Our Green Plan for 2025-2028

About Us

Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust is one of the largest mental health and disability trusts in England. We provide mental health, learning disability and neurological care for people across the north of England as well as some national specialist services. The Trust works from more than 70 sites across Cumbria, Northumberland, Newcastle, North Tyneside, Gateshead, South Tyneside and Sunderland. We also run several regional and national specialist services. Along with partners, we deliver support to people in their own homes, and from community and hospital-based premises. We have around 9,000 people working for us and a budget of over £500 million, serving a population of around 1.7 million people.

NTW Solutions is a wholly owned subsidiary company of the Trust, providing a range of services to support better care. This includes estates, facilities, clinical and business support services. Throughout this document, references to ‘CNTW’ refers to the CNTW Group, incorporating both the Trust and NTW Solutions.

CNTW is part of the North East North Cumbria Integrated Care System (NENC ICS). The ICS is formed by NHS organisations and upper-tier local councils in the North East North Cumbria area and includes the voluntary sector, social care providers and other partners with a role in improving local health and wellbeing. By working together to develop shared plans and joined-up services we aim to improve outcomes in population health and healthcare, tackle inequalities in outcomes, experience and access, enhance productivity and value for money, and help the NHS support broader social and economic development. CNTW is one of eleven Trusts in the NENC ICS, working together as a Provider Collaborative on sustainability.

Introduction

CNTW is committed to delivering low carbon, sustainable healthcare. We recognise the relationship between our impact on the environment and the impact of climate change on public health and the services we provide. In 2020 the Trust joined a growing number of NHS organisations who responded by declaring a Climate and Ecological Emergency and acknowledge that “climate change is the defining issue of our time, and we are at a defining moment… without drastic action today, adapting to these impacts in the future will be more difficult and costly.”

This commitment is reflected in CNTW’s Strategic Ambition 4, to “be a sustainable, high performing organisation, use our resources well and be digitally enabled. We will be accountable for the money we spend; we will live within our means, and we will work in a way that is kind to the planet.” Similarly, NTW Solutions includes ‘Tackling the Climate Emergency’ as one of its five strategic aims within the NTW Solutions strategy, focussing on reducing our carbon emissions, minimising waste and efficiency, raising staff awareness and making the most of our green spaces.

We support the national NHS ambition to reach net zero carbon emissions, delivering efficiencies and value while reducing our contribution to climate change, as set out in the ‘Delivering a Net Zero National Health Service’ report. This Green Plan is a Board approved strategy for sustainable development at CNTW over the next three years and updates our existing Green Plan 2021-26 to align with Greener NHS guidance.

Our Vision

Simply put, we believe sustainable healthcare means better healthcare.

Our aim is for sustainability to be a fully integrated, core value in our organisational decision making, shaping how we evolve our healthcare services to support the communities we serve to thrive.

As a mental health and disability provider, we support some of the most vulnerable people in society, and we are aware that the use of language such as “climate emergency”, “climate crisis” and “climate chaos” could cause anxiety or distress to those we serve. We will seek to mitigate this risk wherever possible. We believe that by focussing on hope and opportunity for change and recovery, together we can make a positive impact.

Our Carbon Emissions

‘Delivering a ‘Net Zero’ National Health Service’ sets out two clear goals for carbon reduction across the NHS. CNTW adopts these targets to contribute to the national ambition. These are to achieve:

  1. Net zero carbon by 2040 for the emissions we control directly. This is known as our Carbon Footprint. By 2028-2032 we will reduce our Carbon Footprint by 47%, compared to our emissions in 2019/20.
  2. Net zero carbon by 2045 for emissions we can influence. This is known as our Carbon Footprint Plus. By 2036-2039 we will reduce our Carbon Footprint Plus by 73%, compared to our emissions in 2019/20.

The emission sources that are included within our Carbon Footprint and our Carbon Footprint Plus are detailed below.

We collect activity data for these different emissions sources and calculate the associated carbon emissions using nationally published conversion factors, guided by best practice set out in the Greenhouse Gas Protocol.  Emissions are reported in tonnes of carbon dioxide equivalent (tCO2e), a figure that summarises all Greenhouse Gas (GHG) emissions with varying global-warming potential (GWP) into a single equivalent amount of carbon dioxide with the same global warming potential.

Our Carbon Footprint

The table below shows the breakdown of our annual Carbon Footprint since 2019/20. Energy use is associated with 88.4% of our emissions, with travel accounting for 10.5% and the remaining 1.1% from waste and water.

Overall, we have a good level of confidence in the data available and can demonstrate that our annual emissions have reduced by 1,699 tCO2e (14%) over the last five years.

There are gaps in the data currently collated for inhalers, fugitive refrigerant gases and some energy data in buildings we lease. We will continue to improve the quality of our emissions source data to provide the transparency and completeness of our carbon reporting, and as crucial feedback on the scale and urgency of action needed to be on track to meet our carbon targets.

Breakdown of CNTW annual Carbon Footprint since 2019/20:

Emissions Source Annual Greenhouse Gas Emissions (tCO2e)
2019/20 2020/21 2021/22 2022/23 2023/24 2024/25
Fossil fuels             5,925             6,179             5,896             5,574             5,276             4,997
NHS Fleet & Leased Vehicles                654                592                593                509                553                471
Scope 1 Direct Sub-total             6,579             6,771             6,489             6,083             5,829             5,468
Electricity             3,284             2,997             2,847             2,655             2,845             2,819
Scope 2 Indirect Sub-total             3,284             2,997             2,847             2,655             2,845             2,819
Energy Well-to-Tank             1,547             1,512             2,069             1,887             1,804             1,754
Business Travel                852                477                483                707                953                662
Waste                  23                  53                  43                  36                  26                  50
Water                238                207                  75                  80                  76                  70
Scope 3 Indirect Sub-total             2,660             2,250             2,670             2,710             2,859             2,536
Carbon Footprint Total           12,523           12,018           12,006           11,448           11,533           10,824

Our Carbon Footprint Plus

CNTW’s Carbon Footprint Plus is more difficult to measure but the indirect carbon emissions associated with NHS services are known to be significantly greater than the controllable emissions reported within the Carbon Footprint boundary.

We recently completed an assessment of our supply chain emissions, using carbon factors per £ spent on different procurement categories (see Figure 3). This initial assessment does not include emissions from staff commuting and patient and visitor travel data but still indicates that the emissions we influence are at least three times our controllable emissions (shown in Figure 4).

This highlights the importance of taking action to influence our supply chain now to enable progress towards the national Net Zero by 2045 ambition.

