October 2026 This report presents the findings of our BIG Clinical Trials Sustainability Survey. The survey gathered 181 responses from clinical trial professionals across five continents. Respondents worked for sponsors, CROs, investigational sites, laboratories and supply vendors, on both commercial and publicly funded trials. The results show a community that is convinced of the case Continue reading “The Environmental Sustainability Gap in Clinical Trials: Workforce Attitudes, Barriers, and Emerging Practice from an International Survey”
Resource Type Archives
Systematic, contextual, and individual influences drive trialists’ behaviour relating to greener trial design and delivery – A qualitative study
Journal of Clinical Epidemiology | Oct 2026 | To identify the key behavioural determinants that influence how people working in clinical trials (‘trialists’) design and deliver greener trials.
Appraisal of Environmental Impact of Hospital Activities at ULS de Braga, Portugal
It is recognised that health and care systems are undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. Appraising the sustainability of care pathways is seen as a crucial step to enabling a more sustainable health system. To facilitate the completion Continue reading “Appraisal of Environmental Impact of Hospital Activities at ULS de Braga, Portugal”
Environmental Impact of Outpatient Parenteral Antimicrobial Therapy
This case study from Sustainable Healthcare Coalition member, Baxter Healthcare Limited assesses the care pathway impacts of four different scenarios for intravenous antimicrobial therapy administration, including delivery to inpatients and three Outpatient Parenteral Antimicrobial Therapy (OPAT) scenarios. The inpatient scenario was found to have significantly higher climate change, water use and waste impacts per patient Continue reading “Environmental Impact of Outpatient Parenteral Antimicrobial Therapy”
Appraisal of Environmental Impact of Hospital Activities at St Joseph’s Healthcare, Hamilton, Canada
Appraising the sustainability of care pathways is seen as a crucial step to enabling health systems undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. To facilitate the completion of care pathway assessments, it is necessary to generate data that characterises Continue reading “Appraisal of Environmental Impact of Hospital Activities at St Joseph’s Healthcare, Hamilton, Canada”
An environmental impact assessment of Total Hip Arthroplasty (THA) surgery
It is recognised that health and care systems are undergoing transformative global change to adapt to the needs of patients and communities, with increasing pressure to be financially, socially and environmentally sustainable. Appraising the sustainability of care pathways is seen as a crucial step to enabling a more sustainable health system. Total Hip Arthroplasty (THA), Continue reading “An environmental impact assessment of Total Hip Arthroplasty (THA) surgery”
Carbon footprint of clinical research: a systematic review and quantitative synthesis of estimates, sources of variation and emission hotspots
BMJ | Oct 2026 | Nekouei Shahraki M, Van Bodegraven L, De Haes F, et alCarbon footprint of clinical research: a systematic review and quantitative synthesis of estimates, sources of variation and emission hotspots
6 things you can do to reduce the environmental impact of clinical research trials
Imperial | Sept 2026 “Clinical research trials are an essential way to advance medicine and develop treatments that can help people live longer, healthier lives.”
SHC Partner Engagement Meetings
2025 – Spring Partner Engagement Meeting held on 29th April
Sustainability of Type 2 Diabetes Management
Novo Nordisk applied the sustainable care pathways guidance to develop a case study on the management of type 2 diabetes. Combining health economics data with environmental impact data available in the guidance it was possible to compare two diabetes management scenarios and assess the environmental trade-off between the increased use of pharmaceuticals to manage the Continue reading “Sustainability of Type 2 Diabetes Management”