Mike Knapton and Tom Pierce: Doctors should take a leading role in tackling climate change

The recent Cambridge University Leadership Programme looked at sustainable development in health services worldwide. It was an opportunity to hear the evidence and arguments which were both persuasive and alarming. The link between population growth and our reliance on a carbon-based economy, leading to rising levels of CO2 in the atmosphere, and the consequent changes […]

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David Pencheon: Sustainability by stealth – 8 steps to heaven

When I used to teach public health to medical students and other health professionals, I tried to set myself the challenge of helping people learn about populations, prevention, screening, social determinants of health, quality of healthcare, and such things without mentioning the words public health at all. You may know why. A great paper by […]

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Sandra Lako: World Water Day in Freetown

On my way to Spur Road this morning I walked past a group of children scooping murky water out of the gutter into some buckets. These buckets were then lifted to their heads and carried home. Further down the road there was another group of people, huddled around a standpipe. 45 yellow five-gallon containers were […]

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Richard Smith: How to get people in the NHS to act on environmental sustainability?

“There’s a 50% chance that humans will be extinct by the end of the century because of climate change,” said Hugh Montgomery, director of the UCL Institute for Human Health, at last week’s conference on environmental sustainability. I’d heard that before, but it made me think of my daughter, who can expect to live for […]

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Richard Smith: Will we follow Easter Islanders into extinction?

What contrary creatures we humans are. I begin the year convinced that our civilisation will collapse soon but at the same time enjoying the continuous Mozart on Radio 3, abandoning alcohol for the month with enthusiasm, and committing myself to three runs and 70 000 steps a week. As my wife, who also thinks that […]

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David Pencheon: Saving money can save lives and improve quality, if we know what quality is…

It’s easy to say that the NHS should do better, not more – but what does that actually mean? Well, it means investing resources (money, people, buildings…) in healthcare which delivers outcomes that people both want and need. Unlike many private organisations whose objectives may be a little simpler (e.g. maximising shareholder value, obeying the […]

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Tessa Richards: Jobs for health

As UK participants returned from last week’s European Health Forum in Gastein (read more), Austria, newspaper headlines calling for “Cuts in wasteful NHS bureaucracy” and “Pay freezes for high earners” will have reinforced the messages they heard. Debate focused on the impact of the financial crisis on health and what governments should do about it. […]

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David Pencheon on the NHS carbon reduction strategy

We have no right to steal from future generations. At the end of this month, the consultation will close on the proposed carbon reduction strategy for the NHS in England. This country is the first in the world to start legislating on climate change, the most serious and urgent health threat to current and future […]

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