Breakdown of carbon emissions from CNTW supply chain:

Procurement Category 2023/24 Carbon Emissions
tCO2e %
Building & Engineering Products & Services 7,616 21.7%
Purchased Healthcare 6,943 19.8%
Office Equipment Telecomms Computers & Stationery 5,795 16.5%
Hotel Services Equipment Materials & Services 5,486 15.6%
Staff & Patient Consulting Services & Expenses 4,395 12.5%
Pharmaceuticals Blood Products & Medical Gases 1,685 4.8%
Fuel Light Power Water 951 2.7%
Provisions 815 2.3%
Transportation 692 2.0%
Dressings 434 1.2%
Recreational Equipment & Souvenirs 102 0.3%
Medical & Surgical Equipment 85 0.2%
Staff Clothing 56 0.2%
Patients Appliances 20 0.1%
Furniture Fittings 17 0.0%
Gardening & Farming 13 0.0%
Patients Clothing & Footwear 11 0.0%
Hardware Crockery 3 0.0%
Laboratory Equipment & Services 1 0.0%
Bedding Linen & Textiles 1 0.0%
Chemicals & Reagents 1 0.0%
Diagnostic Imaging & Radiotherapy Equipment & Services 0 0.0%
Procurement Total 35,123 100%

CNTW supply chain emissions compared to emissions within our Carbon Footprint:

Pathway to Net Zero Carbon

The graphs below show the required decarbonisation pathway ranges we should aim for to keep our annual carbon emissions within (or below) to be on track to achieve the national interim carbon reduction targets for our Carbon Footprint and our Carbon Footprint Plus:

Whilst we are making good progress to reduce our Carbon Footprint emissions, with 2024/25 emissions being 1,699 tCO2e (14%) lower than 5 years ago, our emissions level is currently above the pathway range. Annual Carbon Footprint emissions need to reduce by a further 4,187 tCO2e over the next 4 to 7 years (i.e. between 5% and 10% year on year). As we develop our reporting capabilities for our Carbon Footprint Plus, we will monitor and report progress against the pathway shown above.

Areas of Focus

Our Green Plan covers actions across nine key areas of focus, which together will support progress towards our net zero carbon targets:

  1. Workforce and leadership
  2. Net zero clinical transformation
  3. Digital transformation
  4. Medicines
  5. Travel and transport
  6. Estates and facilities, including
    • Buildings & Infrastructure
    • Waste & Resources
    • Biodiversity & Green Spaces
  7. Supply chain and procurement
  8. Food and nutrition
  9. Adaptation

Below, we provide an update on progress already made and detail our aims and prioritised actions for the next three years for each area of focus, to put us on track to achieve our net zero carbon targets.

In addition, these actions will enable CNTW to meet legislative and operational requirements, deliver efficiencies and add value to our organisation, whilst supporting the strategic priorities beyond our commitment to net zero carbon.

Workforce and leadership

The aim of this area of focus is to set out how we will support our staff and leaders to learn, innovate and embed sustainability into everyday actions. As an employer of around 9,000 staff, engaging with our people across all services at CNTW is crucial to deliver on our net zero carbon ambitions. Everyday decisions, big and small, will determine our impact and all staff can engage positively in this work, driving the improvements and innovations aligned to this Green Plan whilst delivering quality care, every day. This engagement will be supported by a clear and effective leadership structure.

Progress made so far:

  • Appointed designated board-level net zero leads – the Executive Director of Finance for the Trust and the Director of Estates for NTW Solutions.
  • Developed our Green Plan delivery structure, clarifying roles of responsibilities for key areas of work and creating dedicated sub-groups to coordinate Green Plan actions for many of key areas of focus.
  • Members of the NTW Solutions leadership team have completed the ‘Building a Net Zero NHS’ online training.
  • Hosted Carbon Accounting Training for Sustainability Leads across the North East North Cumbria ICS.
  • Committed additional resource to the Sustainability Team within NTW Solutions to support delivery of the Green Plan.
  • Sustainability Team members are actively involved in the North East North Cumbria Integrated Care System (NENC ICS) Provider Collaborative Sustainability Leads network and supporting sub-groups, supporting partnership working and sharing best practices.

Action Plan – Workforce and Leadership:

Priority Area Actions Timeframe
Green Plan
Delivery
Structure
Refresh the Green Plan Management Group to cover all areas of focus, with balanced membership between Trust and NTW Solutions representatives and improved onward reporting to senior leadership and Boards across CNTW. By Dec-25,
ongoing
Delivery sub-group meetings for each area of focus to meet regularly, coordinating delivery of their actions and report progress to the Green Plan Management Group Quarterly,
ongoing
Assess resourcing needs for Green Plan delivery, seeking additional input as required, including external grant funding bid and collaborative projects Annually,
ongoing
Embed
Sustainability
in our
Management
Processes
Integrate Green Plan considerations into the terms of reference of other Trust management groups Apr-25 to Mar-28
Review how sustainability (mitigation and adaptation) risks are assessed and monitored via Trust risk registers By Mar-26,
reviewed annually
Integrate sustainability considerations and net zero carbon commitments into Trust policies Apr-25 to Mar-28
Develop the inclusion and assessment of sustainability and net zero carbon considerations within Trust business case processes Apr-25 to Mar-28
Workforce
Capability and Sustainability
Skills
Complete a skills and knowledge gap analysis for staff directly involved in the delivery of the Green Plan Mar-26,

reviewed annually

Promote specialist training for staff groups with responsibilities for delivering elements within the Green Plan, such as board members, procurement, finance, estates, facilities, clinical staff leads By Mar-26,

ongoing

Promote core training offers available via the Greener NHS Training Hub to our staff By Mar -26,

ongoing

Assess how the Green Plan impacts on different staff groups and develop a suitable engagement programme to support the delivery Mar-26,

reviewed annually

Actively contribute to the North East North Cumbria Integrated Care System Provider Collaborative Sustainability Leads network and supporting sub-groups Apr-25 to Mar-28

Net zero clinical transformation

The aim of this area of focus is ensuring high-quality, preventative, low-carbon care is provided to patients at every stage. It supports the NHS commitment to moving to out-of-hospital and digitally enabled care where clinically appropriate, improving prevention of ill health and reducing health inequalities.

Transforming the way we deliver mental health services provides an opportunity to take a whole-systems approach to sustainability and the long-term health benefits which net zero clinical transformation initiatives can deliver. By helping our patients to live well through self-management, and by providing the right support, prevention, early intervention and specialist rehabilitation, we can further promote patient mental health. This will reduce the pressures on our services and their associated environmental impacts in the longer term.

Progress made so far:

  • We are a founder member of the Green Minds Network, a collaboration of Mental Health and Learning Disability Trust staff who have an interest in sustainable healthcare.
  • Staff at Castleside Day Hospital formed a sustainability team and identified a range of local actions within the service to reduce the environmental impact. Activities ranged from discussing sustainability in team meeting to inspire the wider team, switching out single use items for reusables, running initiatives to improve recycling and reduce resource use with ‘think before you print’ and using the furniture reuse system, and welcomed ambulance crews into Castleside, building closer working relationships while removing the need for ambulance engines to be left running, improving local air quality and reducing tailpipe carbon emissions.

