Low carbon travel, transport and access

The health and care system accounts for a significant proportion of road traffic in England.  5% is attributed to NHS related travel which is responsible for 13% of the NHS carbon footprint.

Advice is available on producing active travel plans as identified in the Low carbon travel, transport and access extended chapter of the Carbon Reduction Strategy. Some examples are listed below.

The Department of Health have produced a suite of documents including Transport and Health Resource: Delivering Healthy Local Transport Plans.

DfT travel plan guidance is one source of guidance available for producing a travel plan. DfT have some examples of good travel planning here

Defra Conversion factors can be used in conjunction with distances travelled and vehicle details to calculate the carbon footprint for travel.

A more accurate method for calculating the carbon footprint from business miles is to monitor fuel use. Arval's Monitorcard gathers fuelling data and provides a breakdown of carbon emissions for each individual.

Health Outcomes Travel Tool (HOTT)


The SDU’s Health Outcomes of Travel Tool (HOTT) helps NHS organisations measure the impact their travel and transport has in environmental, financial and health terms. It allows the quantification of impacts from different travel sources to allow the creation of a plan and targeted initiatives to reduce the NHS's impact from travel and transport.

Find out more and start using HOTT here.

Additional useful links and information