Environmental Lessons Learned and Applied (ELLA): a new framework for identifying, prioritising and implementing decarbonisation interventions in clinical care pathways

Joseph B  John; William K  Gray; Chantelle  Rizan; Kristin Konnyu; Forbes  McGain; Manraj  Phull; John  Ford; Paula R. Williamson; Edward  Nickell; Kieran O’Flynn; Tim  Briggs; John S. McGrath

doi:10.1136/bmjebm-2025-113911

Environmental Lessons Learned and Applied (ELLA): a new framework for identifying, prioritising and implementing decarbonisation interventions in clinical care pathways

Joseph B John^* (Corresponding Author)
, William K Gray
, Chantelle Rizan
, Kristin Konnyu
, Forbes McGain
, Manraj Phull
, John Ford
, Paula R. Williamson
, Edward Nickell
, Kieran O’Flynn
, Tim Briggs
, John S. McGrath

^*Corresponding author for this work

Aberdeen Centre for Evaluation

Research output: Contribution to journal › Article › peer-review

Abstract

A multidisciplinary framework for designing rapidly deployable, scalable and context-specific decarbonisation interventions for clinical care has been developed within the National Health Service, devised at a care pathway level to identify modifiable emissions hotspots while addressing wider priority outcomes and implementation.

Original language	English
Number of pages	10
Journal	Evidence-Based Medicine
Early online date	19 Dec 2025
DOIs	https://doi.org/10.1136/bmjebm-2025-113911
Publication status	E-pub ahead of print - 19 Dec 2025

Data Availability Statement

No data are available.

Funding

This work is an output of the Sustainable Health Systems Hub: Creating Sustainable Health and Social Care Pathways, which is supported by UK Research and Innovation Building a Green Future strategic theme, the National Institute for Health and Care Research, Medical Research Council, Natural Environment Research Council and the Engineering and Physical Sciences Research Council (APP29811 MR/Z506692/1).

Funders	Funder number
UK Research and Innovation	APP29811
Medical Research Council	MR/Z506692/1
Natural Environment Research Council
Engineering and Physical Sciences Research Council
National Institute for Health and Care Research

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John, J. B., Gray, W. K., Rizan, C., Konnyu, K., McGain, F., Phull, M., Ford, J., Williamson, P. R., Nickell, E., O’Flynn, K., Briggs, T., & McGrath, J. S. (2025). Environmental Lessons Learned and Applied (ELLA): a new framework for identifying, prioritising and implementing decarbonisation interventions in clinical care pathways. Evidence-Based Medicine. Advance online publication. https://doi.org/10.1136/bmjebm-2025-113911

John, JB, Gray, WK, Rizan, C, Konnyu, K, McGain, F, Phull, M, Ford, J, Williamson, PR, Nickell, E, O’Flynn, K, Briggs, T & McGrath, JS 2025, 'Environmental Lessons Learned and Applied (ELLA): a new framework for identifying, prioritising and implementing decarbonisation interventions in clinical care pathways', Evidence-Based Medicine. https://doi.org/10.1136/bmjebm-2025-113911

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Environmental Lessons Learned and Applied (ELLA): a new framework for identifying, prioritising and implementing decarbonisation interventions in clinical care pathways

Abstract

Data Availability Statement

Funding

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