Resources
Browse our library of guides, case studies and resources. Developed with our members across industry, the NHS and academia, they share practical tools, methods and real-world learning on sustainable patient care pathways, clinical trials and more.
Whether you're just starting to explore healthcare sustainability or looking to measure and reduce emissions in your own work, you'll find resources here to support you - search below:
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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...
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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:...
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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...
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Decarbonizing clinical trials: Where sustainability meets operational excellence
ERM Blog released on 11th May.
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Open Letter to Clinical Trial Community published by members of the Sustainable Markets Initiative Health Systems Task Force
SMI | Feb 2025 "CEOs from AstraZeneca, GSK, Merck, Novo Nordisk, Novartis, Sanofi and Roche have signed the letter"
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Climate footprint of industry-sponsored in-human clinical trials: life cycle assessments of clinical trials spanning multiple phases and disease areas
BMJ | Feb 2025 | "This study aims to calculate the global warming potential, in carbon dioxide (CO2) equivalent emissions,...
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What is the carbon footprint of academic clinical trials? A study of hotspots in 10 trials
BMJ | Oct 2024 "Clinical trials are fundamental to healthcare, however, they also contribute to anthropogenic climate change.."
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Quantifying the carbon footprint of clinical trials: guidance development and case studies
BMJ | Jan 2024 "The urgency of the climate crisis requires attention from biomedical research, not least clinical trials which...
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A strategy to reduce the carbon footprint of clinical trials
The Lancet | July 2021 "Clinical trials need to be decarbonised and we propose a strategy for doing so."
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Healthy patients, healthy planet: tackling the carbon footprint of clinical trials
The Sustainable Healthcare Coalition is developing a tool to track carbon emissions from clinical trials and our Chair, Dr Fiona Adshead...
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A Manifesto for Global Sustainable Health
A manifesto has been produced that attempts to summarise the thoughts explored by the Sustainable Health Symposium that was held...
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A Perspective on Environmental Sustainability Assessments in the Healthcare Sector
A discussion paper titled “Challenges and recommendations for environmental sustainability assessments of pharmaceutical products in the healthcare sector” has been...
