Embedding sustainability in primary care practice: reflections on the Green Impact for Health toolkit in City and Hackney

Embedding sustainability in primary care practice: reflections on the Green Impact for Health toolkit in City and Hackney In response to the NHS commitment to reach net zero by 2040, how can primary care align clinical practice with environmental sustainability?In 2024, City and Hackney GP Confederation, in partnernership with the NHS North East London Integrated Care Board (ICB), and the City and Hackney Integrated Primary Care Community Interest Company took a practical approach by embedding the Royal College of General Practitioners Green Impact for Health (GIFH) toolkit 1 into the Local Enhanced Service (LES), under the medicines management domain. 2By the end of the year, 29 practices had engaged with the toolkit, the majority achieving formal recognition.