Action Plan – Net Zero Clinical Transformation:

Priority Area Actions Timeframe
Planning & Delivery Structure Identify a Trust clinical lead with oversight of net zero clinical transformation, with formal links into board-level leadership and governance By Sep-25, ongoing
Form a working group of colleagues based in clinical settings across our services with an interest in supporting sustainability initiatives, together with the clinical lead and Net Zero Programme Lead. By Dec-25, ongoing
Link in the Net Zero Programme Lead with Transformation Boards, to integrate Green Plan considerations within existing community and inpatient transformation programmes By Dec-25, ongoing
Review the RC Psych ‘Delivering greener, more sustainable and net zero mental health care guidance and recommendations’ and identify priority actions for our Trust By Mar-26, reviewed annually
Review the SusQI approach to assess opportunities to embed sustainability into our improvement processes, and identify priority actions for our Trust By Mar-26, reviewed annually
Prioritise areas for targeted improvements and establish action plans for the remainder of the Green Plan delivery period Apr-26 to Mar-28
Training & Engagement Promote sustainability training available for clinicians and wider patient-facing teams By Mar -26,

ongoing

Develop and implement training, tools and resources to enables clinical team to improve the sustainability of their care models Apr-26 to Mar-28
Partnerships Develop joint public health and sustainability initiatives, linked to green space. Apr-25 to Mar-28
Research how other Trusts are approaching Green Social Prescribing and assess how this could be developed at CNTW By Mar-26, ongoing
Provide opportunities for students to complete sustainability improvement projects when on placement at CNTW Apr-25 to Mar-28
Share learning and outcomes, for example, through clinical networks, the ICB and NHSE and establish Trust representation in the NENC ICS sustainability group for Net Zero Clinical Transformation Apr-25 to Mar-28

Digital transformation

The aim of this area of focus is to maximise the benefits of digital transformation to reduce carbon emissions whilst improving patient care. Increasing demand for digital services may increase carbon emissions associated with this area but digitalisation offers huge opportunities to unlock emission savings across the organisation, driving the innovations and efficiencies that can support the delivery of our net zero carbon targets.

Progress made so far:

  • Well established processes for staff to work remotely utilising Teams for online meetings, reducing commuting and inter-site travel miles.
  • Achieved Digital Maturity Assessment Level 5 for Health Management Information Systems – the highest level within Mental Health providers.
  • Digital services staff are allocated to support call outs close to their working base to reduce associated transport emissions from the service.
  • We run an extended refresh programme for laptops, of 5 years rather than 3 years, reducing waste generation, embodied carbon emissions and reduce costs.
  • Adopted a cloud-first strategy, reducing direct energy consumption on our sites for servers and data centres.
  • Already paperless in most areas for core clinical services.

Action Plan – Digital Transformation:

Priority Area Actions Timeframe
Improve our Sustainability
Score in the
Digital Maturity Framework
Develop a Digital Net Zero Plan, with annual actions tracked and reported into the Green Plan Management Group By Mar-27,
reviewed annually
Explore opportunities to take a shared approach to greener digital services across the NENC ICS Ongoing
Improve documentation and assessment of ‘climate risk to digital’ risks with the aim of having the necessary accountability, capability and capacity to limit climate risk to our digital health services By Mar-26,
reviewed annually
Embrace Digital
Innovations
Engage or partner with suppliers to understand the art of the possible and how to create the best sustainability outcomes through new digitisation Apr-25 to Mar-28
Support the adoption of smarter digitalised processes to support Green Plan delivery in other areas of focus Apr-25 to Mar-28
Reduce

Resource

Use

Increasingly utilise a patient engagement portal to enable patients to access information via the NHS app, negating the need to send letters by post Apr-25 to Mar-28
Explore opportunities to procure refurbished laptops and equipment rather than purchasing new only By Mar-26,
reviewed annually
Explore PC switch off protocols and software solutions to reduce equipment left on unnecessarily for extended periods of time By Sep-26
Roll out paperless working in the last two remaining clinical services areas By Mar-27
Develop a business case to move remaining onsite servers to a cloud-based solution By Mar-26
Data Insights Analyse data on remote meetings to estimate the carbon benefit of avoided travel By Mar-26
reviewed annually
Review services using e-consultations to identify best practice and areas for improvement, identifying digital improvements that could assist in increasing uptake By Jun-26,
ongoing

Medicines

The aim of this area of focus is to reduce the carbon emissions associated with medicines, whilst improving patient care and reducing waste. The manufacturing and transport of medicines is a carbon-intensive activity and across the NHS medicines account for 25% of emissions. Anaesthetic gases and inhalers have been identified as two significant emissions sources to focus on nationally. As a mental health and learning disability trust, medicines account for a smaller share of our impact and anaesthetic gases are not used within our services. Our focus is on reducing the impact of inhalers and embedding sustainability best practice principles within our pharmacy services, working in partnership with other Green Plan sub-groups and regional networks.

The Trust pharmacy team includes around 117 staff, comprised of pharmacists, pharmacy technicians, pharmacy assistants and administrative support, based across four sites. The team also provides medicines optimisation services to all our mental health, learning disability and neuro-rehabilitation inpatient areas, as well as community mental health teams, crisis teams, psychiatric liaison teams, medical education teams and a variety of other specialist areas. The Outpatient Pharmacy is an NTW Solutions Ltd subsidiary service supplying medicines to CNTW community patients via 45 community bases and high-cost depot antipsychotic injections and clozapine through a dispensing robot.

Progress made so far:

  • Invested in leading edge pharmacy technologies, including telepharmacy and ward based automated medicines cabinets (Omnicell), for which we have won a national efficiency award.
  • Set up a staff-led sustainability group within the Pharmacy service, running a local “Switch It Off” awareness campaign, investigating opportunities to reduce resource use and increase recycling, and looking at options to streamline pharmacy distribution and delivery processes, recognising travel for pharmacy distribution logistics as a key emissions source.
  • Developed a Return for Reuse protocol (rolled out in April 2025) to reduce wastage of medicines which have been unopened after they have been returned to pharmacy from community teams. The protocol involved multiple contacts with professional regulatory groups and CNTW governance approval via the Trust Medicines Optimisation Group. Demonstrating the strict rigorous supply chain involved in keeping the medicine safely within manufacturer storage conditions and safe custody. The new protocol reduces procurement costs and avoids disposal of unused unopened medicines.

Action Plan – Medicines:

Priority Area Actions Timeframe
Inhalers Calculate the carbon impact of inhalers dispensed across the Trust, and report within our Carbon Footprint By Sep-25,
ongoing
Assess opportunities to promote awareness of lower emission prescribing options, including Dry Powder Inhalers over Metered-Dose Inhalers, where appropriate. Apr-25 to Mar-28
Embed Sustainability in Pharmacy Services Outpatient Pharmacy ‘Returns for Reuse protocol rollout to reduce wastage of depot injections from stockpiling/over-ordering of medicines, resulting in less drug procurement costs. Apr-25 to Mar-28
Assess the travel impact of medicines distribution to identify opportunities to reduce journeys and/or switch to a lower carbon logistics model By Sep-26,
ongoing
Review the Royal Pharmaceutical Society Greener Pharmacy Toolkit, develop a plan for self-accreditation and work through the recommended actions. By Mar-26,
ongoing
Hospital to

Home

Establish new centralised community clozapine titration clinic (PRECCIS) and out-patient pharmacy department, leading to associated reductions in hospital bed usage/CTT appointments and lower carbon emissions October 25 onwards
Partnerships Contribute to the NENC ICS Provider Collaborative Medicines Optimisation group Apr-25 to Mar-28

Travel and transport

The aim of this area of focus is to reduce transport-related emissions. Fleet and business travel account for over 10% of our Trust’s Carbon Footprint. Emissions relating to commissioned travel services, staff commuting, and patient and visitor travel fall within our Carbon Footprint Plus.

