Intended for healthcare professionals

Letters Carbon neutrality by 2030

Toolkit for GPs to take action on climate change

BMJ 2019; 364 doi: (Published 25 March 2019) Cite this as: BMJ 2019;364:l1342
  1. Terry Kemple, retired GP and past president, Royal College of General Practitioners
  1. Bristol, UK
  1. tk{at}

With reference to the call by doctors for the government to legislate for carbon net zero emissions by 2030,123 we can hope that all general practitioners are aware of the urgent global challenge and are acting locally. In reality, however, they are busy people and may not know how they can contribute both personally and collectively to make the changes needed to reduce the risks of global warming.

The Royal College of General Practitioners in collaboration with the National Union of Students has a free online toolkit, Green Impact for Health, designed by GPs for GPs to help to improve their sustainability and reduce their environmental impact.4 It can be used in two ways—either as a list of actions to do in general practice, with the reasons for them and advice on how to achieve them; or as a continuing improvement programme for the practice in which the practice collects points each year for its efforts in improving its sustainability and gets awards for its achievements.

The toolkit can be freely shared with anyone in family medicine anywhere who wants to take action on climate change.


  • Competing interests: None declared.

  • TK is the Royal College of General Practitioners’ representative for sustainability, climate change, and green issues, including executive member of UK Health Alliance for Climate Change and the lead GP for the Green Impact for Health toolkit.


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