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


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 2020/21 it was by used by over 1000 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?
Everything should have been transferred across to the V7.1 2021/22 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 much does Green Impact cost?
Green Impact For Health is completely free for you to use, there are no hidden costs. We do welcome your support and ask you to donate to SOS-UK (choose the Green Impact option) via our charity PayPal account.

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?
There is no longer any deadline for submissions. You can submit at any time and resubmit when you have enough points to claim the next level of award. After submitting 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 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 & Drinks, Waste & Recycling, Prescribing, Energy saving, Social Prescribing, News & Communication, Learning, Vulnerable Groups, Quality Improvement, Water, Travel & Exercise, Healthy Planet, and Zero carbon 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.
But if you really want a suggestion try improving your MDI inhaler prescribing and score easier points towards getting a Green Impact award to recognise your practices efforts by concentrating on the following:
Prescribing criteria
PRS003 – reviews your use of DPI v MDI inhalers (3 points)
PRS005 – liaise with CCG/Health Board re local prescribing of inhalers (3 points)
PRS009 – show evidence of low volume salbutamol MDIs rather than high volume MDIs and minimising MDI with the propellant HFA227ea (4 points)
PRS010 – show evidence of using DPI>MDI (6 points)
PRS011 – practice has implemented its plan to improve prescribing performance (5 points)
Quality Improvement criteria
QIP001 – practice encourage self-management with guidance for one condition (5 points)
QIP002 – Practice has planned a QI project to improve sustainability (6 points)
QIP003 - Show evidence of a self management plan with guidance (4 points)
QIP005 – Evidence QI plan is in progress (6 points)
QIP007 – Practice has completed its QI plan (5 points)
In England you can find out what you need to know about inhaler prescribing via the Openprescribing website, In the UK you can use the GSK tool.
Completing all this interrelated work attracts 47 points in the toolkit. The Bronze reward requires 75 points.

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 do 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.

Greener NHS works on behalf of the health and care system in England and aims to make the NHS net zero carbon by 2040 and 2045. It supports the NHS to embed and promote the three elements of sustainable development - environmental, social and financial.

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.

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.