In 2015, 193 countries signed up to the United Nations (UN) Sustainable Development Goals (SDGs). The UN has identified 17 SDGs that focus on people, planet, prosperity, peace and partnership. While SDG 13 focuses on climate action, it is evident that all the SDGs impact each other. The impact of climate change is a topic of global discussion and debate. In the autumn of 2021, the UK hosted the 26th UN Climate Change Conference (COP26). COP26 identified four key targets: (i) to secure global net zero emissions by the middle of the century, (ii) to adapt to protect communities and natural habitats, (iii) to ensure financial aid is available to deliver on the first two goals, and (iv) to work together to deliver on climate change.
While climate change is an important concern for all, the enormity of the topic can make it feel as if there is little that one person can do to make an impact. However, it is imperative that everyone, including healthcare professionals, consider their contribution to sustainability. The impact of healthcare (which contributes 4.4% towards the global carbon footprint) on climate change is considerable (Health Care Without Harm, 2019). District nursing teams have much to offer when considering sustainability. The Campaign for Greener Healthcare has identified four principles of sustainable healthcare, which are: disease prevention and health promotion; patient education and empowerment; lean service delivery; and preferential use of treatment options and medical technologies with lower environmental impact (Mortimer, 2010). District nursing teams can influence clinical practice based on these four principles.
The Centre for Sustainable Healthcare organise events has a resource library and networks, as well as case studies. One aspect of their work is to support sustainability in quality improvement. While district nursing teams may not be involved in formal quality improvement projects, the principles of sustainable value can be applied to all district nursing practices. Sustainable value is equal to the outcome (for patients and populations) over the costs (environmental, social and financial impacts). District nurses already undertake holistic assessments within the home setting, which, by their very nature, take in to consideration the environmental, social and financial factors. Explicit recognition of how the district nursing team contributes to sustainable value has the potential to raise the profile of sustainability. A health visitor in Scotland found that cycling was an ideal way to become familiar with the community—both people and resources, such as green spaces—along with the advantage of benefiting their own health (Mortimer, 2022). While cycling may not be practical for all community nurses, there is no doubt that all district nursing teams have the potential to increase sustainability while having a positive impact on the people and populations that they work with.