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Interventions that consider climate change, sustainability, and nature should be integral to health system functioning. Placing sustainability at the core of the NHS’s future offers opportunities to deliver better services, support healthier populations, and save costs. The combined threats of climate change and biodiversity loss are a global public health emergency requiring urgent attention.12 The health impacts of these crises are far reaching, spanning the direct effects of changing weather patterns, such as heat waves causing cardiovascular events or severe dehydration; damage to health infrastructure through extreme weather events; system disruptions to the upstream determinants of health, such as reduced crop viability affecting nutritional status; and the direct health effects of fossil fuel combustion, such as respiratory diseases from air pollution.3 The NHS contributes about 5% of UK fossil fuel emissions and generates substantial waste,4 which feeds into a cycle where he

United kingdomFrance generalRita issaMatt morganParveen kumarVictor adebowaleBob klaberRachel stancliffeCatherine bakerElaine mulcahyCallum forbesKate womersleyUnited nations framework convention on climateUnited kingdom health alliance on climateCentre for sustainable healthcareHarvard program in global surgery