The unique sustainability challenge of healthcare: Complexity, compliance, and care
The healthcare sector is one of the largest and most complex in the UK, and when it comes to sustainability, it faces a number of unique challenges.
One of the most significant hurdles is energy consumption. Hospitals, clinics, and care homes require 24/7 operations, which means they consume large amounts of energy. Heating, lighting, medical equipment, and cooling systems all contribute to high energy demands, and many of these buildings are older, making energy efficiency upgrades expensive and logistically challenging.
Another pressing issue is waste management. Healthcare settings produce an enormous amount of waste-everything from medical waste, like syringes and dressings, to food waste, packaging, and plastics(1). Managing this waste responsibly is essential for environmental sustainability, but it’s not always easy.
Many healthcare facilities still rely on single-use plastics, and although there is growing awareness around the need for change, there hasn’t been a quick fix for these entrenched practices(2).
The cost of implementing sustainability initiatives is another challenge, especially in the face of financial pressures in the public healthcare sector(3). Although long-term savings can be realised by switching to more energy-efficient practices, the initial outlay for energy-efficient systems, waste management upgrades, or green infrastructure can feel daunting, particularly when immediate patient care and safety are top priorities.
Moreover, regulatory compliance in healthcare is a double-edged sword. While there are increasing expectations for healthcare institutions to meet sustainability targets, there’s also a heavy burden of meeting safety and operational standards that are often at odds with environmental goals.
Despite these challenges, the sector is slowly making strides in the right direction. The key is recognising that sustainability isn’t just about cutting costs or ticking boxes-it’s about improving the overall health of the planet and the people who rely on healthcare services.
Bibliography
1 NHS clinical waste strategy (Accessed May 2025) https://www.england.nhs.uk/estates/nhs-clinical-waste-strategy/
2 Design for Life roadmap (Accessed May 2025) https://www.gov.uk/government/publications/design-for-life-roadmap
3 NHS financial sustainability (Accessed May 2025) https://publications.parliament.uk/pa/cm5901/cmselect/cmpubacc/350/report.html