Intended for healthcare professionals

Letters Eco-anxiety as force for action

Carbon effectiveness in healthcare is long overdue

BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r201 (Published 03 February 2025) Cite this as: BMJ 2025;388:r201
  1. Roshan Vijayan, consultant plastic surgeon
  1. East and North Hertfordshire NHS Trust, Lister Hospital, Stevenage, UK
  1. roshan.vijayan{at}nhs.net

Many of us working in healthcare also experience “eco-anxiety,”1 a type of moral injury heightened by the dissonance and illogicality of delivering healthcare in a vacuum. Despite the NHS net zero pledge, alarming global climate events, and the palpable sense of time running out, we see little change “on the ground.” There is still profligate consumption and waste, and little sense in how ecological impact is factored into …

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