Further Guidance: Climate Adaptation for NHS Organisations

Climate Adaptation Framework for NHS organisations – Further Guidance

Further guidance:

• Periodically assess your maturity across capabilities using the Climate Adaptation Framework. Reflect on these results to identify areas of weakness which may need further support.

• Other tips for reviewing and assessing your performance on adaptation actions:

o Work with colleagues across your organisation to understand and capture outcomes of ongoing work which contribute to adaptation. o Through reviewing implementation of adaptation actions you should be able to learn what is suitable and what is less appropriate for your identified climate challenges and opportunities. o Revisit your aims, objectives and risks and how these are being achieved by planned work. o Questions to consider: How well was the action implemented? Was it delivered on time and on budget? Have the anticipated benefits of the action been realised? What additional benefits has the action delivered? • Here is a short 2-pager introduction to the PDSA cycle, and you can use the NHS Handbook of Quality and Service Improvement chapter 5.2 for further guidance on applying this to your planning and evaluation processes. Also consider this module in the NHS Improvement Leaders’ Guide. PI4B Taking action on adaptation is mainstreamed into your organisation’s functions For adaptation to become routine, it needs to be mainstreamed into the business-as-usual activities and KPIs in your organisation when delivering its functions so actions are being considered and implemented across the system. Have system wide adaptation plans which have resource assigned and are being delivered.

Further guidance:

• Work with colleagues to ensure business procedures include consideration of climate change risks early in the development of new projects e.g. via Sustainability Impact Assessment processes. • Include management of climate risks or the ability to adapt in specification or business cases for major asset or infrastructure projects. PI4C Develop a strategic change process for achieving adaptation outcomes Developing a strategic approach to adaptation allows you to take account of complexity and uncertainty now and in the future. Using methods like ‘adaptation pathways’ or ‘theory of change’ you can explore a range of possible options over time – and the potential role of your organisation.

Authors: Sustainability West Midlands; Sniffer Partners: NHSE North East & Yorkshire, NHSE North West, NHS Greater Manchester

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