability lead and see what you can do to support the sustainability agenda.
  • Give a teaching session on the climate crisis, health and sustainable healthcare at a meeting.
  • Find out if organisation have a sustainable development management plan (SDMP) and a board-level champion.  If not, the SDU has a resource package and we can help too.

Connect with others

It is important to develop contacts with like-minded individuals to support you and to share ideas with. 

Support the fossil fuel divestment campaign

Medact have been instrumental in driving a campaign to persuade healthcare organisations such as the  Royal Colleges to divest from fossil fuels. This has been very successful with a number of colleges pledging to divest and more agreeing to debate the issue. With your support this can only become more successful. Through these groups you will also find information on how to launch your own local campaign to challenge County Councils to divest their pension funds from fossil fuels.

Some examples of other petitions you may want to support:
The Cancer of Climate Change
Concerned Health Professionals UK
The Alliance of World Scientists

Your voice counts!

By adding your voice to the growing number of healthcare professionals you are contributing to delivering a sustainable way of life for our children and communities, now and in the future.

Tips for talking to people:

  • knowledge alone does not change behaviour
  • if you have outlined the climate crisis, move quickly into discussions about taking action.  This is because it is important to avoid despair. If people think there is no hope they will not take the action which is so vitally needed.
  • tell your story on what led you to get involved with taking climate action and don’t be afraid to use a bit of humour both to disarm and engage.
  • encourage people that it doesn't matter if you don't know all the facts - we know more than enough to take action
  • emphasise that the actions which improve the environment also improve human health

To that end here is a short video about what could happen if we take effective action! Watch it here.

 

How the Centre for Sustainable Healthcare is supporting healthcare professionals to take action

The Centre for Sustainable Healthcare is a small but influential charity which has been working for the last 11 years on ways to reduce healthcare’s environmental impact.

Our Green Ward Competition and Sustainable Specialties Programme are designed to mainstream sustainability in the daily practice of healthcare professionals and integrate sustainability into the planning of health services and systems.

We use our sustainable approach to quality improvement, the SusQI methodology as a powerful mechanism of transformation and change.  Our specialist expertise in carbon modelling of sustainable healthcare allows us to demonstrate the impact of our interventions.

We support this action by our work in medical education; integrating sustainability into curricula, courses and running national Sustainability Schools.

Our green space projects, especially our NHS Forest, assist organisations to improve their natural environment and reconnect their staff, patients and the wider community with their local green space to benefit their health.

We recognise the importance of taking a cross-organisational approach in tackling these huge environmental issues and have built strong links with our colleagues at the Sustainable Development Unit, UK Health Alliance on Climate Change, Medact, the BMA Fair Medical Trade group, Healthcare Without Harm and Doctors for XR.

 

The Climate Situation

Over the last one hundred years our consumption of our planet’s resources has grown exponentially and the rate at which we are impacting our natural environment continues to accelerate. In the last 40 years we have emitted dangerous levels of carbon dioxide and removed about half of the wild birds, mammals, fish, invertebrates and insects from our planet.

If we reduce emissions and prevent a rise in temperatures beyond 1.5°C it is predicted that the climate will stabilise. Beyond this it is likely that we will move through a number of tipping points and enter a period of warming that will lead to complete breakdown of the climate as we know it.

We are not on target to keep below 1.5°C

For the last 1.2million years our planet has moved through predictable interglacial cycles lasting about 100,000 years. These occurred due to subtle changes in the earth’s axis of rotation and orbit around the sun. The rise in CO² levels caused by fossil fuel combustion has broken this cycle, taking us into uncharted territory.  Since the industrial revolution, we have burnt approximately 100,000,000,000 tonnes of crude oil. This has resulted in carbon dioxide levels rising from 270ppm to 400ppm causing average global temperatures to rise by 1°C. This may not sound a lot but, putting it in context, if we have a 1°C rise in our body temperature we would have a fever of 38°C and feel very unwell. This rate of change in global temperatures is un-precedented and has already had significant impacts. As an example, we have seen at least 50% of the world coral reefs experience bleaching episodes since 1976. This is already impacting human health as 1.2 billion people rely on these reefs for their main source of protein.

Health Implications

On our current trajectory, the World Bank predicts that by 2030 climate change will reverse recent public health gains putting 100 million people back into poverty and causing at least an additional 250,000 deaths annually.  The illustration below shows the ways in which climate change impacts human health.

We can see that climate change, biodiversity loss and pollution are not just inconvenient. They are the biggest public health threats humankind has ever faced.

Healthcare systems themselves contribute to climate change, undermining their efforts to improve and maintain the health of the populations they serve. The NHS UK is the largest employer in Europe with some 1.7 million employees. It has a significant environmental footprint in terms of resource use, pollution and carbon footprint and accounts for around 4% of UK emissions.

The Lancet 2018 Report on the connections between health and climate change is summarised in this video: https://www.youtube.com/watch?v=moYzcYNX1iM&feature=youtu.be

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References

https://www.un.org/sustainabledevelopment/blog/2019/05/nature-decline-un...
https://www.ipcc.ch/sr15/
https://www.rcplondon.ac.uk/projects/outputs/breaking-fever-sustainabili...
https://www.wwf.org.uk/updates/living-planet-report-2018