Our Trust operates a diverse vehicle fleet and travel system, with over 6 million business miles travelled annually across lease vehicles, grey fleet, booked travel, and fleet transport. The priorities and actions set out below are guided by the NHS Net Zero Travel and Transport Strategy, and aim to embed sustainability into every journey, promoting healthier travel options to support staff wellbeing and reducing carbon emissions by electrifying our fleet and improving access to low-carbon transport options for all.

Progress made so far:

  • Over 90% of the Trust’s fleet is ultra-low or zero-emission, supported by a clear replacement policy prioritising electric vehicles at renewal.
  • Staff are supported with initiatives encouraging active and public transport, alongside emerging incentives such as the ‘NearlyEV’ scheme, aiming to reduce the cost of electric vehicles to increase access to a wider group of staff.
  • Travel data capture and monitoring have improved with dashboard development covering grey fleet, lease cars, and pool vehicles, enabling carbon impact analysis.
  • Our business travel policy has been updated to promote lower-carbon choices, including integration of sustainability considerations into travel contracts and procurement.
  • We have a well-established electric vehicle charging infrastructure, strategically placed across our sites to give good coverage across the Cumbria, Northumberland and Tyne and Wear region.
  • We are working on a project funded by the North East Combined Authority with other Trusts in the area, to understand our staff commuting patterns and help inform future regional investment to support lower carbon, improved public transport services.

Action Plan – Travel and Transport:

Priority Area Actions Timeframe
Sustainable Travel Plans Develop a Trust-level Sustainability Travel Strategy, following Greener NHS guidance By Dec-26
Establish site level travel plans for our main eight sites By Mar-26
Expand site level travel plans for our remaining 8 smaller inpatient sites By Mar-27
Our Fleet Regularly analyse fleet travel data to monitor carbon emissions and identify opportunities to rationalise fleet mileage. Apr-25 to Mar-28
Review our fleet model to rationalise the number and type of vehicles, to deliver cost savings and support travel decarbonisation targets By Dec-26, ongoing
Engage with staff who drive our fleet vehicles to encourage efficient driving techniques and seek input into fleet management improvements. Apr-25 to Mar-28
Create a vehicle replacement plan to put us on track to meet the national target to purchase or lease only zero-emission vehicles from Dec 2027 onwards By Mar-26, ongoing
Review suitability of EV charging infrastructure required to support our growing EV fleet and develop proposals to secure funding to expand current infrastructure (as needed) By Dec-26,

ongoing

Our Business Travel Implement standardised quarterly reporting of business-travel emissions By Mar-26, ongoing
Analyse business travel data trends and identify hotspots to develop targeted interventions to support business travel decarbonisation From Apr-26, ongoing
Promote the cost savings and sustainability benefits of the ‘nearly new EV’ salary-sacrifice lease car offer and monitor uptake Apr-25 to Mar-28
Develop our salary-sacrifice lease car scheme towards offering predominantly zero-emission vehicles, working towards the national ambition for all new leases to be zero-emissions vehicles from Dec 2026 By Jan-27
Promote appropriate lower carbon and cost saving business travel options (such as online meetings and coordinating inter-site travel) to our staff Apr-25 to Mar-28
Commissioned Travel Services Improve collection and monitoring of available travel data from commissioned travel services Apr-25 to Mar-28
Work with the Procurement Team to embed increased sustainability requirements in future tenders and contracts for commissioned travel services (such as secure patient transport, taxis and courier services), influencing suppliers to offer lower carbon fleet and service models Ongoing, linked to contract renewals
Explore and pilot alternative low-carbon delivery modes (such as e-cargo bikes and smarter logistics models) to reduce the carbon intensity of vehicles used and miles travelled Apr-25 to Mar-28
Staff Commuting Complete the North East Combined Authority-funded commuting project, working with other Trusts to better understand staff commuting patterns and inform future public travel improvements across the region By Mar-26
Analyse staff travel survey results for our sites to understand commuting patterns and preferences to inform targeted interventions to support lower-carbon staff commuting practice Apr-26 to Mar-28
Develop an active-travel engagement programme and develop proposals seeking to secure funding for facilities and/or support to improve uptake (such as showers and drying areas, secure bike storage, bike maintenance service, and personal travel plans) Apr-25 to Mar-28
Estimate carbon emissions from staff commuting From Apr-26, annually
Patient and Visitor Travel Update Trust website travel pages to promote using low-carbon travel options to reach our sites By Mar-26, ongoing
Enhance on-site wayfinding and signposting to help visitors locate public transport points Apr-25 to Mar-28
Collect data on patient and visitor travel patterns and develop a methodology to estimate carbon emissions from patient and visitor travel to and from our sites By Jul-26,

ongoing

Policy Continue to evolve sustainability considerations within the Trust Travel Policy By Jun-27
Develop additional sustainable travel procedures (as required) targeting identified carbon hotspots Apr-25 to Mar-28
Incorporate low carbon considerations into other Trust policy or procedural changes influencing travel behaviours Apr-25 to Mar-28
Partnerships Collaborate with other Trusts within the NENC ICS via the Sustainable Travel Provider Collaborative Subgroup to share best practice and develop joint travel projects, as appropriate. Apr-25 to Mar-28
Engage with other relevant travel and sustainability networks to explore partnership and innovation opportunities. Apr-25 to Mar-28

Buildings and Infrastructure

Part of the wider ‘Estates and Facilities’ area of work, this section focusses on reducing the carbon emissions from our built estate, associated with energy and water use, and from fugitive refrigerant gases from our cooling systems.

Carbon emissions from energy use (from fossil fuels, imported grid electricity and well-to-tank emissions released from source to our sites) makes up 88% of our Trust Carbon Footprint. Water supply and treatment accounts for less than 1% of our Carbon Footprint but water efficiency improvements reduce demand for hot water, also reducing energy use and a larger share of associated emissions. Data on fugitive refrigerant gases is not yet captured in carbon emissions terms but is expected to be a very small contributor to our overall Carbon Footprint.

