Health Care Providers
Each section below relates to the TPT Disclosure Framework principles of Action and Accountability. The below provides further guidance for sub-elements 4.1 and 4.3. The TPT welcomes comments on this guidance to ensure it is as useful as possible for preparers and users. The text is open for comment until Friday, 24 November. Please select the feedback form at the bottom of the page. The final text will be updated in February.
This sub-sector should include companies that own and manage hospitals, clinics and other health care-related facilities which provide a range of services that includes inpatient and outpatient care, surgery, mental health rehabilitation, and clinical laboratory services. It should also include the purchase, inventory and selling of pharmaceutical products and medical equipment to individuals, commercial, Medicare and Medicaid members which also provides administrative services and network access for self-funded insurance plans and manage pharmacy benefits.
1. Promote preventative healthcare and optimise efficient care pathways2,6, 11
- educate patients about health and wellness and other preventive healthcare measures to reduce hospital visits and the need for treatments; and
- optimise care pathways (e.g., digital services, telemedicine solutions) to streamline services and minimise patient emissions.
2. Transition to renewable energy and adopt low–GHG emissions infrastructure1, 3, 6, 7, 9
- replace fossil fuel heating with low-GHG emissions alternatives, e.g., heat pumps;
- improve roofing and insulations across all buildings;
- upgrade lighting across all buildings and real estate to LED lighting; and
- invest in zero emissions buildings and infrastructure.
3. Adopt sustainable medical equipment and products and increase circularity1, 3, 4, 6, 7, 9
- reduction of the size of product packaging, optimised design and replace with lower carbon materials;
- increasing energy efficiency and circularity in healthcare machinery and equipment; and
- streamline packaging with low-GHG emissions materials and reduce overall use.
4. Reduce healthcare fleet emissions1, 3, 4, 6, 7, 9
- reduce air freight and shift to use of sea, road, and rail freights;
- electrify or shift to other low-GHG emissions vehicle fleets; and
- incentivise staff to use electric vehicles or active forms of travel, such as cycling and walking.
5. Implement sustainable waste management practices1, 3, 4, 6, 7, 9, 12
- implement strategies to minimise medical and pharmaceutical waste;
- partner with suppliers for reduced and recyclable packaging;
6. Engage suppliers to reduce emissions6,10,12
- develop common supplier standards around emissions disclosure and target setting;
- fund green tech research and development; and
- include sustainability as a criterion in purchasing decisions e.g., for products and foods.
- total energy consumption (GJ) by source (self-generated or purchased) and by fuel type; 8
- fleet fuel consumption, disaggregated by fuel type; 8
- amount (by weight) of products accepted for take-back and reused, recycled, or donated in metric tons;8
- number of pharmaceutical units sold by product category;8
- number of medical devices sold by product category;8
- total amount of medical waste, percentage (a) incinerated, (b) recycled or treated, and (c) landfilled in tonnes;8
- total energy consumed, (2) percentage grid electricity, (3) percentage renewable in GJ or %; and 8
- total amount of medical waste: percentage (a) incinerated, (b) recycled or treated and (c) landfilled.8
- Key emissions within patient care settings are likely to come from buildings, fleets and anaesthetic gases and should be included in an entity’s Scope 1, 2 and 3 inventory as appropriate.11
- Scope 3 Category 1: Purchased goods and services and Scope 3: Category 7: Employee commuting may be relevant.11
- Emissions per inpatient Finished Admission Episode (kg CO2e/ FAE).13
Health care providers literature
- Arup & Health Care Without Harm, Designing a net zero roadmap for healthcare: Technical methodology and guidance, 2021
- Arup & Health Care Without Harm, Health Care’s Climate Footprint: How the health sector contributes to the global climate crisis and opportunities for action (Green Paper Number One), 2019
- Arup & Health Care Without Harm, Global Road Map for Health Care Decarbonization: A navigational tool for achieving zero emissions with climate resilience and health equity (Green Paper Number Two), 2021
- Arup, Health Care’s Climate Footprint, 2019
- AstraZeneca, Sustainability Data Summary 2021, 2021
- Green Hospitals, Sustainability Agenda | GGHH (greenhospitals.org)
- Health Care Without Harm, Global Road Map for Health Care Decarbonisation, 2021
- IFRS, [Draft] Industry-based Guidance on Implementing IFRS S2, 2022
- NHS, Delivering a ‘Net Zero’ National Health Service, 2020
- Sustainable Markets Initiative, Decarbonising Healthcare Supply Chains, 2022
- Sustainable Markets Initiative, Decarbonising patient care pathways, 2022
- The Chartered Institute of Procurement and Supply Link, The eight levers to cut healthcare supply chain emissions, 2022
- Tennison et al., Health care’s response to climate change: a carbon footprint assessment of the NHS in England Supplementary appendix, Lancet Planet Health, 2021
The TPT welcomes comments on the Sector Summary to ensure it is as useful as possible for preparers and users. The Sector Summary was open for comment until Friday 24 November and, following consideration of the feedback received, will be updated in February. Thank you to the industry experts who provided comments.