Leadership and Governance


Sustainability Leadership for London

Catherine worked with the regional public health team, NHS London and London Councils to ensure that the health and social care system will be socially and environmentally as well as financially sustainable. Our scoping study appraised the opportunities and motivations for health and social care bodies to embed sustainable development and climate change in their business.

Catherine was then asked by NHS England and Public Health England to help take forward her recommendations and establish a leadership network for London to build on the successes of the former Carbon Reduction Strategy Group, which Catherine chaired, and the groundbreaking action by local Trusts which saw London become the first NHS region to reduce its carbon footprint.  This network is driving delivery of Sustainable, Resilient, Healthy People and Places, the national sustainable development strategy for health, public health and social care for which Catherine was the social care advisor.

Read Catherine’s article in Public Health Today: Fuel Poverty Can Keep Climate Change on the Agenda.


London GP Development Standards: A Framework for Service Improvement

Catherine collaborated with Uscreates and pwc to help drive forward this major transformation programme with the primary care team at NHS England and clinical leaders across London. The work included 20 focus groups with participants across diverse demographic groups and with a range of health conditions, and a major engagement event with voluntary and community sector leaders to consider a set of proposed development standards for general practice in the capital.

‘This is a great opportunity to build on existing structures and improve services.’
Engagement event participant (voluntary and community sector)


The London General Practice Development Standards


Local Government Health Network

The Local Government Information Unit (LGiU) Local Health Network (LHN) was established to build shared understanding of the new developments in health and social care and to think about innovative solutions to the challenges councils, their health partners, and voluntary and community sector organisations will face over the next few years. Catherine worked closely with LGiU providing advice on the implications of the health reforms for councils, jointly devising and delivering a series of learning events for LHN members and stakeholders.

‘Comprehensive, nuanced and expert understanding of the health reform agenda.’
Laurie Thraves, Policy Manager, Local Government Information Unit (LGiU)


Local health network


Changing Climate, Changing Conversations

Sustainable Public Services and the Health and Social Care Reforms

In July 2011, we brought together leaders in local government, the NHS and other sectors to discuss the opportunities and risks presented by the health and social care reforms for community wellbeing and environmental sustainability.

Changing Climate, Changing Conversations builds on this invitation-only workshop and provides examples of local action to illustrate the significance of climate change to assessing need and tackling health inequalities, local leadership, managing risk and improving community resilience.

Commissioned by Local Government Association and delivered in partnership with Ben Cave Associates and Final Draft Consultancy.

Changing climate, changing conversations

You may also be interested in our workshop presentation for the Healthy Communities legacy event (November 2011) and our short briefing note (available here).


NHS Sustainable Development Management Plans

On behalf of the Department of Health (London), we designed and conducted the first ever regional appraisal of board-approved NHS Sustainable Development Management Plans (SDMPs), a requirement of all NHS organisations set out in Saving Carbon, Improving Health: NHS Carbon Reduction Strategy for England, which preceded the current sustainable development strategy. Findings underpinned the pan-London Carbon Reduction Strategy which aimed to help local organisations to reduce their carbon emissions and share learning within and from outside the health sector. London became the first NHS region to reduce its carbon emissions and remains the leading region on this agenda.

SDMPs have since become a requirement for all public authorities, and are an indicator of health protection preparedness in the Department of Health’s public health outcomes frameworks.


London’s Barts Health NHS Trust is leading the way in sustainable healthcare. The Trust’s sustainability team is behind NHS Sustainability Day which takes place in March each year.