Progress made so far:

  • Between 2019 and 2025, we have reduced our annual carbon emissions from energy use by 1,186 tCO2e (an 11% reduction). Our dependence on fossil fuel use has reduced by 15%, whilst electricity use has increased by 6%. This is a positive trend and reflects the successful replacement of gas-fired heating plant with efficient electric heat pumps technologies.
  • Dedicated annual capital budget for investment in sustainability schemes. This is predominantly used for energy projects such as LED lighting, building management system upgrades, electrification of domestic hot water replacing gas and installation of additional electric vehicle charging points, to support the decarbonisation of our travel.
  • Proactively applied for grant funding via the Low Carbon Skills Fund, Public Sector Decarbonisation Scheme, NHS Energy Efficiency Fund and other routes. Whilst several of our applications were unsuccessful due to the high demand for these schemes, we have successfully secured external grant funding via all these schemes, totalling almost £6m.
  • Installed solar photovoltaic panels on 25 of our buildings.
  • Installed Automatic Meter Reading (AMR) loggers on all water supplies, providing more granular data on water consumption and enable prompt responses to increase water use/leaks.

Action Plan – Buildings and Infrastructure:

Priority Area Actions Timeframe
Financing
Net Zero
Develop robust applications for external grant funding schemes Apr-25 to Mar-28
Continue to allocate internal capital and revenue funding to support estate decarbonisation schemes and management capacity to deliver the Green Plan Annually, ongoing
Explore viability of alternative funding routes to support estates decarbonisation (e.g. Power Purchase Agreements) Apr-25 to Mar-28
Data Improvements Expand utilities consumption & generation sub-metering at building and system level, with automatic meter reading (AMR) capability Apr-25 to Mar-28
Increase utilisation of AMR data and analysis capacity, developing dynamic and tailored performance dashboards to highlight performance to relevant site operations teams Apr-25 to Mar-28
Develop site/building level interim performance targets aligned to the overall net zero ambition, based on site specific assessments of energy efficiency improvements and low carbon heating system opportunities Apr-25 to Mar-28
Develop a methodology for quantifying the carbon impact of fugitive refrigerant gases from our cooling systems and equipment to report in our Carbon Footprint By Mar-26
Improve data availability and estimated consumption methodologies for activities in leased buildings where utilities are managed by a third party By Mar-26
Support space optimisation work, quantifying associated energy and water savings in terms of revenue cost impacts, carbon emissions, and avoided capital spend linked to decarbonising the estate Apr-25 to Mar-28
Efficiency & Decarbonisation
Projects
Deliver the PSDS4-funded project to de-steam St Nicholas Hospital By Mar-27
Survey lighting across all Trust sites and develop a costed and prioritised lighting improvement plan Apr-25 to Mar-27
Implement and monitor the impact of a rolling programme of lighting upgrades, putting CNTW on track to have 100% LED lighting coverage by 2030 Apr-25 to Mar-28
Implement and monitor the impact of a rolling programme of system control improvements and upgrades that optimise site energy use via the BMS Apr-25 to Mar-28
Assess the operational efficiency of ventilation, air conditioning and cooling systems across the Trust and develop a programme of energy optimisation improvements to deliver savings Apr-25 to Mar-28
Heat Decarbonisation Plans Collate key asset and space utilisation information on existing buildings and connecting infrastructure Apr-25 to Mar-28
Assess viable energy efficiency improvement opportunities to reduce heating and cooling demand and low carbon heating solutions to replace existing fossil fuel systems, taking a building-by-building approach Apr-25 to Mar-28
Develop a high-level assessment of capital costs, impact on revenue costs in operation, and other relevant deliverability factors and interdependencies. Apr-25 to Mar-28
Model the impact of intervention options on future carbon emissions forecasts, to identify the most viable and cost-effective route to meet our net zero targets Apr-25 to Mar-28
Develop a prioritised programme of pipeline projects, linked with reducing backlog maintenance risks/priorities, deliverability, cost effectiveness and carbon reduction potential Apr-25 to Mar-28
Renewable
Energy
Strategy
Assess potential for rooftop, ground mounted and car port solar PV generation across our owned estate Jan-25 to Dec-26
Assess opportunities for near-site renewable energy generation and access to low carbon heat networks Apr-25 to Mar-28
Explore different funding and procurement options to increase renewable energy generation for our sites, collaborating with other Trusts within the NENC ICS, working with other local partners on joint schemes Apr-25 to Mar-28
Policy & Procedures Develop our Energy Management System in line with best practice and consider opportunities for external accreditation Apr-25 to Mar-28
Integrate energy and water efficiency into operational estates policy and procedure notes Apr-25 to Mar-28
Assess sustainability considerations in capital schemes and identify improvement opportunities to align with the NHS Net Zero Carbon Building Standard, and other relevant sustainable building standards By Mar-26, ongoing
Training & Engagement Develop a targeted training programme for staff with estate management responsibilities to increase understanding of low carbon considerations and identify opportunities they can influence in their roles By Mar-26, ongoing
Increase capital team and project design team members’ awareness and understanding of the NHS Net Zero Carbon Building Standard, including both operational and embodied carbon impacts By Mar-27
Develop targeted staff engagement campaigns to support energy and water efficiency improvements Apr-25 to Mar-28
Partnerships Maintain strong collaboration links with other Trusts within the NENC ICS, North East and Yorkshire region and beyond, to share best practice and develop joint projects Apr-25 to Mar-28
Engage with other relevant estates management and sustainability networks to explore partnership and innovation opportunities Apr-25 to Mar-28

Waste and Resources

This area of focus outlines CNTW’s approach to sustainable waste management and circular economy practices. It covers the generation, segregation, reuse, recycling, and disposal of both clinical and domestic waste across the Trust. The aim is to reduce the environmental impact of waste, improve operational efficiency, and ensure compliance with regulatory and NHS net zero requirements.

CNTW operates a large multi-site estate that generates over 1,000 tonnes of waste annually across a variety of clinical and non-clinical streams. Waste management infrastructure includes reusable sharps, food waste separation, and furniture reuse platforms. A programme of waste audits and monitoring tools are in place to support data-led performance improvements, and we are working with our waste contractors to improve segregation, tracking, and recycling across all sites.

Progress made so far:

  • Reusable sharps bins have been introduced at our Walkergate Park site, replacing single-use plastic containers and reducing CO₂ emissions by six tonnes during the trial phase.
  • Re-tendered our general waste contract, integrating sustainability criteria to encourage joint working with our contractors to support waste improvement practices.
  • Removal of individual waste bins in favour of centralised waste stations is underway.
  • Continue to use Warp-It to facilitate the internal reuse of furniture across our sites, reducing unnecessary procurement and waste generation, saving both carbon and costs. This has been particularly successful with site moves as part of our ongoing estate refurbishment and development programmes.

