The 'Toolkit User Guide' can be found at the bottom of the Team Resource Bank.


How much does Green Impact cost?
Green Impact For Health is completely free for you to use, there are no hidden costs. To keep it this way, and to ensure the viability, longevity and impact of the programme, we are now encouraging donations from each practice. Please consider donating to SOS-UK via our charity PayPal account.

What are the criteria in the toolkit?
You can get an overview of all the criteria and the changes since last year by viewing the summary spreadsheet here.

What is Green Impact for Health?
Green Impact for Health is a tried and tested formula developed by the RCGP and NUS/SOS. In 2019/20 it was by used over 750 General Practices across the country. Put simply it is an online DIY guide to help you make your General Practice more environmentally sustainable. Green Impact for Health provides guidance about the small changes that should improve the environmental sustainability of your practice and save money.

Where is the information your practice added to in previous toolkits?
If it has not been transferred across to the V7 2020/21 toolkit. All the old information can be accessed by looking in the archives that are in the top right hand corner of your practice’s log in page - it’s all still there

How can you tidy up the information about team members on your practice’s log in page?
Only SOS-UK administrators are able to delete users but we want to keep your team information up to date so we will automatically delete users who have not logged in for the past two years.

How are the points determined in each section (Bronze, Silver, Gold and Carbon) and for each criteria?
There is no magic formula, just an allocation of the 100 points in each section based on an estimate of the likely difficulty, and impact of each criteria. The points system is far from perfect but we do want to recognise both your achievement and effort so we reserve the right to have some discretion regarding deciding the appropriate awards for each practice each year.
The Bronze section is roughly about understanding/measuring/checking current practice and usage, Silver about reducing usage and improving practice, Gold about demonstrating the impact of actions and influencing more widely and Carbon is about achieving net zero carbon status.

How long does it take?
You can commit as few or as many hours as you like each year, there is no minimum requirement.

What are the commitments if you want to gain an award?
After submitting your workbook by 11th June 2021 some practices may have an assessment by a student or small group of students who have been trained to confirm which criteria have been achieved. You may be invited to an optional local RCGP Faculty annual Prize Giving in June/July where you will receive either a Pioneer, Bronze, Silver, Gold or Carbon accreditation certificate for your practice.

What criteria is best to start with?
There is no right way. You might like to tackle it by starting with the Bronze criteria, or by the type of criteria Food, Waste & Recycling, Prescribing, Procurement, Energy, Social Prescribing, Communication, Training, Fuel Poverty, Treatment, Self-management, Quality Improvement, Water, Travel, Active Transport, Staff Welfare and Biodiversity or with whatever fits best with your practice’s needs. You can get points and qualify for an award whatever way you choose to use toolkit.

What do I tell my Practice if I want to join?
General Practice is under extreme pressure, and practices may feel unable to take on more than is absolutely necessary. However Green Impact for Health was developed by General Practice for General Practice to make the process as easy as possible. When we audited the use of the toolkit after its first year we found that practices that completed only two simple actions from the toolkit each saved around £1000/year.

Can this relate to GP training?
If you are a trainee and having trouble finding high quality evidence on your e-portfolio for "Community Orientation" and "Primary care administration and Information Management & Technology" - this toolkit is your solution! It also helps you learn more about management of General Practice.

What is a planetary health impact assessment and how do you it?
You can do your own planetary health impact assessments to evaluate how your activity may cause environmental changes that affect natural systems and long-term health and decide how we can make meaningful restorations and reparations.
To do your own assessment follow the steps below
Check your personal carbon footprint using or
You can check your practices carbon footprint (in a bit more detail) or

How can you help to support this work?
You can make a donation to SOS-UK via our charity PayPal account.
If you want to help review criteria or write new ones then please contact Terry Kemple.

Which other groups can help?
Greener Practice are the main network hub for those working in general practice to raise awareness of the health benefits of climate action and to support practical action. Their website acts as a one-stop shop for general practices wishing to become greener, with links to information, resources and practical tools. They also run webinars which are available as CPD resources. Twitter: @greenerpractice

UK Health Alliance for Climate Change (UKHACC). The RCGP is a founding member of the UKHACC. It brings together doctors, nurses and other health professionals to advocate for responses to climate change that protect and promote public health. The Alliance coordinates action, provides leadership and helps amplify the voices of doctors, nurses and other healthcare professionals across the UK.

BMA/GPC England and the Climate Emergency
Published its policy document in June 2020.

Sustainable Development Unit (SDU) in Cambridge works on behalf of the health and care system in England. It supports the NHS, public health and social care to embed and promote the three elements of sustainable development - environmental, social and financial. The Unit is funded by NHS England and Public Health England to ensure that the health and care system fulfils its potential as a leading sustainable and low carbon service.

Centre for Sustainable Healthcare (CSH) is a charity based in Oxford working on sustainable healthcare in research and practice. It provides strategic input and consultancy to national and local programmes. There is a network for Primary Care with lots of resources as well as a forum for discussion.

World Organization of Family Doctors (WONCA) has a Working Party on the Environment that fosters the role of family doctors in protecting the health of their patients and communities from the impacts of environmental hazards and environmental degradation, and to promote healthy and sustainable societies at the local and global level. Family Doctors from every region of the world are engaging in planetary health within their local and global communities. The Working Party always welcomes new members.

Planetary Health Alliance is a consortium of over 120 dedicated universities, NGOs, government entities, research institutes, and other partners around the world committed to advancing planetary health.

Lancet Countdown tracks progress on health and climate change and is an international research collaboration, that tracks the world's response to climate change, and the health benefits that emerge from this transition.

Carbon Brief Daily News
Every weekday morning, Carbon Brief sends out a free email digest of the past 24 hours of media coverage related to climate change and energy, as well as their pick of the key studies published in the peer-reviewed journals.

SEE Sustainability is an environmental sustainability consultancy experienced working with general practice. It provides a range of services to small and medium sized businesses to improve their sustainability of people (Social) and planet (Environmental) while improving their profit. (Economic). It also provides on-line carbon literacy training for practices.

What is Sustainable Healthcare?
Sustainable Healthcare is the concept of providing healthcare in a way that is beneficial to patients without harming the planet. “Sustainability” in the health care system is providing high quality care and improved public health without exhausting natural resources or causing severe ecological damage.

What is Planetary Health?
It links the disruptions of the Earth’s natural systems caused by humans with the resulting impacts on public health and then develops and evaluates evidence-based solutions to secure a world that is healthy and sustainable for everyone.