The NHS Fleet 

The NHS Long-Term Plan commits to reducing emissions from our fleet, specifically:

  • Cutting air pollutant emissions from business mileage and NHS fleet by 20% by 2023/24
  • Ensuring that at least 90% of the NHS fleet use low-emissions engines (including 25% Ultra Low Emissions) by 2028

There are several useful resources available to support NHS organisations seeking to transition to a greener fleet and reducing business mileage.


Key definitions:

  • NHS fleet is any vehicle owned or leased by the Trust for Trust business purposes (including patient conveyancing, medical transport/tri services, logistics, maintenance, driver training, patient support vehicles, pool vehicles, etc.) Hire vehicles that are hired for longer than five days and dedicated “car club” vehicles (i.e. where the Trust has secured preferential access to the vehicle) should be counted as NHS fleet.
  • Low emission vehicles (LEV) are vehicles that meet current ‘Euro Standards’. Euro 3 for motorcycles, mopeds, motorised tricycles and quadricycles; Euro 4 for petrol cars, vans, minibuses and other specialist vehicles; Euro 6 for diesel cars, vans and minibuses and other specialist vehicles; Euro VI for lorries, buses and coaches and other specialist heavy vehicles
  • Ultra-low emission vehicles (ULEV) are vehicles that emit tailpipe emissions of less than 50g CO2/km. Electric vehicles (including battery electric, plug-in hybrid electric or hydrogen fuel cell) all meet this criteria.
  • Business mileage is travel completed by NHS staff in the course of business or work, other than the daily commuting between home and the workplace. This includes, but is not limited to, staff travelling to patients' homes, to attend meetings, on training courses and visiting other Trust premises. Business mileage may be undertaken in NHS fleet or by other means including public transport, taxi, hire cars and grey fleet.