Carbon reduction strategy 2009

The NHS Carbon Reduction Strategy for England (CRS) sets an ambition for the NHS to help drive change towards a low carbon society. The strategy shows the scale of reduction in carbon required for the NHS to meet its legal targets set out in the Climate Change Act. It also recommends key actions for the NHS to become a leading sustainable and low carbon organisation.

Keeping track of the NHS carbon footprint indicates how the NHS is progressing in reducing emissions. The SDU regularly updates the NHS carbon footprint to see how we are doing. A list of documents demonstrating progress and giving guidance on how to improve sustainability and reduce carbon can be found on our NHS Carbon Footprint page.

Below you will find a list of documents related to the NHS Carbon Reduction Strategy.

Strategy update 2010

The original strategy was published in 2009. An update was produced in 2010 providing new information and additional tools. It should be used in conjunction with the 2009 NHS Carbon Reduction Strategy (CRS). The update includes additional analysis using Marginal Abatement Cost Curves (MACC) which identify which carbon reduction measures save the most money. Find our more information about MAC Curves.


Sustainable Development Strategy 2014 - 2020

The Carbon Reduction Strategy focussed activity on carbon reduction within the NHS.  A new strategy is currently being written which looks to embrace all aspects of sustainability (not just carbon) and includes the entire health, public health and social care system (not just the NHS).  It will be published in January 2014. Further information can be found here.


  • This Update by the Sustainable Development Unit provides important information and additional tools to help your organisation reduce its carbon emissions and become more sustainable.

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  • This is a graphical representation of the quantification of various (theoretical) carbon reduction measures. The multi-coloured wedges illustrate transformational change and show the scale of the impact of each measure on the NHS.

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  • The NHS Carbon Reduction Strategy for England sets an ambition for the NHS to help drive change towards a low carbon society. The strategy shows the scale of reduction in carbon required for the NHS to progress towards the Climate Change Act requirements and recommends key actions for the NHS to become a leading sustainable and low carbon organisation.

    Download Document

Extended chapters - If you are interested in delving deeper into specific chapters of the Carbon Reduction Strategy we have included CRS Extended Chapters.