Action Plan – Waste and Resources:

Priority Area Actions Timeframe
Implement a new Trust wide waste strategy Review, improve and deliver bespoke training to various trust staff and company employees. Mandatory staff recycling training with 100% participation. Mar-27
Develop and launch an updated waste management strategy to drive improvements in compliance, data quality, and emissions reduction. Dec-25
Conduct annual waste audits at all key Trust sites to monitor progress and identify new reduction opportunities. Ongoing
Date Improvements Baseline in place and data reviewed to inform reduction targets for 2026–2028. Dec-25
Reduce overall volume of waste Work with procurement and clinical teams to identify unnecessary packaging and reduce waste entering the Trust. Mar-26, reviewed annually
Set up a centralised Trust-wide donation and redistribution hub for surplus medical and office supplies.  Dec-25
Improve recycling rates across sites Conduct ward-level reviews and implement revised sorting processes in partnership with Facilities Teams. Mar-28
Complete waste audits at all sites Conduct comprehensive waste segregation and bin placement audits. Mar-28

Biodiversity and Green Spaces

This area of focus is protecting, enhancing and expanding biodiversity and green spaces across CNTW sites. Greenspace and nature are important for the health and wellbeing of patients and colleagues alike. At a global scale, greenspace affects the planet’s ability to absorb carbon dioxide and reduce the impact of climate change and can also contribute to improved local air quality and noise reduction. By embedding biodiversity into the planning, design, and management of our estate and improving staff, patient and visitor access to nature whilst on our sites, we aim to strengthen climate resilience, improve patient and staff wellbeing, and protect natural ecosystems.

Progress made so far:

  • Four of our main sites have had baseline ecological surveys, generating site-specific biodiversity action plans with recommendations on how we can improve the quality of biodiversity.
  • We have numerous areas of our grounds that are set aside each year for ‘No Mow May’.
  • Planted around 1,500 new trees since 2021.  The trees are selected for their suitability to the local environment and to the conditions on each site, with a focus on native species.
  • Planted 50,000 spring and summer flowering bulbs and 635 m2 of wildflower seeds designed to attract at Carlton Clinic to boost pollinator habitats and improve the aesthetic quality of the grounds.
  • Offer horticulture projects at Hopewood Park, Carleton Clinic and Northgate and gardening activities for patients from our inpatient wards.
  • To help our staff and service users stay active, we have signposted walking routes at many of our sites.

Action Plan – Biodiversity and Green Spaces:

Priority Area Actions Timeframe
Biodiversity Assessments
and Strategy
Complete biodiversity baseline assessments for our remaining main sites By Sep-26
Incorporate considerations to enhance biodiversity and green spaces into refurbishment and site development projects By Sep-26
Increase awareness of the principles of biodiversity net gain as an approach to develop and manage land to measurably improve the natural environment Apr 25 – Mar-28
Develop a Biodiversity and Green Spaces Strategy, informed by the baseline biodiversity assessment recommendations, and national frameworks/best practice approaches By Mar-27
 Biodiversity Improvement
Projects
Expand native tree and other planting such as hedgerows and wildflower initiatives across our sites. Apr 25 – Mar-28
Identify and implement projects to improve habitats across our sites (e.g. log piles, ponds, and bird boxes) By Sep-26, ongoing
Expand our seasonal ‘No Mow May’ initiative and explore opportunities for permanent ‘No Mow’ zones. Apr 25 – Mar-28
Review our inpatient courtyard areas to identify biodiversity and green space access improvements for our service users, working with patient safety, estates and clinical teams to develop improvement plans. Apr-25 to Mar-28,
Grounds
Maintenance
Practices
Routinely complete tree condition surveys and maintenance, to improve site safety and enhance the health of our trees. If tree felling is required, implement a minimum 2:1 replacement planting ratio. Apr 25 – Mar-28
Review and update the relevant Practice Guidance Notes to incorporate biodiversity enhancement considerations, such as tree planting procedures to increase success rate of saplings and reviewing the types of herbicides used on our sites. Apr-25 to Mar-28
Develop a training programme for our grounds staff to support biodiversity improvements and service innovations to deliver efficiencies and improve knowledge of best practice. By Mar-26, ongoing
Incorporate biodiversity considerations into contracted grounds services, to align with the Biodiversity and Green Spaces Strategy Ongoing, at contract renewals
Maximise the
Use of our
Green Spaces
Identify and promote accessible green areas for therapeutic use and rehabilitation activities, collaborating with clinical leads to explore how we can integrate outdoor initiative within models of care. Apr 25 – Mar-28
Continue to provide garden spaces for service users, expanding provision where possible. Apr 25 – Mar-28
Promote the green spaces around our sites to encourage and signpost staff, patients and visitors to access these spaces to enhance their wellbeing Apr 25 – Mar-28
Partnerships Explore volunteering day opportunities with other organisations to help enhance our grounds. By Mar-26, ongoing
Seek out collaborative project opportunities across the NENC ICS, working with other Trusts and local partners, such as Northumberland Wildlife Trust, to enhance biodiversity and access to Green Spaces across our estate. Apr 25 – Mar-28

Supply chain and procurement

This area of focus outlines CNTW’s approach to sustainable procurement and supply chain transformation. It covers how the Trust engages with suppliers, embeds sustainability into our management processes, and tracks the indirect carbon emissions from the goods and services we purchase. This is a high impact area of work as these emissions make up the majority of our Carbon Footprint Plus.

CNTW manages a complex and wide-reaching supply chain, covering clinical, estates, digital, and support services across a large multi-site estate.

Our aim is to reduce the environmental impact of our supply chain in line with NHS Net Zero ambitions and ensure social and environmental value is delivered alongside cost and quality considerations in our procurement decisions. We will approach this by reviewing our internal policies and practices to support our sustainability commitments, identifying continuing professional development opportunities for colleagues in our Procurement Team aligned with sustainable procurement best practice standards,  and work collaboratively with our suppliers, using our influence to raise the sustainability standards we expect from our supply chain, and increasing the transparency of the carbon impact of purchased good and services to improve our ability to monitor and report progress in this area.

Progress made so far:

  • A Procurement Plan has been developed and refined in collaboration with stakeholders. Long-term sustainability priorities are embedded into supplier engagement, with a focus on clearly defining sustainability expectations for suppliers and evaluating how seriously suppliers address sustainability and social value.
  • Developed standard wording and evaluation criteria for inclusion in all contracts to ensure consistency in sustainability requirements. This includes direct reference to the national Net Zero Supplier Roadmap objectives and timeframes.
  • Sustainability criteria are now routinely included in contracts and reviewed at award stage. Selected contracts include sustainability KPIs, and contractor sustainability scores are tracked and reviewed annually in line with Net Zero expectations.
  • Conducted research into how other NHS Trusts approach Scope 3 procurement emissions to inform CNTW’s methodology.
  • Completed an initial spend-based analysis to calculate Scope 3 emissions from procurement activity in 2023/24
  • Invested in Smart Carbon monitoring software to improve the accuracy and visibility of Scope 3 procurement emissions

Action Plan – Supply Chain and Procurement:

