Health Outcomes Travel Tool - V 3.0

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. HOTT is an innovative tool that allows the quantification of impacts (such as air and noise pollution, road traffic incidents and greenhouse gases) from different travel sources to allow the creation of a plan and targeted initiatives to reduce the NHS's impact from travel and transport. 

Practical HOTT outcomes include: 

  • Support business cases for improving your fleet (e.g., switching to electric vehicles), better service delivery design “care closer to home”
  • Provide information to support staff and community engagement on sustainable and healthy travel options 
  • Engage suppliers from tender stage to contract management to reduce their environmental impact. 
  • Using HOTT to evaluate the success of past/current travel and transport initiatives
Version 3 of the tool has been uploaded on 10th April 2019 and all users should move over to the new tool, please see details here.

Why sustainable travel in the NHS matters

Travel and transport linked to Health and Social Care services generates a significant share of road traffic in England, currently estimated at around 5%, producing air pollution, GHGs, accidents and noise. The SDU have quantified that the NHS is responsible or can influence 3% of all road traffic in England. Air pollution is widely recognised as being a significant burden on health. A 2017 report from the Royal Colleges of Physicians and Paediatrics and Child Health estimated that UK-wide travel and transport impact on mortality is equivalent to 40,000 deaths a year, in addition to numerous effects on respiratory and cardiovascular health. 

Watch the intro video, download the tool and guidance below

HOTT is comprised of five user interfaces specific to each organisation type:

  • Provider (non-Ambulance) - an interface for providers to reflect their core operations associated with travel, such as the movement of staff, patients and visitors. 
  • Ambulance Providers – this interface includes fleet-specific data inputs and impacts for ambulances, rapid response vehicles and patent transport fleet. 
  • Primary Care and CCGs - this interface allows CCGs to assess their own impacts alongside the travel impacts of primary care delivered within the CCG boundary (NB the tool currently has a caveat about unknown quality of the calculated baseline business mileage figure). 
  • Supply Chain – this interface allows engagement with supply chain and assessing the impacts of transport services and the delivery of goods
  • Internal Logistics – this interface allows modelling the impacts from any internal logistics fleet
All the data outcomes can be collated using the Data Summary sheet.

The tool was commissioned by the SDU and developed by Mike Holland at EMRC.

Video tutorials

Available to assist you using each interface:

HOTT in practice - Central Manchester University Hospitals case study

Over the past four years the Trust has focused on engaging staff and improving infrastructure to encourage uptake of sustainable and active travel. HOTT enabled the Trust to estimate the overall cost benefit of their sustainable travel programme since 2013 at £773,000 - read it here.

Share your best practice and send us feedback 

Once you have used HOTT to model interventions or assess your impact over several years, please share your version of HOTT analysis with the SDU. We are very keen to understand how the tool is begin used, how accurate the baseline is and where we can further improve it.

If you have any questions or feedback on HOTT, please contact