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Overview of our activities

Explore the impact of our work and the initiatives driving sustainable change and innovation across healthcare

Our Green Space for Health team inspires and supports healthcare sites in transforming their green space for health, wellbeing and biodiversity. We believe that a nature- positive health service is vital for building healthier and more sustainable communities, and nature-based solutions are critical for tackling climate change. Our flagship NHS Forest project helps sites to plan, plant and manage trees, woodlands and green spaces to create habitats for wildlife and sustainable social spaces for people.

The Sustainability in QI (SusQI) framework offers a holistic approach to improving healthcare, viewing all improvements and change processes through the sustainable value lens. To support organisations and healthcare staff to incorporate this approach, CSH offers strategic input and project support, short courses in Sustainability in Quality Improvement and open access SusQI resource.

Our education team at CSH offers a wide range of professional training and educational courses to equip healthcare teams with the knowledge, confidence and practical tools to embed sustainable approaches in their practice; including making changes at an individual or team level, introducing sustainability to quality improvement processes, undertaking carbon footprint calculations, and take a leadership role on meeting Net Zero targets. 

The Centre for Sustainable Healthcare’s innovative Sustainable Specialities programme inspires leadership and produces practical changes within the healthcare system. Clinical specialties are uniquely placed to address the financial and environmental sustainability of services – from the design of the clinical pathway to the organisation and delivery of care. The CSH specialty-led approach combines research focused on hotspots or barriers with support for local change, underpinned by wider engagement with national leaders, patients, and relevant environmental organisations and clinical bodies. 


Core concepts

These core concepts are a set of principles developed by CSH experts that underpin all of our work, projects and research, as well as being utilised by the wider healthcare sector to initiate positive change.

Core Concepts: Principles of Sustainable Healthcare

The CSH principles of Sustainable Healthcare are a set of guiding principles that can help healthcare practitioners participate in innovation, adoption, and embedding of low carbon practices in their healthcare setting.

Core Concepts: Sustainable value

The CSH core concept of sustainable value explains how to create a long term economic, environmental and social value in healthcare systems by balancing financial performance with positive impacts on society and the planet.

Core Concepts: Sustainability in QI

The SusQI framework developed by CSH outlines four stages of the quality improvement process at which sustainability should be considered and actively implemented throughout all healthcare systems.  


CSH collaborates with some of the worlds most renowned healthcare organisations and institutions on groundbreaking projects and research aimed at making healthcare more sustainable.  

  • Green Nursing Challenge 2025

    Green Nursing Challenge 2025 The Green Nursing Challenge is a CSH led project to support nurses to lead on sustainable healthcare initiatives and implement improvements to patient care with additional benefits of reducing costs and carbon emissions.   The Green Nursing Challenge has been fully funded by Micro-Tech UK and is working in partnership with […]

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  • Green Maternity Challenge 2024

    Six clinical teams will receive training and mentoring from CSH to develop, plan, run, and measure projects to improve sustainability and equity in the maternity care pathway

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  • NHS Forest Trees

    As part of our flagship NHS Forest project, we offer fully funded tree bundles for NHS sites in England.

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  • Nature Recovery Rangers

    Our Nature Recovery Rangers work with NHS partners at healthcare sites to improve the quality of green spaces.

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  • NHS Forest trees

    The NHS Forest

    The NHS Forest is dedicated to transforming the green spaces of healthcare sites for health, wellbeing and biodiversity.

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  • Green Maternity Challenge

    The challenge will focus on identified target areas for reducing environmental harm and health inequalities in maternity services.

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  • Nursing Insights Project

    The Nursing and Midwifery Insights Survey aims to identify carbon reducing actions and behaviours for clinical nurses and midwives.

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  • Maternity care project

    This year-long SBRI project aims to engage the multi-disciplinary maternity community and bring them together to discuss how the findings can influence future maternity care 

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  • Mapping the living kidney donor pathway project

    This short project will map and investigate the carbon impacts of the donor pathway, and variations within it.

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  • KitNewCare – transforming kidney care across Europe

    CSH is a partner in a new project to make kidney care more sustainable as part of the European Union’s key funding programme for Innovation and research to tackle climate change

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CSH offers a wide range of training courses to equip healthcare teams with the knowledge, confidence and practical tools to embed sustainable approaches in their practice; including making changes at an individual or team level, introducing sustainability to quality improvement processes, undertaking carbon footprint calculations, and take a leadership role on meeting Net Zero targets. 

CSH courses are based on the four principles of sustainable clinical practice: prevention, patient self-care, lean service delivery and low carbon alternatives. Our courses are focused on achieving lasting change and measurable impact at all levels of practice and leadership, through a combination of self-directed online learning modules, expert-facilitated workshops and peer discussion. 

CSH has pioneered the Sustainable Specialty Fellowship and scholarship programme, which takes the best individuals and invests intensively in them as highly trained catalysts for the long term transformation of the area. Each Fellow is a clinician from within the speciality. Employed by a host organisation and embedded within a clinical specialty CSH can help them to identify an area for research or transformation and ensure they have the skills and networks to achieve their goals.

The Sustainability in QI (SusQI) Academy is designed for both healthcare delivery organisations and educational institutions to Increase motivation to engage in Quality Improvement and Integrate sustainability into existing QI teaching programmes and QI frameworks. The Academy is a bespoke package, created in collaboration with your organisation to develop individual and team capability to assess environmental and social impacts of QI initiatives, and align strategy and foster connections between clinical, sustainability, and QI teams.


The Green Team Competition is an established, award winning leadership and engagement programme that brings together healthcare teams across the sector and empoiwers them to create their own projects that deliver on cutting carbon, improving patient care and staff experience, reducing the costs of care delivery and making healthcare more sustainable, and mentors healthcare teams to develop, plan, run and measure the impacts of Sustainability in QI (SusQI) projects. The programme enhances staff capability in and motivation for SusQI and supports engagement with senior leads.

CSH supports healthcare organisations, health professionals, businesses and researchers globally to accelerate their journeys to Net Zero. Our in house experts offer a range of consultancy services that can help estimate and analyse your carbon footprint at organisational, departmental or clinical pathway level as well as looking at individual products.

As a leading authority in the sustainable healthcare sector, we are experts in public health, education, sustainable clinical practice and environmental consultancy. Our trained speakers at CSH offer a unique weight, expertise and authority to any event, and inspire, motivate and raise awareness on sustainable healthcare through keynote speeches, lectures and seminars all over the world.