Priority Area Actions Timeframe
Procurement Support for
Green Plan
Projects
Develop detailed internal guidance on conducting pre-market engagement for sustainable procurement, with clear roles, timelines, and expectations By Dec-25
Assess options and appoint a delivery partner to implement our PSDS4-funded project and to support the development of future decarbonisation funding bids By Mar-26
Collaborative working between procurement and sustainability teams to clarify requirements—define the specification, model structure, and intended outcomes to support more effective procurement Apr-25 to Mar-28
Improve our
Supply Chain Carbon
Reporting
Set up our Smart Carbon database to enable carbon emissions, including supply chain, to be collated centrally to enable improved accuracy, granularity, and reporting of our Carbon Footprint Plus. By Dec-25
Establish a process to regularly update emissions source data into Smart Carbon, to enable annual reporting Ongoing
Identify and record suppliers who provide verified (actual) carbon data, aiming to increase the proportion of actual data versus spend-based estimated data over time Apr-25 to Mar-28
Use emissions data insights to inform supplier engagement, enabling targeted conversations around product packaging, logistics, and manufacturing improvements Apr-26 to Mar-28
Sustainability
Skills within the Procurement
Team
Identify and promote relevant sustainability training opportunities aligned with NHS and procurement-specific frameworks By Mar-26,
reviewed annually
Explore accredited programmes and recognised Continuing Professional Development (CPD) certified options, for formal learning pathways. Apr-25 to Mar-28
Collate and maintain a central list of CPD resources on sustainable procurement and environmental best practice By Nov-25
Embed sustainable procurement training into ongoing professional development plans for all Procurement Team members and track training uptake and completion to ensure continuous upskilling across the team Mar-26,
reviewed annually
  Sustainable Procurement Networks Collate information on existing sustainable procurement networks Oct-25
Strengthen CNTW participation in national and regional forums, including active use of the NHS Future Collaboration Hub. Apr-25 to Mar-28
Support our Suppliers Provide support to suppliers on the requirements of Carbon Reduction Plans, with targeted guidance for SMEs and VCSEs to help them meet NHS Net Zero supplier roadmap milestones Jan-26 to Mar-28
Identify and map key suppliers, using a prioritisation matrix based on spend and carbon impact, to focus engagement where it matters most By Mar-26,
reviewed annually
Explore the feasibility of hosting a Supplier Forum, or joining regional events to build stronger supplier partnerships and share expectations Apr-25 to Mar-28
Develop and implement a supplier engagement plan to enhance collaboration and improve outcomes during and post-procurement By Mar-26, ongoing

Food and nutrition

This area of focus outlines CNTW’s approach to reducing the carbon impact of our food services. The food we eat has a significant effect on the environment, with wasted food and high carbon foods contributing significantly to our emissions. A healthier, more sustainable diet not only has lower associated emissions but helps to improve the physical wellbeing of staff and patients through the prevention of diet-related illness and provides wider social benefits for local communities through the procurement of locally sourced food. This is reflected in the NHS Long Term Plan commitment to promote plant-forward diets and reduce unhealthy options like sugary drinks on NHS premises.

We will continue implementing the National standards for healthcare food and drink and respond to increasing requirements to segregate our food waste disposal and monitor the different sources of food waste across our Trust to meet national reporting requirements. This will also provide us with improved insights into potential efficiency projects associated with food purchasing, preparation, distribution and disposal to reduce costs and our carbon impact.

Progress made so far:

  • Introduced a food waste monitoring process, with data collected on different food waste streams and collated in online dashboards to monitor trends between sites.
  • Started reviewing café menus, trialling initiatives such as ‘Too good to go’ to reduce food waste and discounts applied to customers using reusable cups and containers.
  • Delivered projects to evaluate portion size of patient meals to increase patient satisfaction and reduce food waste.
  • We offer a wide choice of meals for inpatients, staff and visitor including vegetarian and vegan options and other dietary requirements.
  • Invested in a food waste dewatering plant at Northgate Hospital, reduced food waste disposal weights and associated costs.

Action Plan – Food and Nutrition:

Priority Area Actions Timeframe
Understand the Carbon Impact of our Food Incorporate low carbon food considerations within the remit of the Trust Food and Nutrition Group, with Trust Dietetics Professional Lead to join membership of the Green Plan Management Group to coordinate actions Sep- 25,
ongoing
Make use of resources available nationally, linking with the Greener NHS Net Zero Food Programme Manager, local Trusts and food networks to increase awareness and application of best practice at CNTW Apr-25 to Mar-28
Attend catering supplier events to learn about low carbon food innovations and best practice to continually raise group members knowledge of sustainable food developments Apr-25 to Mar-28
Work with the communications team to raise general staff awareness of sustainable food considerations and promote lower carbon diet choices Apr-25 to Mar-28
Reduce Food Waste Continue to monitor food waste broken down into production, plate waste, unserved meals and spoilage, improving quality and consistency of data recorded Apr-25 to Mar-28
Routinely analyse trends in food waste to identify hot spots and develop targeted projects to assess causes and develop intervention plans, monitored over time to track improvements Apr-25 to Mar-28
Set food waste reduction targets and develop minimisation plans using the WRAP approach From Apr-26
Oversee the roll out of food waste segregation, addressing any operational challenges, and monitoring impact on waste weight data Apr-25 to Mar-28
Operationalise the de-watering plant at Northgate and monitor impact, considering suitability for roll out at other sites By Mar-26,
ongoing.
Improve inpatient and catering team collaboration when alternative ward meals arrangements are made (e.g. eating out, getting takeaways and running cooking sessions) so that food orders are not duplicated and wasted By Dec-26
Roll out an electronic patient meal ordering system Apr-25 to Mar-28
Expand the use of ‘Too good to go’ initiative across CNTW cafés Apr-25 to Mar-28
Low Carbon Menus Explore opportunities to make menus healthier and low carbon via seasonal menus high in fruits and vegetables and low in heavily processed foods, as part of our menu planning processes Apr-25 to Mar-28
Work with food suppliers to explore new opportunities to include lower carbon food options within patient and café menus Apr-25 to Mar-28

Adaptation

Whilst the other areas of this Green Plan are primarily focussed on mitigating CNTW’s contribution to climate change by reducing the carbon emissions associated with delivering of our services, this section is focussed on how we can adapt to the unavoidable and increasing risks of extreme weather, such as heatwaves, droughts and flooding. The aim is to embed resilience into our healthcare services to minimise disruption and support our ongoing ability to operate effectively for the patients and communities we serve. The effect of climate change on health is well documented and the financial risks associated with climate change are becoming more apparent.

There is a wide range of actions that can be taken to adapt and prepare for sever weather events, that can broadly be grouped under four main categories:

  • Hard interventions, such as modifying our buildings and infrastructure
  • Guidance and planning, such as understanding our risks and integrating climate change risks into our Emergency Preparedness, Resilience and Response (EPRR) plans
  • Behaviour, from training programmes, awareness campaigns and integrating adaptation into policy and governance, and
  • Nature-based solutions (NBS) including green (trees and plants) and blue (water) infrastructure that mitigate against overheating and/or flood risk.

Adaptation is becoming an increasingly important area of work, and our action plan sets out how we intend to increase our adaptation activities over the next three years.

Progress made so far:

  • Attended regional workshops with other Trusts in the NENC ICS, exploring climate change risks appropriate to our sites and services, and identifying collaborative opportunities for action.
  • Have established Practice Guidance Notes for adverse weather and health, covering heat and winter response plans.

Action Plan – Adaptation:

Priority Area Actions Timeframe
Adaptation Planning Establish regular meetings with representation from each of the Green Plan areas of work and the EPRR team to coordinate the development of our adaptation activities By Dec-25, ongoing
Review ‘A climate adaptation framework for NHS organisations in England’ and supporting resources By Oct-25
Complete a baseline assessment of our current adaptation maturity against the four capabilities: understanding the challenge, organisational culture & resources, planning & implementation, and working together By Mar-26
Prioritise areas for targeted improvement and establish action plans for the remainder of the Green Plan delivery period. Apr-26 to Mar-28
Training & Engagement Identify suitable training opportunities for Sustainability Team, EPRR and Green Plan delivery leads on adaptation best practice By Mar-26, ongoing
Complete a skills and knowledge gap analysis and develop a continuing professional development plan to increase internal capacity to lead on adaptation activities across the Trust Sep-26 to Mar-28
Risk Assessments Collate information on current predicted climatic changes and impacts to our estates Apr-25 to Mar-28
Conduct climate change risk assessments for our main sites, using the NHS Climate Change Risk Assessment Tool By Mar-27, ongoing
Include climate adaptation within the Green Plan risk, monitored via CNTW risk registers By Mar-26, ongoing
Partnerships Participate in NENC ICS Provider Collaborative adaptation events and collaborative activities Apr-25 to Mar-28
Engage with other relevant adaptation networks (such as Verture) to maintain awareness of best practice and explore partnership and innovation opportunities Apr-25 to Mar-28

Communications and Engagement

Communications activities and campaigns are key to supporting changes in behaviour and adoption of new processes such as reducing energy consumption, waste reduction, training uptake, and medicines management. The Trust engages with patients and service users, carers, staff, Board members, partners in the wider health and care system, and our wider community through a range of communications channels. The Trust and NTW Solutions Communications Teams are working closely together to support work going on throughout the CNTW group to meet the objectives laid out in this Green Plan. We are also focussed on embedding messages about sustainability into our everyday communications. Our success will be measured against the achievement of the objectives and metrics outlined in the rest of this Green Plan. We will also use staff survey results, and levels of participation in our Teams space and other sustainability initiatives, to help measure our impact.

Action Plan – Communications and Engagement:

Priority Area Actions Timeframe
Communicating with Staff Continue to regularly share key updates on our sustainability efforts and progress via our staff newsletters, intranet, and other internal channels. Communications will include a clear ‘call to action’ and / or signpost ways to get more involved Apr-25 to Mar-28
Expand and maintain the ‘Sustainability at CNTW’ intranet section to include information for each focus area of the Green Plan on progress made so far, what’s planned, and practical resources and actions staff and teams can take to support our objectives Dec-25,
ongoing
Raise awareness of, and encourage participation in, the Sustainability Teams space and other regional and national collaborative forums (such as the NHS Futures Greener NHS Community) Apr-25 to Mar-28
Support behaviour-change and increased awareness of sustainability, aligned to specific objectives within the Green Plan Apr-25 to Mar-28
Encourage staff to nominate sustainability efforts and projects for recognition in our annual Staff Excellence Awards and national awards Annually
Communicating with our Wider Community Provide up-to-date information on our website about CNTW’s work to become more sustainable Apr-25 to Mar-28
Share key updates on our sustainability efforts and progress via social media, publications, local media and other channels Apr-25 to Mar-28
Work closely with the Integrated Care Board to support regional sustainability messages and campaigns Apr-25 to Mar-28

Governance and delivery model

A clear governance structure and ongoing leadership is key to the success of our Green Plan.

Green Plan Management Group

This is the central committee responsible for monitoring our performance both in terms of tracking our carbon emissions against national targets and progress towards the actions set out in our Green Plan for each area of focus. The group is chaired by our Board-level Net Zero Leads and membership consists of the Net Zero Programme Lead and strategic leads for each area of work (see Figure 7). Meetings are held quarterly, and the group delivers onward progress reports to the CNTW BDG- Finance group and NTW Solutions Leadership Team throughout the year, and the Annual Green Plan Delivery Report onwards to Trust and NTW Solutions Boards.

Green Plan Management Group Membership:

  • Chair & Board-level Net Zero Lead: Executive Director of Finance (CNTW)
  • Deputy Chair & Board-level Net Zero Lead: Director of Estates (NTWS)
  • Sustainability Team Lead: Net Zero Programme Lead (NTWS)
  • Net Zero Clinical Transformation Lead: Deputy Chief Operating Officer (CNTW)
  • Digital Transformation Lead: Chief Information Officer (CNTW)
  • Medicines Lead: Chief Pharmacist (CNTW)
  • Travel & Transport Lead: Commercial Director (NTWS)
  • Buildings & Infrastructure Lead: Head of Estates (NTWS)
  • Waste & Resources Lead: Director of Facilities (NTWS)
  • Biodiversity & Green Spaces Lead: Sustainability Manager (NTWS)
  • Supply Chain & Procurement Lead: Head of Procurement (NTW)
  • Food & Nutrition Lead: Dietetics Professional Lead (CNTW)
  • Communications lead: Communications Specialist (CNTW)

Green Plan Subgroups

These groups coordinate the delivery of activities required to achieve the actions detailed within our Green Plan. Membership consists of colleagues with operational responsibilities for each area of focus and the group leads report progress into the Green Plan Management Group on a quarterly basis.

Green Plan Delivery and Governance Structure:

Monitoring and Reporting

Annual Report

As part of the NHS standard contract, we are required to report an annual summary of progress made against this Green Plan that is presented to our board and published within our annual report. This annual report will include an update on how we are progressing towards of net zero carbon targets, tracking CNTW’s carbon impact both in terms of our ‘Carbon Footprint’ and our ‘Carbon Footprint Plus’. We will also report on the actions taken and planned for each area of focus, identifying any challenges and risks to delivery, and highlighting positive improvements made and celebrating our successes.

Quarterly Progress Tracking

Subgroups for each area of focus will maintain a live action plan and provide a quarterly progress update to the Green Plan Management Group. The reports will provide narrative updates on progress to date and key achievements, highlight the delivery of key milestones and raise any risks to future delivery. Updated quantitative progress figures for each group (as applicable) will also be provided. Appendix A details the metrics that will be tracked for each area of focus. A quarterly Carbon Footprint monitoring report will also be presented at the Green Plan Management Group, tracking actual carbon emissions against the decarbonisation pathways towards our net zero targets.

This Green Plan is signed off by both the CNTW Trust Board and NTW Solutions Board, with a board-level Net Zero Leads for CNTW and NTW Solutions responsible for overseeing its delivery.

This report is available on request in other formats; we will do our best to provide a version of this report in a format that meets your needs. For other versions telephone 0191 246 6877 or email us at [email protected]